Predictors of Time to Discharge in Patients Hospitalized for Behavioral and Psychological Symptoms of Dementia
Predictors of Time to Discharge in Patients Hospitalized for Behavioral and Psychological Symptoms of Dementia
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因痴呆症行为和心理症状住院的患者出院时间的预测因素
DOI：
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发表时间：
2013
影响因子：
2.3
通讯作者：
K. Kurata
中科院分区：
文献类型：
--
作者：
Tatsuru Kitamura;Maki Kitamura;Shoryoku Hino;K. Kurata
背景/目的：在日本，超过50，000名痴呆症患者被安置在精神病院，这一趋势因长期住院而加剧。本研究旨在确定痴呆的行为和心理症状（BPSD）住院患者出院时间的预测因素。方法：回顾急性精神科病房收治的BPSD患者的病历。采用考克斯比例风险模型评价入院时活动性行为问题和/或人口统计学资料与出院时间（FD）之间的关系，FD定义为出院至患者自己的家中或护理机构。结果：对于纳入本研究的402例研究患者，中位FD时间为101天。除了家庭和居住因素，多变量分析确定较高的简易精神状态检查评分作为住院时间较短的独立临床预测因素，而男性性别和好斗行为作为住院的主要原因是住院时间较长的预测因素。结论：临床特征可以预测BPSD患者的出院时间。对于FD可能性较低的患者，可能需要早期干预和加强护理策略。
Background/Aims: In Japan, more than 50,000 patients with dementia are housed in psychiatric facilities, a trend precipitated by prolonged hospitalizations. This study aimed to determine predictors for the time to discharge in patients hospitalized for behavioral and psychological symptoms of dementia (BPSD). Methods: Medical charts of patients admitted to an acute psychogeriatric ward for treatment of BPSD were reviewed. Cox's proportional hazards model was used to evaluate relationships between active behavioral problems and/or demographics at the time of admission, and the time until favorable discharge (FD), defined as discharge to the patient's own home or a care facility. Results: For the 402 study patients included in this study, median time to FD was 101 days. In addition to family and residential factors, multivariate analysis identified higher Mini-Mental State Examination scores as independent clinical predictors for a shorter hospital stay, whereas male gender and combative behavior as the primary reason for hospital admission were predictors for a longer hospital stay. Conclusion: Clinical characteristics can be predictive of the time to discharge for patients with BPSD. Earlier interventions and enhanced care strategies may be needed for patients with a lower likelihood of FD.
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阿尔茨海默病行为病理学 (BEHAVE-AD) 评级量表。
影响因子：
7
作者：
Reisberg,B;Auer,SR;Monteiro,IM
通讯作者：
Monteiro,IM
卡马西平治疗与痴呆相关的躁动。
影响因子：
2.6
作者：
Leibovici,A;Tariot,PN
通讯作者：
Tariot,PN
对阿尔茨海默病和其他痴呆症的行为症状和躁动进行非抗精神病药物治疗。
影响因子：
--
作者：
Schneider,LS;Sobin,PB
通讯作者：
Sobin,PB
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DOI：
10.1016/j.psc.2005.09.003
发表时间：
2005
期刊：
The Psychiatric clinics of North America
影响因子：
--
作者：
Schulz,Richard;Martire,LynnM;Klinger,JulieN
通讯作者：
Klinger,JulieN