Mortality in El-Abbassia Psychiatric Hospital: a 5-year Retrospective Study

Abstract

The current study is retrospective study carried out on the medical records of psychiatric inpatients (n = 145) who died during their inpatient stay at Abbassia Mental Hospital in the past 5 years (January 2010 to December 2014) constituted the study population. Out of 144 psychiatric inpatient deaths, the researchers were able to trace and recruit the case record files of 144 inpatients. Untraced file was submitted for legal purposes; hence such file was not reviewed. All data of inpatients files including mortality reports registered in the registration department of El-Abbassia psychiatric hospital were reviewed. Files of patients who died during their admission in the hospital were studied through case file review. For each case, manual inspections of files were done and the following data were collected:  Socio-Demographic characteristics  Psychiatric diagnoses according to ICD-10.  Duration of hospitalization for the last admission.  Co-morbid medical condition.  Details of the current episode.  Psychotropic medications at the time of the incidents, its doses.  In addition received ECT (Electro-Convulsive-Therapy) if any.  For each incident data collected about reported complications, its duration, possible interventions prior to death together with features of the incident.  Number of consultations to other specialties in the hospital.  Number of consultations and transfer to a general medical hospital  Cause of death Results: During the study period 15956 patients admitted among which 145 patient died that is to say mortality rate was 9/1000. The mean age of patients died was 57.5 years of age with a female predominance as mortality rate among females was 3/100. The majority of patients were unemployed, illiterate .Long stay hospitalization (know as more than 6 months duration) was 75.5% of inpatients deaths reported in this study. Most common diagnosis were Schizophrenia, delusional disorder, dementia, epile