Mojet E J, Hengeveld M W, Bouwhuis M L
University Hospital, State University of Leiden, The Netherlands.
Int J Psychiatry Med. 1989;19(3):227-35. doi: 10.2190/9mwu-t52m-gec2-gqce.
Retrospective analysis of 406 consecutive psychiatric consultations with general hospital inpatients revealed that their mean length of stay (LOS) was 26.1 days, while the mean LOS of the other hospital patients was only 11.1 days. In 36.5 percent of the consultation patients the LOS in hospital was longer than that exceeded by 10 percent of the hospital patients. The factor most strongly related to a very long LOS of psychiatric consultation patients appeared to be the referring ward. Particularly on cancer wards very long LOS patients were referred to the psychiatrist. The psychiatric consultant often supported the ward staff by making recommendations for the management of such patients. Patients with a long LOS might be a suitable group for carrying out a controlled cost-effectiveness study of psychiatric consultations in a natural setting.
对综合医院住院患者连续406次精神科会诊的回顾性分析显示，他们的平均住院时间为26.1天，而其他医院患者的平均住院时间仅为11.1天。在36.5%的会诊患者中，其住院时间超过了医院10%患者的住院时间。与精神科会诊患者极长住院时间最密切相关的因素似乎是转诊科室。特别是在癌症病房，极长住院时间的患者被转诊给精神科医生。精神科会诊医生经常通过对这类患者的管理提出建议来支持病房工作人员。住院时间长的患者可能是在自然环境中对精神科会诊进行对照成本效益研究的合适群体。
