Ochitill H N, Wynbrandt G
University of California at San Francisco School of Medicine, San Francisco General Hospital.
Int J Psychiatry Med. 1987;17(4):309-15. doi: 10.2190/hky5-n4xp-093y-e2bu.
In a comparative, retrospective study, the authors investigated the use of a psychiatric inpatient service by the emergency and consultation services in a public general hospital. The investigators collected data from a three-year period regarding demographic, clinical and hospital stay variables associated with all patients admitted for inpatient care. Consultation service patients were more likely than emergency service patients to have attempted suicide and to have a diagnosable medical condition. They were less likely to have a prior psychiatric admission or to have schizophrenia or other psychotic conditions. The authors discuss these and other findings in terms of policy and clinical practice.
在一项对比性回顾研究中，作者调查了一家公立综合医院的急诊和会诊服务部门对精神科住院服务的使用情况。研究人员收集了三年期间内与所有住院治疗患者相关的人口统计学、临床和住院时间变量的数据。会诊服务患者比急诊服务患者更有可能有过自杀未遂经历且患有可诊断的躯体疾病。他们此前有过精神科住院治疗、患有精神分裂症或其他精神病性疾病的可能性较小。作者从政策和临床实践方面讨论了这些及其他研究结果。
