Ormont M A, Weisman H W, Heller S S, Najara J E, Shindledecker R D
Department of Psychiatry, Columbia University, New York, USA.
Psychosomatics. 1997 Jan-Feb;38(1):38-44. doi: 10.1016/S0033-3182(97)71502-0.
Psychiatric consultation timing results from the interaction of multiple systems. This study examines the key clinical and systems variables and the effect of consultation timing on subsequent length of hospital stay. One hundred and forty-five consecutive psychiatric consultations at a New York City teaching hospital were assessed by demographic criteria, medical and psychiatric diagnoses, reasons for consultation, and the timing of the consultation with respect to the academic year. Twenty-five percent of the consultations occurred within the first 48 hours after admission and 32% occurred between Days 2 and 5. Consultations for schizophrenia patients were called earlier (P < 0.02) than those for patients with other diagnoses, and those for patients with the acquired immunodeficiency syndrome were called later (P < 0.04). Earlier consultations were associated with a shorter time to discharge (P < 0.002).
精神科会诊时机是多个系统相互作用的结果。本研究考察了关键的临床和系统变量，以及会诊时机对随后住院时间的影响。通过人口统计学标准、医学和精神科诊断、会诊原因以及相对于学年的会诊时机，对纽约市一家教学医院连续进行的145次精神科会诊进行了评估。25%的会诊在入院后的头48小时内进行，32%的会诊在第2天至第5天之间进行。精神分裂症患者的会诊比其他诊断患者的会诊更早（P < 0.02），而获得性免疫缺陷综合征患者的会诊则更晚（P < 0.04）。更早的会诊与更短的出院时间相关（P < 0.002）。
