精神病診断と精神活性薬の使用は,機械呼吸器を受給している非手術的重症患者の間で,精神病診断と精神活性薬の使用です
Hannah Wunsch1, Christian F Christiansen2, Martin B Johansen3
1Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, New York2Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.
JAMA
|March 20, 2014
まとめ
重症の患者は,精神病の診断を受けた割合が高くなります. 生存者は,新精神病診断と退院後の薬物使用のリスクが一時的に増加します.
科学分野:
- クリティカルケア医療は,重症治療薬です.
- 精神科医は精神病を患っている.
- エピデミオロジー エピデミオロジー
背景:
- 深刻な病気と精神疾患の関連性は十分に理解されていません.
- 深刻な病気の前と後の精神保健の調査は,患者のケアにとって極めて重要です.
研究 の 目的:
- 精神病の診断と精神活性薬の処方箋を評価するために,重篤な病気の前の年に.
- 重篤な病気の翌年の新精神病診断と薬物使用の発生率を評価する.
主な方法:
- デンマークの人口ベースのコホート研究 (2006年−2009年) は,重症患者 (機械的換気による集中治療室入院) を含め,比較コホートに匹配した.
- 病前精神病診断と薬物使用は,調整された流行比率 (PRs) を使用して比較されました.
- 新規診断と重症期後の疾患の薬物使用は,コックス回帰による累積発生率と調整された危険比率 (HRs) を用いて評価された.
主要な成果:
- 重症患者は,入院 (5.4%) と一般人口 (2.4%) のコホートと比較して,以前の精神病診断の割合 (6.2%) が高かった.
- 退院後,精神病歴のない重症生存者は,3ヶ月以内に新たな診断 (0.5%対0.2%) と薬の処方 (12.7%対5.0%) のリスクが増加しました.
- これらの増加したリスクは,解約後9〜12ヶ月でほとんど解決しました.
結論:
- 以前から存在していた精神疾患は,重症の個人に多く見られる.
- 重症の生存者は,新しい精神病診断と精神活性薬の使用が一時的に増加することを経験します.
- 研究結果は,精神疾患の潜在的誘発的役割と,精神疾患後の一時的な精神疾患リスクを示唆しています.
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