Previously Undetected Metabolic Syndromes and Infectious Diseases Among Psychiatric Inpatients
Previously Undetected Metabolic Syndromes and Infectious Diseases Among Psychiatric Inpatients
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DOI：
10.1176/appi.ps.60.4.534
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发表时间：
2009-04-01
影响因子：
3.8
通讯作者：
Eachus, Susan
中科院分区：
文献类型：
--
作者：
Rothbard, Aileen B.;Blank, Michael B.;Eachus, Susan
目的：这项研究确定了以前未被发现的代谢和传染病的人与严重的精神疾病谁是精神病住院单位。研究方法：观察自然的方法被用来模拟普遍的筛选，以文件证据未被发现的疾病在588名成年精神病患者。数据来自医疗记录和实验室检查。结果：实验室检查结果显示10%的患者感染了HIV，32%的患者感染了B型肝炎，21%的患者感染了C型肝炎。7%的患者血糖水平升高，22%的患者总胆固醇水平升高。近60%的人体重指数超过25。治疗团队遗漏了相当大比例的传染病（95%的B肝炎病例，50%的丙型肝炎病例和21%的HIV病例）和代谢紊乱（89%的总胆固醇水平升高的病例和97%的甘油三酯水平升高的病例）。相比之下，只有18%的血糖水平升高的病例被遗漏。结论：这项研究表明，在精神科住院人群中，代谢紊乱和感染性疾病的患病率非常高。（精神病学服务60：534-537，2009）
Objective: This study identified previously undetected metabolic and infectious disease among persons with serious mental illness who were admitted to psychiatric inpatient units. Methods: Observational-naturalistic methods were used to simulate universal screening in order to document evidence of undetected disease among 588 adult psychiatric patients. Data were obtained from medical records and laboratory tests. Results: Laboratory results showed that 10% of patients had HIV, 32% had hepatitis B, and 21% had hepatitis C. Glucose levels were elevated in 7%, and total cholesterol levels were elevated in 22%. Nearly 60% had body mass indices above 25. The treatment team missed a considerable proportion of infectious disease (95% of hepatitis B cases, 50% of hepatitis C cases, and 21% of HIV cases) and metabolic disorders (89% of cases with elevated total cholesterol levels and 97% of cases with elevated triglyceride levels). By contrast, only 18% of cases with elevated glucose levels were missed. Conclusions: This study demonstrated very high prevalence of both metabolic disorders and infectious diseases in a psychiatric inpatient population. (Psychiatric Services 60: 534-537, 2009)