大城市县医院精神科住院部住院时间延长相关的患者因素
Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital.
作者信息
Cheng Jason E, Shumway Martha, Leary Mark, Mangurian Christina V
机构信息
ICL, 2384 Atlantic Ave, Brooklyn, NY, 11233, USA.
Department of Psychiatry, University of California, San Francisco/San Francisco General Hospital, 1001 Potrero Ave, Box 0852, San Francisco, CA, 94110, USA.
出版信息
Community Ment Health J. 2016 Aug;52(6):658-61. doi: 10.1007/s10597-015-9912-2. Epub 2016 Feb 16.
Abstract
This case-control study identified patient-specific factors associated with the longest psychiatric inpatient lengths of stay (LOS) at a large urban county hospital. Subjects with LOS ≥ 60 days comprised the extended LOS (ELOS) case cohort. An equally-sized control cohort consisted of a random sample of inpatients with LOS ≤ 30 days. Chi square tests and t tests were conducted to determine differences between groups. Factors associated with ELOS included older age, cognitive impairment, higher number of medical conditions requiring medication, and violence during hospital stay. Initiatives focused on community placement of patients with these characteristics may reduce prolonged LOS at safety-net hospitals.
摘要
这项病例对照研究确定了与一家大型城市县医院精神科住院最长住院时间（LOS）相关的患者特定因素。住院时间≥60天的患者组成了延长住院时间（ELOS）病例队列。一个规模相当的对照队列由住院时间≤30天的住院患者随机样本组成。进行卡方检验和t检验以确定组间差异。与ELOS相关的因素包括年龄较大、认知障碍、需要药物治疗的医疗状况数量较多以及住院期间的暴力行为。针对具有这些特征的患者进行社区安置的举措可能会减少安全网医院的住院时间延长情况。
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