Rubinsztein Judy S, Hatfield Catherine, High Liam, Krishnan Ramesh, Arnaoutoglou Nikitas A, Goulia Panagiota, Dudas Robert, Ruhi Shamim, Wildschut Karel, Chouliaras Leonidas, Underwood Benjamin R
Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
Department of Psychiatry, University of Cambridge, UK.
BJPsych Bull. 2020 Dec;44(6):261-265. doi: 10.1192/bjb.2020.24.
To establish whether a dementia intensive support (DIS) service that is part of a crisis resolution and home treatment team for older people is preventing admissions to acute hospital and psychiatric wards. The number of referrals in 2017 to the DIS service was established and those admitted to hospital ascertained. Senior doctors examined 30 sets of notes in detail and reached a conclusion on whether DIS had contributed to admission prevention. This information was then re-examined in two meetings with at least eight senior psychiatrists present. A consensus opinion was then reached as to whether DIS had contributed to admission prevention in each case.
Over 12 months, 30/171 patients (18%) referred were admitted to hospital. For the subset of 30 referrals examined in detail, DIS contributed to admission avoidance in 21 cases (70%).
Our evaluation demonstrates that the DIS service is an effective way of preventing admission.
为确定作为老年人危机解决与居家治疗团队一部分的痴呆症强化支持（DIS）服务是否能预防患者入住急症医院和精神科病房。确定了2017年转介至DIS服务的患者数量，并查明了住院患者情况。资深医生详细检查了30份病历，并就DIS是否有助于预防住院得出结论。随后在至少有8位资深精神科医生出席的两次会议上重新审视了这些信息。然后就DIS在每个病例中是否有助于预防住院达成了共识意见。
在12个月期间，171名转介患者中有3名（18%）入院。对于详细检查的30例转介病例，DIS在21例（70%）中有助于避免住院。
我们的评估表明，DIS服务是预防住院的有效方法。
