Bech P, Bille J, Waarst S, Wiese M, Borberg L, Treufeldt P, Kessing L
Psychiatric Research Unit, Frederiksborg General Hospital, Dyrehavevej, Hillerød, Denmark.
Acta Psychiatr Scand. 2006 Jun;113(6):485-91. doi: 10.1111/j.1600-0447.2005.00693.x.
To identify frequently hospitalized patients by using the outcome and severity measure Health of the Nation Outcome Scales (HoNOS) in combination with the International Classification of Diseases (ICD)-10 in patients consecutively admitted to a psychiatric hospital.
All full-time in-patients and all day-hospital patients were considered. Frequently hospitalized patients were defined as those with 10 or more hospitalizations.
The total HoNOS score at admission was found valid to discriminate between frequently and non-frequently hospitalized patients as well as in ranking the ICD-10 diagnosis by severity of symptoms and social problems. Frequently hospitalized patients were predominantly found within the diagnoses of schizophrenia and bipolar affective disorders. In these groups, high HoNOS scores were significantly associated with a longer stay in hospital. Improvement during hospitalization as measured by the HoNOS was significantly better for bipolar than for schizophrenic patients.
HoNOS was found to be a clinically relevant supplement to ICD-10 in identifying frequently hospitalized patients.
通过将国家健康结果量表（HoNOS）这一结果和严重程度测量工具与国际疾病分类（ICD）-10相结合，来识别一家精神病医院连续收治患者中的频繁住院患者。
纳入所有全日制住院患者和所有日间医院患者。频繁住院患者定义为住院10次及以上的患者。
入院时的HoNOS总分被证实可有效区分频繁住院患者和非频繁住院患者，也可根据症状严重程度和社会问题对ICD-10诊断进行排序。频繁住院患者主要集中在精神分裂症和双相情感障碍的诊断中。在这些组中，高HoNOS评分与住院时间延长显著相关。通过HoNOS测量，双相情感障碍患者住院期间的改善情况明显优于精神分裂症患者。
发现HoNOS在识别频繁住院患者方面是ICD-10的临床相关补充。
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