EXCESS MORTALITY AMONG ELDERLY PSYCHIATRIC-INPATIENTS WITH ORGANIC MENTAL DISORDER

Background. Many studies have shown hospitalised mentally ill patients to have a higher mortality risk than the general population. Method. Data of patients with organic mental disorders of ICD-9 categories 290 , 293, 294 and 310 from seven psychiatric hospitals with defined catch ment areas were analysed. During an observation period of 2.5 years 18 21 treatment periods in these diagnostic categories were recorded. Res ults. During hospitalisation 137 patients died from natural causes. Th e age- and sex-adjusted mortality rates show an increased mortality ri sk of 7.5 times, compared to the general population. The odds ratio of a logistic regression demonstrate the overwhelming influence of the m edical diagnosis. Conclusion. Medical factors, particularly pneumonias , contribute most to the excess mortality.