在立陶宛的精神分裂症患者中增加死亡风险 2001-2020年
Mingaile Drevinskaite1,2, Auguste Kaceniene3, Arunas Germanavicius4,5
1Laboratory of Cancer Epidemiology, National Cancer Institute, Vilnius, Lithuania. mingaile.drevinskaite@nvi.lt.
Schizophrenia (Heidelberg, Germany)
|January 17, 2025
概括
与普通人群相比,精神分裂症患者面临的死亡风险几乎是两倍. 这项研究强调,迫切需要有针对性的健康干预措施,以解决预期寿命的巨大差距.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 精神分裂症与严重的健康差异有关.
- 以前的研究表明,精神分裂症患者的死亡率较高.
- 了解长期死亡率趋势对于公共卫生战略至关重要.
研究的目的:
- 评估立陶宛精神分裂症患者的全因和因特定死亡风险.
- 将精神分裂症患者的死亡率与普通人口进行比较.
- 确定卫生干预的关键领域,以减少死亡率差异.
主要方法:
- 追溯队列研究的设计.
- 包括7883名被诊断为精神分裂症的患者 (ICD-10代码F20) 从2001年至2020年.
- 使用的中央人口登记数据用于死亡和移民信息.
- 计算标准化死亡率 (SMRs) 与国家死亡率相比.
主要成果:
- 在两性中都观察到全因死亡风险增加 (SMR=1.96).
- 循环系统疾病是主要的因特定死亡风险 (SMR=2.17).
- 传染病,精神障碍,神经系统疾病,呼吸系统疾病,泌尿生殖系统疾病和外部原因的风险也较高.
结论:
- 精神分裂症患者从一般人口的健康改善中没有得到同等的好处.
- 迫切需要针对吸烟,饮酒,心血管健康,癌症查和身体相关疾病的干预措施.
- 有针对性的策略对于减少精神分裂症患者的死亡率差距至关重要.
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