PRIVATE PSYCHIATRIC-HOSPITALIZATION OF CHILDREN - PREDICTORS OF LENGTH OF STAY
PRIVATE PSYCHIATRIC-HOSPITALIZATION OF CHILDREN - PREDICTORS OF LENGTH OF STAY
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DOI：
10.1097/00004583-199301000-00020
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发表时间：
1993-01-01
影响因子：
13.3
通讯作者：
CLARKSON, B
中科院分区：
文献类型：
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作者：
GOLD, J;SHERA, D;CLARKSON, B
目标。定量确定儿童精神病住院时间长短的预测因素和决定因素。方法：对一家私立医院儿童精神病学住院服务（年龄范围4-12岁）连续出院的100例儿童精神病学住院患者的47个人口学、社会心理压力源、精神病理学和性格变量进行统计分析，作为住院时间的相关因素。对具有显著统计学意义者进行多元回归分析。结果：更严重的精神病理（由儿童整体评估量表测量），更严重的社会心理压力源（由轴IV量表测量），创伤后应激障碍的诊断，特殊教育和户外倾向，以及医院里严重的发脾气都强烈预示着更长的住院时间。适应障碍的诊断预示着更短的住院时间。这些变量加在一起解释了停留时间总方差的57%。结论。这些最强大的预测变量可能在入院时测量，从而允许准确预测住院时间。为此目的生成了一组模型。
Objective. To quantitatively identify predictors and determinants of length of psychiatric hospital stay for children. Method: Forty-seven demographic, psychosocial stressor, psychopathology, and disposition variables were statistically reviewed as correlates of length of stay in 100 consecutive discharges from a child psychiatry inpatient service (age range 4-12) in a private hospital. Those with strong statistical significance were then analyzed by multiple regression. Results: Greater severity of psychopathology (measured by the Children's Global Assessment Scale), greater severity of psychosocial stressors (by Axis IV scale), diagnosis of post-traumatic stress disorder, special educational and out-of-home dispositions, and severe tantrums in hospital all strongly predicted longer hospital stay. Diagnosis of adjustment disorder predicted shorter stay. Together these variables explained 57% of the total variance in length of stay. Conclusions. The most powerful of these predictor variables could potentially be measured at the time of admission, thus permitting accurate prediction of length of stay. A set of models was generated for this purpose.