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Sudden Deaths in Psychiatric Patients

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Sudden Deaths in Psychiatric Patients

Post  Admin on Wed Sep 07, 2011 8:11 pm

Sudden deaths in psychiatric patients.
Manu P, Kane JM, Correll CU.
Medical Services, Zucker Hillside Hospital


J Clin Psychiatry. 2011 Jul;72(7):936-41. Epub 2011 May 3.

OBJECTIVE:
To assess the causes and risk factors for sudden death discovered by contemporaneous investigation of all deaths occurring over a 26-year period (1984-2009) in adults (119,500 patient-years) receiving care in one large psychiatric hospital in New York.

METHOD:
Circumstances of death, psychiatric diagnoses, psychotropic drugs, and past medical history were extracted from the root cause analyses of sudden, unexpected deaths. After cases involving suicide, homicide, and drug overdoses were excluded, the remaining explained and unexplained cases of sudden death were compared regarding clinical variables and the utilization of antipsychotics.

CONCLUSIONS:
In a consecutive cohort of psychiatric patients, the unexplained sudden deaths were not associated with higher utilization of first- or second-generation antipsychotics. The role of diabetes and dyslipidemia as risk factors for sudden death in psychiatric patients requires careful longitudinal studies.

Read the full study here:
J Clin Psychiatry

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