Ianzito B M, Fine J, Sprague B, Pestana J
Hosp Community Psychiatry. 1978 Nov;29(11):728-30. doi: 10.1176/ps.29.11.728.
Patients identified as psychiatric cases on the emergency ward of a 1036-bed teaching hospital are handled in one of three ways: released with outpatient referral, admitted to a psychiatric inpatient facility, or hospitalized in a general medical holding unit with a 24-hour stay. The authors obtained demographic and diagnostic data on 377 psychiatric patients seen consecutively on the ward and then compared those admitted to the holding unit (83) with those released (193) or hospitalized (101). The three groups were demographically similar but the patients in the holding group fell between the other two groups in severity of psychopathology. More than half the patients admitted to the holding unit were released the following day. The authors discuss the advantages of overnight admission as an alternative to hospitalization or release.
在一家拥有1036张床位的教学医院的急诊科被认定为精神疾病病例的患者，会通过以下三种方式之一进行处理：转至门诊并出院、入住精神科住院设施，或在普通内科留观病房住院24小时。作者获取了在该病房连续就诊的377名精神疾病患者的人口统计学和诊断数据，然后将入住留观病房的患者（83名）与出院患者（193名）或住院患者（101名）进行了比较。这三组在人口统计学上相似，但留观组患者的精神病理学严重程度介于其他两组之间。入住留观病房的患者中，超过一半在第二天出院。作者讨论了过夜住院作为住院或出院替代方案的优势。
