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青少年快速精神科再入院:一项五年回顾性队列研究。

Rapid psychiatric readmission in youth: A five-year retrospective Cohort Study.

机构信息

University of Victoria, Canada.

University of Victoria, Canada.

出版信息

Psychiatry Res. 2023 Jul;325:115228. doi: 10.1016/j.psychres.2023.115228. Epub 2023 Apr 26.

Abstract

This study describes predictors of psychiatric readmission among youth, including rapid readmission within 30 days of discharge. A retrospective chart review identified demographic features, diagnoses, and reasons for initial admission among 1324 youth admitted to the child and adolescent psychiatric emergency unit at a Canadian children's hospital. 22% of youth had at least one readmission and 8.8% had at least one rapid readmission during the five-year period. Personality disorder (HR=1.64, 95% CI=1.07, 2.52) and self-harm concerns (HR=0.65, 95% CI=0.48, 0.89) predicted odds of readmission Reducing readmission is an important goal, particularly for youth with personality concerns.

摘要

本研究描述了青少年精神科再入院的预测因素,包括出院后 30 天内的快速再入院。一项回顾性病历审查确定了加拿大一家儿童医院儿童和青少年精神科急诊室收治的 1324 名青少年的人口统计学特征、诊断和入院原因。在五年期间,22%的青少年至少有一次再入院,8.8%的青少年至少有一次快速再入院。人格障碍(HR=1.64,95%CI=1.07,2.52)和自伤问题(HR=0.65,95%CI=0.48,0.89)预测了再入院的可能性,减少再入院是一个重要目标,特别是对有个性问题的青少年。

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