Wakim Alexandre Dos Santos, Martella Bruna De Martino, Castaldelli-Maia João Mauricio, Ismael Flavia, Zilenovski Daniel Ryan, Périco Cintia de Azevedo Marques
Departamento de Neurociência, Faculdade de Medicina, Fundação do ABC, Santo André, SP, Brazil.
Departamento de Psiquiatria, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Trends Psychiatry Psychother. 2019 Apr-Jun;41(2):121-127. doi: 10.1590/2237-6089-2017-0148. Epub 2019 Feb 28.
To assess the sociodemographic and diagnostic profile of data related to psychiatric readmissions to the psychiatric ward at Hospital Estadual Mário Covas between January 2008 and September 2015, in order to investigate the possible correlation between the rate of admission and readmission and the presence or absence of a discharged patient unit or other outpatient treatment unit.
This was a cross-sectional, descriptive study. Data on patients readmitted during the study period were sourced from a statistical analysis of the Hospital Estadual Mário Covas database using STATA 11.0.
During the study period, hospitalization rates decreased, while the readmission rates increased over the years, at a total of 662 readmissions. This rise in readmissions had no correlation with the presence of a discharged patient unit or other outpatient unit. Women comprised the majority of the sample, with a mean age of 42; the most prevalent disorder among women was bipolar affective disorder, while among men it was schizophrenia. The length of hospitalization increased over time, with a maximum mean time of 23 days in 2015. Most of the patients were referred from Santo André as well as from hospitals in São Paulo.
The increase in the rate of readmissions over the years suggests that the mental healthcare model may have shortcomings along the chain. It is important to understand the epidemiological profile and chain of events that led to repeated hospitalizations in order to design new strategies and approaches to care so as to keep the patients stabilized.
评估2008年1月至2015年9月期间，马里奥·科瓦斯州立医院精神科病房精神病再入院相关的数据的社会人口统计学和诊断概况，以调查入院率和再入院率与出院患者单元或其他门诊治疗单元的有无之间可能存在的相关性。
这是一项横断面描述性研究。研究期间再入院患者的数据来自于使用STATA 11.0对马里奥·科瓦斯州立医院数据库进行的统计分析。
在研究期间，住院率下降，而再入院率多年来呈上升趋势，共有662例再入院病例。再入院率的上升与出院患者单元或其他门诊单元的存在无关。样本中女性占多数，平均年龄为42岁；女性中最常见的疾病是双相情感障碍，而男性中是精神分裂症。住院时间随着时间的推移而增加，2015年的平均最长时间为23天。大多数患者来自圣安德烈以及圣保罗的医院。
多年来再入院率的上升表明精神卫生保健模式在整个链条中可能存在缺陷。了解导致反复住院的流行病学概况和事件链，对于设计新的护理策略和方法以维持患者病情稳定很重要。
