{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:43:38Z","timestamp":1761767018867,"version":"3.40.5"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"6","license":[{"start":{"date-parts":[[2021,12,31]],"date-time":"2021-12-31T00:00:00Z","timestamp":1640908800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,12,31]],"date-time":"2021-12-31T00:00:00Z","timestamp":1640908800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,12,31]],"date-time":"2021-12-31T00:00:00Z","timestamp":1640908800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2021,12,31]]},"abstract":"<jats:sec><jats:title>Cel pracy<\/jats:title><jats:p>Celem badania by\u0142o okre\u015blenie og\u00f3lnych i specyficznych wsp\u00f3\u0142czynnik\u00f3w umieralno\u015bci wewn\u0105trzszpitalnej oraz identyfikacja czynnik\u00f3w ryzyka zgon\u00f3w.<\/jats:p><\/jats:sec><jats:sec><jats:title>Metoda<\/jats:title><jats:p>Badanie obejmowa\u0142o 15 997 kart dokumentacji medycznej pacjent\u00f3w hospitalizowanych w Szpitalu dla Nerwowo i Psychicznie Chorych w Starogardzie Gda\u0144skim w latach 2005-2012. Badanie zosta\u0142o zaprojektowane jako retrospektywne badanie kohortowe z wykorzystaniem proporcjonalnego modelu Coxa do analizy prze\u017cycia. Obliczono znormalizowany wska\u017anik umieralno\u015bci (SMR) i jego 95% przedzia\u0142y ufno\u015bci (95% CI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Wyniki<\/jats:title><jats:p>Niezale\u017cnymi czynnikami ryzyka zgonu by\u0142y: p\u0142e\u0107 m\u0119ska, starszy wiek, nadci\u015bnienie t\u0119tnicze, mia\u017cd\u017cyca, zawa\u0142 serca w wywiadzie, niewydolno\u015b\u0107 serca, marsko\u015b\u0107 w\u0105troby, gru\u017alica, choroba nowotworowa w wywiadzie, niedokrwisto\u015b\u0107, wyst\u0119powanie stanu zapalnego. Majaczenie niewywo\u0142ane alkoholem i innymi substancjami psychoaktywnymi  by\u0142o zwi\u0105zane z najwy\u017cszym ryzykiem zgonu ze wszystkich diagnoz psychiatrycznych. Bezrobocie wi\u0105za\u0142o si\u0119 z dwa razy wy\u017cszym ryzykiem zgonu w trakcie hospitalizacji. SMR dla ca\u0142ej populacji pacjent\u00f3w hospitalizowanych wyni\u00f3s\u0142 17,88 (95% CI 15,99-20,00).<\/jats:p><\/jats:sec><jats:sec><jats:title>Wnioski<\/jats:title><jats:p>Choroby wsp\u00f3\u0142istniej\u0105ce maj\u0105 istotny i klinicznie znacz\u0105cy wp\u0142yw na umieralno\u015b\u0107 wewn\u0105trzszpitaln\u0105 u pacjent\u00f3w psychiatrycznych w Polsce. \u015awiadomo\u015b\u0107 klinicyst\u00f3w i aktywne monitorowanie stan\u00f3w chorobowych w\u015br\u00f3d takich pacjent\u00f3w jest konieczne, aby zmniejszy\u0107 ryzyko umieralno\u015bci wewn\u0105trzszpitalnej w plac\u00f3wkach psychiatrycznych.<\/jats:p><\/jats:sec>","DOI":"10.12740\/pp\/122356","type":"journal-article","created":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T22:30:12Z","timestamp":1643927412000},"page":"1207-1219","source":"Crossref","is-referenced-by-count":1,"title":["Cause-specific mortality and risk factors of death among inpatients of a psychiatric hospital"],"prefix":"10.12740","volume":"55","author":[{"given":"Dominika","family":"My\u015blicka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawe\u0142","family":"Zago\u017cd\u017con","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2170-3904","authenticated-orcid":false,"given":"Magdalena","family":"Pierucka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2021,12,31]]},"container-title":["Psychiatria Polska"],"original-title":["Umieralno\u015b\u0107 szczeg\u00f3\u0142owa i czynniki ryzyka zgonu w\u015br\u00f3d pacjent\u00f3w szpitala psychiatrycznego"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-122356-81770","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-122356-81770","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T06:48:49Z","timestamp":1666075729000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Cause-specific-mortality-and-risk-factors-of-death-among-inpatients-of-a-psychiatric,122356,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,31]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021]]}},"alternative-id":["122356"],"URL":"https:\/\/doi.org\/10.12740\/pp\/122356","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2021,12,31]]}}}