Predictors of length of stay in an acute psychiatric inpatient facility in a general hospital: a prospective study
Predictors of length of stay in an acute psychiatric inpatient facility in a general hospital: a prospective study
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DOI：
10.1590/1516-4446-2016-2155
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发表时间：
2018-01-01
影响因子：
5.5
通讯作者：
Fleck, Marcelo P.
中科院分区：
文献类型：
--
作者：
Baeza, Fernanda L.;da Rocha, Neusa S.;Fleck, Marcelo P.
目的：在世界范围内，精神科病床的数量和住院时间（LOS）都有显著减少，这使得精神科病床的LOS成为一个有趣的结果。本研究的目的是寻找入院时可测量的因素，这些因素可以预测急性精神病环境中的LOS。方法：这是一项前瞻性、观察性研究。结果：总体而言，纳入了385名受试者。中位LOS为25天。在最终的模型中，六个变量解释了14.6%的LOS变异：没有自己的收入，在过去的2年中，精神病住院，高临床总体印象和简明精神病评定量表评分，精神分裂症的诊断，和自杀未遂的历史。所有变量与较长的LOS，除了自杀未遂的历史。结论：确定患者将需要留在精神科病床上更长的时间仍然是一个挑战。提高对LOS决定因素的认识可能会导致医院精神病学护理质量的改善。
Objective: There have been significant reductions in numbers of psychiatric beds and length of stay (LOS) worldwide, making LOS in psychiatric beds an interesting outcome. The objective of this study was to find factors measurable on admission that would predict LOS in the acute psychiatric setting.Methods: This was a prospective, observational study.Results: Overall, 385 subjects were included. The median LOS was 25 days. In the final model, six variables explained 14.6% of the variation in LOS: not having own income, psychiatric admissions in the preceding 2 years, high Clinical Global Impression and Brief Psychiatric Rating Scale scores, diagnosis of schizophrenia, and history of attempted suicide. All variables were associated with longer LOS, apart from history of attempted suicide.Conclusions: Identifying patients who will need to stay longer in psychiatric beds remains a challenge. Improving knowledge about determinants of LOS could lead to improvements in the quality of care in hospital psychiatry.