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January 1, 2013Vojnosanitetski pregledOpen Access

Fatal pulmonary thromboembolism after prolonged physical immobilization in hospitalized psychiatric patients

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Key result

Prolonged physical immobilization alongside antipsychotics is linked to fatal pulmonary thromboembolism in psychiatric inpatients.

  • n=5

Why the study?

Pulmonary thromboembolism may be a cause of sudden death in hospitalized psychiatric patients, with unclear links to prolonged physical immobilization and associated risk factors.

Does prolonged physical immobilization increase the risk of fatal pulmonary thromboembolism in hospitalized psychiatric patients receiving antipsychotics?

Comparison

Prolonged physical immobilization with antipsychotic and diazepam therapy

Design

Retrospective observational analysis of medical records and autopsy findings

Follow-up

Mean hospital stay 8.2 days

Authors

VSVesna StefanovićAKA. KuzmanovicSSSlavisa Stefanovic

Discussion

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Overview

Prolonged immobilization may raise fatal PTE risk in psychiatric inpatients; hypothesis-generating and requires prospective confirmation before practice change.

Study Design

Type

Observational (n=5)

Multicenter

No

Structured PICO

Does prolonged physical immobilization increase the risk of fatal pulmonary thromboembolism in hospitalized psychiatric patients receiving antipsychotics?

P
Population
5 male hospitalized psychiatric patients (mean age 45.2 years) who died suddenly from autopsy-confirmed pulmonary thromboembolism.
E
Exposure
Prolonged physical immobilization (average 4.2 days) combined with strong antipsychotics and diazepam therapy.
O
Outcome
Fatal pulmonary thromboembolism (PTE) as the immediate cause of death.hard clinical

Prolonged physical immobilization combined with antipsychotic therapy may be a significant risk factor for fatal pulmonary thromboembolism in hospitalized psychiatric patients.

Cite This Study

Stefanović et al. (2013) conducted an observational in Hospitalized psychiatric patients (n=5). Prolonged physical immobilization was evaluated on Fatal pulmonary thromboembolism. Prolonged physical immobilization (average 4.2 days) and antipsychotic therapy were present in all 5 cases of fatal pulmonary thromboembolism among hospitalized psychiatric patients.

synapsesocial.com/papers/6ab341b76e718c783360dee8https://doi.org/10.2298/vsp1310903s
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Also Consider

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  1. 1Deep venous thrombosis and pulmonary embolism in psychiatric settings2009 · 20 citations
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  4. 4Assessment of risk of venous thromboembolism and its possible prevention in psychiatric patients2008 · 64 citations
  5. 5Acute infections and venous thromboembolism2011 · 164 citations