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August 1954

PULMONARY ABSCESSES IN A MENTAL HOSPITAL

Author Affiliations

SAN MATEO, CALIF.; AGNEW, CALIF.

From Agnews State Hospital.

AMA Arch NeurPsych. 1954;72(2):227-232. doi:10.1001/archneurpsyc.1954.02330020095008
Abstract

THE DISCOVERY of a pulmonary abscess in a patient in one of our services led us to begin an investigation of the total population and to review the available records to determine the relative incidence of this disorder in the Agnews State Hospital, to ascertain whether it were commoner here than in the general population, and, if so, to investigate those factors which might be involved in the production of this increased incidence. In a survey of all patients in the hospital on or hospitalized since October, 1952, we discovered 15 nontuberculous, pyogenic lung abscesses. With an average daily hospital population of about 4,500, this figure represents an incidence rate of 0.24% for this hospital population. Although no recent statistics are available, a comprehensive survey of hospital discharges in the City of New York in 1933 showed the incidence rate for that population to be 0.00145%, which is, perhaps, slightly

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