Gooch C, Leff J
TAPS Research Unit, Institute of Psychiatry, London.
Psychol Med. 1996 May;26(3):511-20. doi: 10.1017/s0033291700035595.
Long-stay patients who were discharged from Friern and Claybury hospitals during the 6-year period between September 1985 and August 1991 were followed up for at least 1 year and the details of all readmissions were recorded. Of the 615 hospital leavers, some 178 (29%) were readmitted at some time during the follow-up period. A proportional hazards regression analysis revealed a number of independent baseline factors which affect the risk of readmission at any time during the follow-up period. Younger patients were more at risk of readmission than were older patients and 'new' long-stay patients had a greater risk than baseline patients. Risk was also greater in patients who had a larger number of pre-discharge admissions, a higher abnormal behaviour score (PSE BSO) or a diagnosis of manic psychosis. An ordinal logistic regression analysis revealed that these same five factors tended to increase the actual number of readmission episodes. The proportion of post-discharge time spent in hospital among the readmitted patients was found to be greater for males, new long-stay patients and for patients with a higher number of positive social behaviour symptoms (SBSPOS score).
对1985年9月至1991年8月这6年期间从弗里恩医院和克莱伯里医院出院的长期住院患者进行了至少1年的随访，并记录了所有再次入院的详细情况。在615名出院患者中，约178人（29%）在随访期间的某个时间再次入院。比例风险回归分析揭示了一些独立的基线因素，这些因素会影响随访期间任何时间再次入院的风险。年轻患者比老年患者更易再次入院，“新”长期住院患者比基线患者风险更高。出院前入院次数较多、异常行为评分（PSE BSO）较高或诊断为躁狂精神病的患者风险也更大。有序逻辑回归分析表明，这五个相同因素往往会增加再次入院发作的实际次数。研究发现，男性、新长期住院患者以及具有较多积极社会行为症状（SBSPOS评分）的患者再次入院后在医院度过的出院后时间比例更高。
