General hospital admission rates in people diagnosed with personality disorder
General hospital admission rates in people diagnosed with personality disorder
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DOI：
10.1111/acps.13004
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发表时间：
2019-03-01
影响因子：
6.7
通讯作者：
Moran, P.
中科院分区：
文献类型：
--
作者：
Fok, M. L-Y.;Chang, C-K.;Moran, P.
目的使用关联的二级精神卫生保健和住院数据，确定大型临床人群中人格障碍（PD）患者的全因综合住院率。方法回顾性队列研究，使用匿名的电子精神卫生记录从南伦敦和莫兹利NHS基金会信托（SLaM），链接到医院的流行病学统计在英格兰。确定了2007年4月至2013年3月期间在SLaM内接受护理的15岁或以上PD患者，并与当地集水区的居民进行了比较。标准化入院率（SAR）计算了这一定义组的所有主要类别的一般住院原因，以2011年英国人口普查中的当地居民为标准人群。结果在7677例PD患者中，所有入院原因的SAR为2.75（95%CI：2.70，2.81）。PD男性和女性患者的多个ICD-10类别SAR均增加，包括循环系统、呼吸系统、消化系统、神经系统和肌肉骨骼系统疾病以及内分泌、血液和感染性疾病。敏感性分析（去除同一年同一诊断的同一个人重复入院的影响）得出了类似的结果。结论：与普通人群相比，诊断为人格障碍的个体因各种身体健康问题而入院的风险显著较高。
Objective To determine the frequency of all-cause general hospital admissions for individuals with personality disorder (PD) in a large clinical population using linked secondary mental healthcare and hospitalisation data. Method A retrospective cohort study, using anonymised electronic mental health records from South London and Maudsley NHS Foundation Trust (SLaM), linked to Hospital Episodes Statistics in England. People with PD aged 15 years or older, receiving care within SLaM between April 2007 and March 2013, were identified and compared to residents from the local catchment area. Standardised admission ratios (SARs) were calculated for all major categories of causes of general hospital admission for this defined group, with local residents in 2011 UK Census as the standard population. Results For the 7677 people identified with PD, SAR for all causes of admission was 2.75 (95% CI: 2.70, 2.81). Both men and women with PD had increased SARs across multiple ICD-10 categories, including circulatory, respiratory, digestive, nervous, and musculoskeletal system disorders and endocrine, blood and infectious disorders. Sensitivity analysis (removing the impact of repeated admissions by same individual for same diagnosis in the same year) yielded similar findings. Conclusions By comparison with members of the general population, individuals with a diagnosis of personality disorder are at significantly higher risk of hospital admission resulting from a wide range of physical health problems.