Parks E D, Josef N
Department of Psychiatry, Wayne State University, School of Medicine, USA.
Psychiatr Q. 1997 Summer;68(2):91-9. doi: 10.1023/a:1025413320151.
This pilot study investigated the importance of social, clinical, and discharge factors in predicting extended length of stay (LOS) in a state geropsychiatric hospital. The authors reviewed medical records of all first time admissions during a 22 month period. A total of 272 patients age 60 and older were admitted for the first time during this period. Nine variables comprised of medical, demographic, social, and discharge information were examined in retrospective analysis to assess their relationship to LOS. The mean and standard deviation of days spent in hospital was 392.3 +/- 752.81. The median number of days of hospitalization was 72.0. Single marital status, type of living arrangement, polypharmacy, and limited functional status were predictive of LOS. Our findings underscore the challenge within geropsychiatry of treating patients with coexisting medical conditions who also have significant behavioral, mood, and/or cognitive disturbances.
这项试点研究调查了社会、临床和出院因素在预测一家州立老年精神病医院延长住院时间（LOS）方面的重要性。作者回顾了22个月期间所有首次入院患者的病历。在此期间，共有272名60岁及以上的患者首次入院。在回顾性分析中，对由医疗、人口统计学、社会和出院信息组成的九个变量进行了检查，以评估它们与住院时间的关系。住院天数的平均值和标准差为392.3 +/- 752.81。住院天数的中位数为72.0天。单身婚姻状况、居住安排类型、多种药物治疗和有限的功能状态可预测住院时间。我们的研究结果强调了老年精神病学在治疗同时患有严重行为、情绪和/或认知障碍的合并症患者时所面临的挑战。
