Possible Predictors of Outcome for Conditionally Discharged Patients – A Preliminary Study
Possible Predictors of Outcome for Conditionally Discharged Patients – A Preliminary Study
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有条件出院患者结果的可能预测因素——初步研究
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
M. Humphreys
中科院分区：
文献类型：
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作者：
S. Riordan;S. Haque;M. Humphreys
总的来说，限制医院秩序患者的有条件出院是一个成功的过程。本研究旨在确定西米德兰兹有条件出院患者队列中的变量，以预测一个人是否更有可能重新入院、卷入严重事件、被召回医院或绝对出院。进行了回顾性病例记录分析。逻辑回归分析用于识别可以预测结果的变量。如果患者滥用药物，则重新入院的可能性会增加六倍；如果患者自残，则重新入院的可能性会增加九倍。如果滥用酒精和毒品，他们卷入严重事件的可能性分别会增加六倍和四倍。如果患者没有密切的社会支持，他们被召回医院的可能性会增加五倍；如果他们住在受支持的住宿中，绝对出院的可能性会增加四倍半。有条件出院是限制医院秩序患者社区护理的有效模式。解决因滥用药物和酒精、自残行为引起的问题、认识到密切的社会支持网络的重要性以及为这些人开发更合适的住房将有助于使这一进程更加成功。
Conditional discharge for restricted hospital order patients is by and large a successful process. The present study aimed to identify variables among a cohort of conditionally discharged patients in the West Midlands that would predict whether an individual was more likely to be readmitted to hospital, involved in a serious incident, to be recalled to hospital or given an absolute discharge. A retrospective case note analysis was undertaken. Logistic regression analysis was used to identify variables that could predict outcome. Patients were six times more likely to be readmitted to hospital if they misused drugs and nine times more likely if they self-harmed. They were also six and four times more likely to be involved in a serious incident if they misused alcohol and drugs respectively. Patients were five times more likely to be recalled to hospital if they did not have close social support and were four and a half times more likely to get an absolute discharge if they lived in supported accommodation. Conditional discharge is an effective model of community care for restricted hospital order patients. Addressing the problems caused by drug and alcohol misuse, self-harming behaviour, recognising the importance of a close social support network and developing more appropriate housing for these individuals will help make the process more successful.