Factors affecting hospital length of stay: Is substance use disorder one of them? A study in a Greek public psychiatric hospital
Factors affecting hospital length of stay: Is substance use disorder one of them? A study in a Greek public psychiatric hospital
复制标题
DOI：
10.1080/10550490802269106
复制
发表时间：
2008-01-01
影响因子：
3.7
通讯作者：
Kaprinis, Georgios
中科院分区：
文献类型：
--
作者：
Xafenias, Athanasios;Diakogiannis, Ioannis;Kaprinis, Georgios
精神障碍和物质使用障碍(SUD)的共病是非常常见的。临床经验表明，合并症会增加住院时间。我们的目标是发现哪些因素影响希腊城市地区专门精神病院精神病科住院患者的住院时间，特别是SUD是否是其中之一。所有入院12个月的患者都接受了CAGE问卷和EUROPASI问卷中涉及物质使用的那部分。随后进行了诊断性访谈，以根据DSM-IV标准确定最终诊断。随后，对患者的特征以及他们的平均住院时间进行了统计评估。共有313名患者接受了评估。102人(32.6%)发现了目前的物质使用障碍。上瘾或滥用的主要物质是酒精、大麻、苯二氮卓类药物和鸦片类药物。患者在与药物治疗方案的合作方面存在差异。另一方面，住院人数没有统计上的差异。没有发现精神病理学起到直接作用，因为没有一个诊断与住院时间相关。影响在这家精神病科住院时间的因素是他们患有精神病的时间长短和服药配合。看来SUD不是影响逗留时间的因素之一。
Comorbidity of psychiatric disorder and substance use disorder (SUD) is very common. Clinical experience says that comorbidity increases inpatient length of stay. We aimed to discover which factors affect length of stay for inpatients at a psychiatric department in a specialized mental hospital in a Greek urban area, and specifically whether SUD is one of them. All patients admitted over a 12-month period were given the CAGE questionnaire and that part of the EUROPASI questionnaire dealing with substance use. This was followed by a diagnostic interview to establish the final diagnosis in accordance with the DSM-IV criteria. Following this, the patients' characteristics in conjunction with their average length of stay were all evaluated statistically. A total of 313 patients were assessed. Present substance use disorder was identified in 102 individuals (32.6%). The principal substances involved in addiction or abuse were alcohol, cannabis, benzodiazepines, and opiates. Patients differed as to their cooperation with the medication regime. On the other hand, there was no statistical difference regarding the number of hospitalisations. Psychopathology was not found to play a direct role, as no one diagnosis correlated with length of stay. The factors found to affect length of stay in this psychiatric department were the length of time they had been mentally ill and cooperation in taking medication. It appears that SUD is not one of the factors affecting length of stay.