Zilber N, Popper M, Lerner Y
JDC-Israel Falk Institute for Mental Health and Behavioral Studies, Jerusalem.
Soc Psychiatry Psychiatr Epidemiol. 1990 May;25(3):144-8. doi: 10.1007/BF00782743.
A nationwide random sample of psychiatric patients (n = 832) admitted for hospitalization in Israel in 1980 was followed up until the end of 1984. A multivariate analysis was performed, where the dependent variables were: the cumulative length of all hospitalizations, the mean duration of hospitalization and the mean length of stay out of hospital. The independent variables were: age, sex, marital status, ethnic origin, diagnosis, and various indices of previous hospitalizations. For patients whose hospitalization in 1980 (index hospitalization) was the first in their life, older age and male gender predicted a low probability of readmission, and the diagnosis of schizophrenia a long cumulative stay. For patients whose index hospitalization was not the first in their life, the main variables predictive of long cumulative stay were: old age, being single, long duration and high frequency of previous hospitalizations. Patients tended to maintain the same relative length of inpatient stay and the same frequency of readmission from the beginning of their hospitalization history.
对1980年在以色列住院的832名精神病患者进行了全国范围的随机抽样,并随访至1984年底。进行了多变量分析,其中因变量为:所有住院的累计时长、平均住院时长以及出院后的平均停留时长。自变量为:年龄、性别、婚姻状况、种族、诊断以及既往住院的各种指标。对于1980年住院(索引住院)为其人生首次住院的患者,年龄较大和男性预示着再次入院的可能性较低,而精神分裂症的诊断预示着累计住院时间较长。对于索引住院并非其人生首次住院的患者,预示累计住院时间较长的主要变量为:年龄较大、单身、既往住院时间长和住院频率高。患者在其住院病史开始时往往保持相同的相对住院时长和相同的再次入院频率。