Acute Inpatient Care for Psychiatric Disorders in the United States, 1996 Through 2007
Acute Inpatient Care for Psychiatric Disorders in the United States, 1996 Through 2007
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DOI：
10.1001/archgenpsychiatry.2011.84
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发表时间：
2011-12-01
影响因子：
--
通讯作者：
Blader, Joseph C.
中科院分区：
文献类型：
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作者：
Blader, Joseph C.
内容：从设施层面的调查数据表明，美国住院精神病患者的入院率在2004年上升，从1998年至2000年的低谷，主要是在急性护理设置。患者层面的因素，包括年龄，入院类型，诊断，住院时间和支付来源，是至关重要的了解住院trends.Objective：以评估1996年和2007年之间的急性护理住院的趋势，初级精神病诊断与患者层面的变量。设计，设置和参与者：每年一次的全国医院出院调查提供了短期住院设施出院概率样本的人口统计学、临床和支付数据（平均值[SD]，448.33 [19.66]），沿着用于外推至群体估计值的权重。初步精神病诊断出院（平均值[SD]，19 535 [2615]）（5-13岁），青少年（14-19岁），成人（20-64岁）和老年人（>= 65岁）。主要结果测量：各年龄组与初级精神病诊断相关的年出院率和住院治疗总天数。儿童精神科出院率从1996年的每10万名儿童155.54人增加到2007年的每10万名儿童283.04人（P= 0.003）;青少年从每10万人683.60人增加到969.03人（P= 0.001）;成人从每10万人921.35人降至995.51人（P= 0.003），但老年人从每10万人977.63人降至807.55人（P
Context: Data from facility-level surveys indicate that US inpatient psychiatric admissions rose in 2004, from their trough in 1998 to 2000, mainly in acute care settings. Patient-level factors, including age, admission type, diagnoses, length of stay, and payment source, are vital to understanding hospitalization trends.Objective: To evaluate trends in acute care hospitalizations for primary psychiatric diagnoses between 1996 and 2007 in relation to patient-level variables.Design, Setting, and Participants: The yearly National Hospital Discharge Survey furnished demographic, clinical, and payment data on a probability sample of discharges from short-stay facilities (mean [SD], 448.33 [19.66]), along with weights for extrapolation to population estimates. Discharges with a primary psychiatric diagnosis (mean [SD], 19 535 [2615]) were identified among children (aged 5-13 years), adolescents (aged 14-19 years), adults (aged 20-64 years), and elderly individuals (>= 65 years).Main Outcome Measures: Annual rates of discharges and total days of inpatient care associated with primary psychiatric diagnoses for each age group.Results: Psychiatric discharges increased for children from 155.54 per 100 000 children in 1996 to 283.04 per 100 000 in 2007 (P=.003); for adolescents, from 683.60 to 969.03 per 100 000 (P=.001); and for adults, from 921.35 to 995.51 per 100 000 (P=.003) but declined for elderly individuals from 977.63 to 807.55 per 100 000 (P