急性精神科服务中的心理健康就诊情况：一项为期3年的研究，比较人格障碍与精神病性、情感性、物质相关或其他障碍的患病率及再入院风险。
Mental health presentations to acute psychiatric services: 3-year study of prevalence and readmission risk for personality disorders compared with psychotic, affective, substance or other disorders.
作者信息
Lewis Kate L, Fanaian Mahnaz, Kotze Beth, Grenyer Brin F S
机构信息
Associate Research Fellow,School of Psychology,University of Wollongong,Australia.
Lecturer, School of Nursing,University of Wollongong,Australia.
出版信息
BJPsych Open. 2019 Jan;5(1):e1. doi: 10.1192/bjo.2018.72.
BACKGROUND
The relative burden and risk of readmission for people with personality disorders in hospital settings is unknown.AimsTo compare hospital use of people with personality disorder with that of people with other mental health diagnoses, such as psychoses and affective disorders.
METHOD
Naturalistic study of hospital presentations for mental health in a large community catchment. Mixed-effects Cox regression and survival curves were generated to examine risk of readmission for each group.
RESULTS
Of 2894 people presenting to hospital, patients with personality disorder represented 20.5% of emergency and 26.6% of in-patients. Patients with personality disorder or psychoses were 2.3 times (95% CI 1.79-2.99) more likely than others to re-present within 28 days. Personality disorder diagnosis increases rate of readmission by a factor of 8.7 (s.e. = 0.31), marginally lower than psychotic disorders (10.02, s.e. = 0.31).
CONCLUSIONS
Personality disorders place significant demands on in-patient and emergency departments, similar to that of psychoses in terms of presentation and risk of readmission.Declaration of interestNone.
背景
在医院环境中，人格障碍患者再入院的相对负担和风险尚不清楚。
目的
比较人格障碍患者与其他精神健康诊断患者（如精神病和情感障碍患者）的住院情况。
方法
对一个大型社区集水区内的心理健康住院病例进行自然主义研究。生成混合效应Cox回归和生存曲线，以检查每组患者的再入院风险。
结果
在2894名住院患者中，人格障碍患者占急诊患者的20.5%，占住院患者的26.6%。人格障碍或精神病患者在28天内再次入院的可能性是其他患者的2.3倍（95%可信区间1.79 - 2.99）。人格障碍诊断使再入院率提高了8.7倍（标准误 = 0.31），略低于精神障碍（10.02，标准误 = 0.31）。
结论
人格障碍对住院部和急诊科提出了重大需求，在就诊表现和再入院风险方面与精神病相似。
利益声明
无。
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