Bridging the mind and body: exploring venous thromboembolism in psychiatric inpatients.

IF 1.2 4区 医学 Q4 PSYCHIATRY
Ryan R D Chan, Emma Hamid, Thuy Le, Mariam Alaverdashvili, Annabelle Wanson, Katelyn Halpape
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Abstract

ObjectiveThis study aimed to identify factors associated with venous thromboembolism (VTE) diagnosis in psychiatric inpatients in Saskatoon, Saskatchewan, Canada.MethodsWe conducted a retrospective case-control chart review of patients admitted to the Dube Centre for Mental Health from January 2007 to December 2021. Cases were individuals aged 18 years and older who received anticoagulation for VTE treatment. Controls were randomly selected, with case-to-control ratio 1:4, from patients with a discharge diagnosis not including VTE. Data were analyzed using descriptive analysis, univariate, followed by multivariable logistic regression analysis to identify factors associated with VTE diagnosis.ResultsA total of 32 VTE and 159 non-VTE patients were included. The mean age of VTE patients was 52 years (standard deviation [SD] = 19.7), 65.6% were female, and 65.6% had no previous VTE. Comorbidities including cancer (adjusted odds ratio [AOR] = 51.83; p = .004), cardiovascular conditions (AOR = 7.83; p = .01), and insomnia (AOR = 88.79; p = .01); psychiatric-specific interventions such as electroconvulsive therapy (AOR = 21.10; p < .001) and mechanical restraints (AOR = 12.65; p = .004); and acute medical diagnoses (AOR = 8.56; p = .01) were independently associated with developing VTE.ConclusionsPsychiatric inpatients have unique factors that increase the likelihood of developing VTE. Further research with a larger sample size and multicenter design is needed.

架起心灵与身体的桥梁:探讨精神科住院病人的静脉血栓栓塞。
目的本研究旨在确定与加拿大萨斯喀彻温省萨斯卡通精神科住院患者静脉血栓栓塞(VTE)诊断相关的因素。方法对2007年1月至2021年12月在杜布精神卫生中心住院的患者进行回顾性病例对照图分析。病例为18岁及以上接受抗凝治疗静脉血栓栓塞的个体。对照随机选择出院诊断不包括静脉血栓栓塞的患者,病例与对照比为1:4。数据分析采用描述性分析,单因素分析,然后进行多变量logistic回归分析,以确定与静脉血栓栓塞诊断相关的因素。结果共纳入静脉血栓栓塞32例,非静脉血栓栓塞159例。静脉血栓栓塞患者的平均年龄为52岁(标准差[SD] = 19.7), 65.6%为女性,65.6%既往无静脉血栓栓塞。合并症包括癌症(校正优势比[AOR] = 51.83;p = 0.004),心血管疾病(AOR = 7.83;p = 0.01),失眠(AOR = 88.79;P = 0.01);精神科特定干预措施,如电休克疗法(AOR = 21.10;p < 0.001)和机械约束(AOR = 12.65;P = .004);急性医学诊断(AOR = 8.56);p = 0.01)与静脉血栓栓塞的发生独立相关。结论精神科住院患者发生静脉血栓栓塞有其独特的因素。进一步的研究需要更大的样本量和多中心设计。
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
Australasian Psychiatry
Australasian Psychiatry 医学-精神病学
CiteScore
2.80
自引率
5.60%
发文量
159
审稿时长
6-12 weeks
期刊介绍: Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.
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