Latini David M, Allen Jon G, Seo Munseok, Mahoney Jane S, Ellis Thomas E, Frueh B Christopher
Health Services Research & Development Center of Excellence, Michael E. DeBakey Veterans Affairs Medical Center (152), Houston, TX 77030, USA.
Bull Menninger Clin. 2009 Fall;73(4):296-310. doi: 10.1521/bumc.2009.73.4.296.
The authors present a first look at the data from The Menninger Clinic Adult Outcomes Project. They provide descriptive data from 443 patients admitted to the Clinic between April 2008 and May 2009. Patients show significant improvement on a range of standardized measures from admission to discharge (effect sizes range from moderate to large, 0.31 to 1.44), and there are some differences among clinical programs within the hospital in the extent of change on some scales. A comparison of patients who did and did not complete discharge assessments showed minimal differences between groups on admissions variables. These results attest to the substantial impact of relatively long-term intensive inpatient treatment on improving clinical symptoms and functioning, but further studies are needed to determine the trajectory of change in the hospital and, most importantly, at follow-up.
作者首次展示了门宁格诊所成人结局项目的数据。他们提供了2008年4月至2009年5月期间入住该诊所的443名患者的描述性数据。患者从入院到出院在一系列标准化测量指标上有显著改善(效应大小从中度到较大,范围为0.31至1.44),并且医院内不同临床项目在某些量表上的变化程度存在一些差异。对完成和未完成出院评估的患者进行比较发现,两组在入院变量上差异极小。这些结果证明了相对长期的强化住院治疗对改善临床症状和功能有重大影响,但需要进一步研究以确定在医院内以及最重要的是在随访时的变化轨迹。