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长期住院患者与短期住院患者的差异及住院时间估计。一项前瞻性研究。

Differences between long-stay and short-stay inpatients and estimation of length of stay. A prospective study.

作者信息

Jakubaschk J, Waldvogel D, Würmle O

机构信息

Psychiatric Clinic, Berne University, Switzerland.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 1993 Apr;28(2):84-90. doi: 10.1007/BF00802097.

Abstract

To find possible differences between new long-stay inpatients and patients with shorter lengths of stay, a prospective study of 340 inpatients in the 4th week of hospitalization was carried out. The new long-stay patients differed from the others in diagnoses, symptoms, duration of prior hospitalizations, and socio-demographic data. On the basis of the data assessed in the 4th week of hospitalization, we tried not only to predict future new long-stay patients, but also to estimate the length of stay for all 340 patients. A time-function model was employed with length of stay as a continuous variable, and this resulted in correct allocation to the quartiles in 38-48% of the cases. Six variables proved to be important for estimating length of stay: emotional withdrawal, blunted affect, mannerisms, duration of previous hospitalizations, living conditions (prior to admission), and marital status.

摘要

为了找出新的长期住院患者与住院时间较短的患者之间可能存在的差异,对340名住院第4周的患者进行了一项前瞻性研究。新的长期住院患者在诊断、症状、既往住院时间以及社会人口统计学数据方面与其他患者不同。基于住院第4周评估的数据,我们不仅试图预测未来新的长期住院患者,还试图估计所有340名患者的住院时间。采用了一个以住院时间为连续变量的时间函数模型,结果在38%-48%的病例中能够正确分配到四分位数。有六个变量被证明对估计住院时间很重要:情绪退缩、情感迟钝、行为怪癖、既往住院时间、入院前的生活条件以及婚姻状况。

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