A prospective study of delirium and prolonged hospital stay. Exploratory study.
A prospective study of delirium and prolonged hospital stay. Exploratory study.
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一项关于谵妄和延长住院时间的前瞻性研究。
DOI：
10.1001/archpsyc.1988.01800340065009
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发表时间：
1988
影响因子：
--
通讯作者：
M. Fahs
中科院分区：
文献类型：
--
作者：
Rogelio I. Thomas;D. Cameron;M. Fahs
使用明确的标准，133名住院患者中有15%的人被诊断为精神错乱。在每个患者出院或死亡后，将住院时间与诊断相关组预测的住院时间进行比较。一项对住院时间变化的分析显示，精神错乱的患者平均比他们预计的住院时间多13天，而非精神错乱的患者比他们的预计住院时间多3.3天。精神障碍患者的平均住院时间(+/-SD)明显长于非精神障碍患者(分别为21.6±23.7天和10.6±10.1天)。作为主要躯体诊断的共病，医院治疗高比例的神志不清患者时，应该制定措施，以便对这种情况的患者进行早期发现和适当的干预。在目前的诊断相关团体报销制度下，这些措施可能有助于减少长期住院，并将财务风险降至最低。
Using explicit criteria, delirium was diagnosed in 15% of a cohort of 133 hospitalized patients. Following each patient's discharge or death, the length of stay was compared with the diagnosis related group-predicted length of hospitalization. An analysis of stay variations disclosed that delirious patients exceeded their predicted stay by an average of 13 days, while nondelirious patients exceeded theirs by 3.3 days. The mean (+/- SD) length of hospitalization for patients with delirium was significantly longer than for their nondelirious counterparts (21.6 +/- 23.7 days vs 10.6 +/- 10.1 days, respectively). Hospitals treating high proportions of patients with delirium as a comorbidity to a principal somatic diagnosis should institute measures for the early detection of and appropriate intervention in patients with this condition. These steps may help reduce prolonged hospitalizations and minimize financial risk under the current diagnosis related group reimbursement system.