Taipei Medical University Institutional Repository:Item 987654321/44684
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    Please use this identifier to cite or link to this item: http://libir.tmu.edu.tw/handle/987654321/44684


    Title: Poor Clinical Outcomes Among Pneumonia Patients With Schizophrenia
    Authors: Chen,Yi-Hua;Lin,Hsiu-Chen;Lin,Herng-Ching
    Contributors: 臺北醫學大學附設醫院小兒學科
    Keywords: schizophrenia;pneumonia;clinical outcomes
    Date: 2010-03-25
    Issue Date: 2012-01-17 14:38:50 (UTC+8)
    Abstract: Despite the recent attention to patient safety and quality of
    care, no prior studies have addressed outcomes of hospitalization
    for pneumonia among patients with schizophrenia.
    This study investigated the extent to which clinical outcomes
    of pneumonia were different among patients with
    schizophrenia. This study used data from the Taiwan
    National Health Insurance Research Database. Of the total
    of 81 599 patients admitted with a principal diagnosis of
    pneumonia from 2002 to 2004, 949 had previously been admitted
    with a principal or secondary diagnosis of schizophrenia
    within the 2 years of their index pneumonia
    admission. We randomly selected 2847 pneumonia patients
    matched with the study group in terms of gender, age, year
    of admission, length of stay, and Charlson Comorbidity Index
    score as the comparison cohort. Conditional logistic
    regression models were used for analysis. Findings indicated
    a higher prevalence of adverse outcomes among
    patients with schizophrenia. Patients with schizophrenia
    were independently associated with a 1.81 times greater
    risk of intensive care unit admission (95% confidence interval
    [CI] 5 1.37–2.40), a 1.37 times greater risk of acute
    respiratory failure (95% CI 5 1.08–1.88), and a 1.34-fold
    greater risk of mechanical ventilation (95% CI 5 1.04–
    1.92) after adjusting for characteristics of patients, physicians,
    hospitals, and potential clustering effects. Adjusted
    odds ratios were further evident among those treated in
    private hospitals and in regional/district hospitals. Significant
    barriers to prompt and appropriate medical care for
    pneumonia persist for patients with schizophrenia. Careful
    monitoring of physical health and proper integration
    between psychiatrists and physicians should be stressed
    to reduce poor clinical outcomes in this vulnerable population.
    Relation: Schizophrenia bulletin. 37(5): 1088-1094.
    Appears in Collections:[小兒學科] 期刊論文

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