Avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction settings
Objective: Patients with schizophrenia are at a greater risk of avoidable death. Although smoking is a modifiable factor to reduce the mortality gap, the rate of quitting smoking in these inpatients is still lower than that in the general population. We examined avoidable mortality among long-stay p...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Taiwanese Journal of Psychiatry |
| Subjects: | |
| Online Access: | http://www.e-tjp.org/article.asp?issn=1028-3684;year=2019;volume=33;issue=3;spage=160;epage=163;aulast=Cheng |
| _version_ | 1818731792314662912 |
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| author | Kan- Yuan Cheng Shu- Yuan Chen |
| author_facet | Kan- Yuan Cheng Shu- Yuan Chen |
| author_sort | Kan- Yuan Cheng |
| collection | DOAJ |
| description | Objective: Patients with schizophrenia are at a greater risk of avoidable death. Although smoking is a modifiable factor to reduce the mortality gap, the rate of quitting smoking in these inpatients is still lower than that in the general population. We examined avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction environments. Methods: A total of 1998 male and 459 female patients with schizophrenia who was admitted to Taipei Veterans General Hospital, Yuli Branch, in Taiwan, received follow-ups for 11 years to be estimated for the standardized mortality ratios (SMRs) of avoidable causes of death. During that period, all the male patients had stayed in smoking-allowed wards, but all the female patients had not. Results: The mean ± standard deviation age of the patients was 57.8 ± 17.0 years. Of the 993 decedents in total, 411 died of avoidable causes (41.4%). Compared with the general population, male patients had significantly higher mortality due to avoidable causes (SMR = 1.96, 95% confidence interval [CI] = 1.77–2.16, p < 0.05) and in terms of indicators of medical care (SMR = 2.41, 95% CI = 2.17–2.67, p < 0.05); however, the female patients did not (SMR = 1.22, 95% CI = 0.67–2.05; SMR = 1.57, 95% CI = 0.86–2.64, respectively). Conclusion: Male patients had higher mortality gaps due to avoidable causes and in terms of indicators of medical care. But female patients who all had stayed in tobacco-free settings did not. Environmental smoking restriction might be related to the diminished avoidable mortality gaps in patients with schizophrenia. |
| first_indexed | 2024-12-17T23:23:18Z |
| format | Article |
| id | doaj.art-5bc6b81d38714ce090de988aa21dd3ff |
| institution | Directory Open Access Journal |
| issn | 1028-3684 2666-2078 |
| language | English |
| last_indexed | 2024-12-17T23:23:18Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Taiwanese Journal of Psychiatry |
| spelling | doaj.art-5bc6b81d38714ce090de988aa21dd3ff2022-12-21T21:28:50ZengWolters Kluwer Medknow PublicationsTaiwanese Journal of Psychiatry1028-36842666-20782019-01-0133316016310.4103/TPSY.TPSY_31_19Avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction settingsKan- Yuan ChengShu- Yuan ChenObjective: Patients with schizophrenia are at a greater risk of avoidable death. Although smoking is a modifiable factor to reduce the mortality gap, the rate of quitting smoking in these inpatients is still lower than that in the general population. We examined avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction environments. Methods: A total of 1998 male and 459 female patients with schizophrenia who was admitted to Taipei Veterans General Hospital, Yuli Branch, in Taiwan, received follow-ups for 11 years to be estimated for the standardized mortality ratios (SMRs) of avoidable causes of death. During that period, all the male patients had stayed in smoking-allowed wards, but all the female patients had not. Results: The mean ± standard deviation age of the patients was 57.8 ± 17.0 years. Of the 993 decedents in total, 411 died of avoidable causes (41.4%). Compared with the general population, male patients had significantly higher mortality due to avoidable causes (SMR = 1.96, 95% confidence interval [CI] = 1.77–2.16, p < 0.05) and in terms of indicators of medical care (SMR = 2.41, 95% CI = 2.17–2.67, p < 0.05); however, the female patients did not (SMR = 1.22, 95% CI = 0.67–2.05; SMR = 1.57, 95% CI = 0.86–2.64, respectively). Conclusion: Male patients had higher mortality gaps due to avoidable causes and in terms of indicators of medical care. But female patients who all had stayed in tobacco-free settings did not. Environmental smoking restriction might be related to the diminished avoidable mortality gaps in patients with schizophrenia.http://www.e-tjp.org/article.asp?issn=1028-3684;year=2019;volume=33;issue=3;spage=160;epage=163;aulast=Chengcause of deathdeath ratepremature deathtobacco |
| spellingShingle | Kan- Yuan Cheng Shu- Yuan Chen Avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction settings Taiwanese Journal of Psychiatry cause of death death rate premature death tobacco |
| title | Avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction settings |
| title_full | Avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction settings |
| title_fullStr | Avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction settings |
| title_full_unstemmed | Avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction settings |
| title_short | Avoidable mortality among long-stay patients with schizophrenia under different smoking-restriction settings |
| title_sort | avoidable mortality among long stay patients with schizophrenia under different smoking restriction settings |
| topic | cause of death death rate premature death tobacco |
| url | http://www.e-tjp.org/article.asp?issn=1028-3684;year=2019;volume=33;issue=3;spage=160;epage=163;aulast=Cheng |
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