Polachek Inbal Shlomi, Fung Kinwah, Vigod Simone N
Women's College Hospital, 76 Grenville Street, Toronto, Ontario; Department of Psychiatry, University of Toronto, 27 King's College Circle, Toronto, Ontario.
Women's College Research Institute, 790 Bay Street, Toronto, Ontario; Institute for Clinical Evaluative Sciences, 155 College Street Suite 424, Toronto, Ontario.
Gen Hosp Psychiatry. 2016 May-Jun;40:25-32. doi: 10.1016/j.genhosppsych.2016.01.007. Epub 2016 Feb 4.
To better understand women with a first lifetime psychiatric hospitalization in the postpartum period.
We included all 1071 postpartum women in Ontario, Canada, with a psychiatric admission in the 1-year postpartum (2007-2012). We compared women with their first lifetime psychiatric admission to those with any prior psychiatric admission on demographic and clinical characteristics and on mental health physician visits, psychiatric emergency department (ED) revisits and psychiatric readmission within 1-year postdischarge.
Compared to women with prior admission, women with a first lifetime admission (n=537, 59%) were less likely to have psychotic disorders (14% vs. 25%) and had shorter lengths of stay (13.6+/-12.7 vs. 18.9+/-27.8days). Women with prior admission were at higher risk for ED revisits (44% vs. 32%, odds ratio=1.63, 95% confidence interval=1.26-2.09) and readmissions (32% vs. 24%, odds ratio=1.82, 95% confidence interval=1.39-2.38) by 1-year postdischarge versus women with first lifetime admission; differences were explained by clinical factors.
Although women with a first lifetime psychiatric admission postpartum have a favorable clinical course up to 1year after index admission versus women with any prior admission, 25% are readmitted with 1-year postdischarge, underscoring need for attention to this group.
更好地了解产后首次出现精神科住院治疗的女性。
我们纳入了加拿大安大略省所有1071名在产后1年（2007 - 2012年）有精神科住院记录的产后女性。我们比较了首次出现精神科住院的女性与既往有过精神科住院记录的女性在人口统计学和临床特征、心理健康医生就诊情况、精神科急诊科复诊以及出院后1年内的精神科再入院情况。
与既往有过住院记录的女性相比，首次出现精神科住院的女性（n = 537，59%）患精神障碍的可能性较小（14%对25%），住院时间更短（13.6 ± 12.7天对18.9 ± 27.8天）。既往有过住院记录的女性在出院后1年内急诊科复诊（44%对32%，优势比 = 1.63，95%置信区间 = 1.26 - 2.09）和再入院（32%对24%，优势比 = 1.82，95%置信区间 = 1.39 - 2.38）的风险高于首次出现精神科住院的女性；差异由临床因素解释。
尽管产后首次出现精神科住院的女性在首次入院后长达1年的临床病程比既往有过任何住院记录的女性更有利，但25%的患者在出院后1年内会再次入院，这凸显了对该群体予以关注的必要性。
