通过精神病患者电子病历识别出的因药物治疗不依从导致的住院风险。

Risk of Hospitalization Due to Medication Nonadherence Identified Through EMRs of Patients With Psychosis.

作者信息

Andrews Carrie E, Baker Krista, Howell Carolyn J, Cuerdo Arlene, Roberts Jamie A, Chaudhary Abdullah, Lechich Stephanie, Nucifora Leslie G, Vaidya Dhananjay, Mojtabai Ramin, Margolis Russell L, Sawa Akira, Nucifora Frederick C

机构信息

Except for Dr. Vaidya, the authors are with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore. Dr. Vaidya is with the Department of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore. Send correspondence to Dr. Frederick Nucifora, Jr. (e-mail:

出版信息

Psychiatr Serv. 2017 Aug 1;68(8):847-850. doi: 10.1176/appi.ps.201600334. Epub 2017 Apr 3.

DOI:10.1176/appi.ps.201600334

PMID:28366115

Abstract

OBJECTIVE

This study examined whether outpatients with a psychotic disorder who are at risk of hospitalization can be identified by using data from electronic medical records (EMRs).

METHODS

Data from EMRs of outpatients enrolled in two clinics for treatment of psychotic disorders were abstracted. Monthly data were collected for 75 patients over two years. The study examined the association of medication nonadherence, substance use, participation in psychiatric rehabilitation, and long-acting injectable antipsychotic use in any given month with the risk of hospitalization in the subsequent month by using generalized estimating equations.

RESULTS

The only variable found to increase the relative risk of future hospitalization was recorded medication nonadherence (adjusted relative risk=7.19, p<.001).

CONCLUSIONS

Results suggest that recording medication nonadherence in EMRs is feasible and that these data may be used to identify patients at high risk of future hospitalization, who may require more intensive intervention.

摘要