The School of Psychology, The University of Western Australia, Australia.
J Affect Disord. 2010 Oct;126(1-2):206-13. doi: 10.1016/j.jad.2010.02.135. Epub 2010 Mar 23.
The literature is unclear regarding the relationship between hospital outcome (i.e., symptom improvement during a hospital admission) and readmission, questioning the validity of readmission as an indicator of the quality of the previous hospitalization. Thus, the present aim was to examine if hospital outcome is a predictor of readmission and identify the factors that may mask any effects.
A naturalistic historical study compared the predictors of readmission over the 30 days, 6 months and 5 years following discharge for first-ever admitted inpatients with depression (n=478) to all inpatients regardless of prior hospitalisations and current diagnoses (n=1177).
Hospital outcome, as indicated by changes from admission to discharge in scores on symptom measures, during both first-ever admissions and admissions which are not the first, predicted readmissions over all time periods for all patients, not only those with depression. However, this finding was only significant when hospital outcome was assessed by improvements on a patient-reported symptom measure, and not a clinician-rated measure.
The sample included inpatients treated at a private psychiatric hospital and therefore it is unknown if these findings can be generalised to patients treated in a public system.
These findings support that readmission may be a useful indicator of the quality of the previous hospitalization.
文献对于医院结局（即住院期间症状改善）与再入院之间的关系并不明确，这使得再入院作为先前住院治疗质量的指标的有效性受到质疑。因此，本研究旨在检验医院结局是否是再入院的预测因素，并确定可能掩盖任何影响的因素。
一项自然历史研究比较了首次住院的抑郁症患者（n=478）和所有住院患者（无论是否有既往住院史和当前诊断）在出院后 30 天、6 个月和 5 年内再入院的预测因素。
无论是首次入院还是非首次入院，以症状量表从入院到出院的变化来表示的医院结局，都预测了所有患者在所有时间段内的再入院，而不仅仅是抑郁症患者。然而，当使用患者报告的症状量表而不是临床医生评定的量表来评估医院结局时，这一发现才具有统计学意义。
该样本包括在私立精神病院接受治疗的住院患者，因此尚不清楚这些发现是否可以推广到在公立系统接受治疗的患者。
这些发现支持再入院可能是先前住院治疗质量的有用指标。
