Mortality in people with mental disorders in Poland during the COVID-19 pandemic: a nationwide, register-based cohort study.

IF 7.5 2区医学 Q1 PSYCHIATRY Current Opinion in Psychiatry Pub Date : 2024-11-07 DOI:10.1097/YCO.0000000000000975

Tomasz M Gondek, Tomasz Adamowski, Jolanta Janus, Ewelina Cichoń, Sylwia Paciorek, Mariusz Zięba, Alicja Bukowska, Agata Todzia-Kornaś, Andrzej Kiejna

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引用次数: 0

Abstract

Purpose of review: People with mental disorders in Poland have increased standardized mortality ratios (SMRs). This is the first study to assess all-cause mortality in people with mental disorders in Poland during the COVID-19 pandemic.

Recent findings: A nationwide, register-based cohort study utilizing data from the registry of healthcare services (2011-2020) and the all-cause death registry (2021) in Poland was conducted. Individuals who were consulted or hospitalized in public mental healthcare facilities and received at least one diagnosis of mental disorders (ICD-10) from 2011 to 2020 were identified. SMRs were compared between people with a history of mental disorder and the general population. SMRs for the pandemic period were also compared with prepandemic SMRs calculated for 2019.No significant differences in SMRs were observed overall between 2021 and 2019. A minor increase in SMR was observed in 2021 for people treated only in outpatient mental health clinics. In 2021, a significant decrease in SMRs was shown for individuals with diagnoses from groups F10-F19 and F20-F29, and a significant increase in SMRs was observed for those with diagnoses from group F40-F48.

Summary: SMRs for people with any mental disorder in Poland in 2021 remained at comparable levels to those in 2019.

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COVID-19 大流行期间波兰精神障碍患者的死亡率：一项基于登记簿的全国性队列研究。

审查目的：波兰精神障碍患者的标准化死亡率（SMRs）有所上升。这是第一项评估 COVID-19 大流行期间波兰精神障碍患者全因死亡率的研究：我们利用波兰医疗保健服务登记处（2011-2020 年）和全因死亡登记处（2021 年）的数据，在全国范围内开展了一项以登记为基础的队列研究。研究人员对 2011 年至 2020 年期间在公共精神医疗机构就诊或住院并至少被诊断出患有一种精神障碍（ICD-10）的人进行了鉴定。比较了有精神障碍病史的人与普通人群的 SMRs。大流行期间的 SMR 也与 2019 年计算的大流行前 SMR 进行了比较。2021 年，仅在精神健康门诊接受治疗的人的 SMR 略有上升。2021年，诊断为F10-F19组和F20-F29组的患者的SMR显著下降，而诊断为F40-F48组的患者的SMR显著上升。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Psychiatry 医学-精神病学

CiteScore

12.20

自引率

1.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.