Swadi Harith, Bobier Candace
Youth Inpatient Unit, Princess Margaret Hospital, Christchurch, New Zealand.
Australas Psychiatry. 2005 Jun;13(2):165-8. doi: 10.1080/j.1440-1665.2005.02181.x.
To determine the length of stay in hospital for youth with acute psychiatric illness, and the treatment outcome.
Diagnostic and Statistical Manual of Mental Disorders (4th edn; DSM-IV) psychiatric diagnosis, clinical outcome and the length of stay were systematically gathered for admissions over an 18 month period at the Christchurch Youth Inpatient Unit (YIU). Clinical outcome data were collected at admission, 3 weeks after admission and at discharge, using the Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA). The length of stay was determined retrospectively. Discharge was decided on clinical grounds.
During the 18 months of the investigation, 72 subjects were admitted for the treatment of acute mental illness. The most common diagnostic category was mood disorder (n=39, 54%), followed by anxiety or adjustment disorder (n=18, 25%), and major psychosis (n=15, 21%). The mean length of admission for the whole population was 27.3 days, 23.7 days for mood disorders, 18.9 days for anxiety disorders and 46.9 days for the major psychosis diagnostic groups. According to HoNOSCA clinician ratings, the major portion of the improvement occurred during the first 3 weeks of admission.
For the majority of youth with acute psychiatric illness, a relatively short stay in hospital is feasible, because most health gains tend to occur early during an admission.
确定患有急性精神疾病的青少年的住院时间及治疗结果。
系统收集克赖斯特彻奇青少年住院部（YIU）18个月期间收治患者的《精神疾病诊断与统计手册》（第4版；DSM-IV）精神科诊断、临床结果及住院时间。使用儿童和青少年国家健康结果量表（HoNOSCA）在入院时、入院3周后及出院时收集临床结果数据。住院时间通过回顾性确定。出院基于临床依据决定。
在调查的18个月期间，72名受试者因急性精神疾病入院治疗。最常见的诊断类别是情绪障碍（n = 39，54%），其次是焦虑或适应障碍（n = 18，25%），以及重度精神病（n = 15，21%）。总体人群的平均住院时间为27.3天，情绪障碍为23.7天，焦虑障碍为18.9天，重度精神病诊断组为46.9天。根据HoNOSCA临床医生评分，大部分改善发生在入院的前3周。
对于大多数患有急性精神疾病的青少年来说，相对较短的住院时间是可行的，因为大多数健康改善往往在入院早期出现。
