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Updated: Jun 11, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

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Resultados naturalistas de pacientes dados de alta de una orden de tratamiento comunitario: proyecto de aseguramiento

Manpreet Kaur Dhawan¹, Ramanathan Ganapathy¹, Anoop Sankaranarayanan^2,3

¹Blacktown Hospital, Blacktown, NSW, Australia.

Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

|September 27, 2024

Objetivo:

Para estudiar los resultados de los pacientes tras el alta de las órdenes de tratamiento comunitario (CTO), incluyendo la tasa de recaída, la mediana de tiempo hasta la recaída, y para identificar los factores de riesgo asociados con la recaída.

MéTodo:

La población del estudio incluyó a pacientes dados de alta de la CTO desde julio de 2017 hasta diciembre de 2021, gestionados por un equipo de gestión de casos (CMT) de una zona metropolitana importante. Los datos se recopilaron a partir de historias clínicas electrónicas (EMR). Se llevó a cabo un análisis descriptivo para estudiar las características de la muestra. Se realizó una regresión logística mediante análisis univariados y multivariados para examinar las asociaciones entre los factores relacionados con la recaída.

Resultados:

Se estudió un total de 128 pacientes. La tasa de recaída fue del 27,4 %, con una mediana de tiempo hasta la recaída de 72 días. La falta de conciencia de enfermedad, el escaso cumplimiento del tratamiento, la duración del CTO y el número de contactos del CMT se asociaron significativamente con la recaída, mientras que el consumo de sustancias, las comorbilidades psiquiátricas y los factores psicosociales no lo hicieron.

Conclusiones:

Los hallazgos sugieren que las personas que recayeron presentaban una deficiente capacidad de introspección y una baja adherencia a la medicación, estuvieron bajo órdenes de tratamiento comunitario (CTO) durante un periodo más prolongado y mantuvieron un contacto frecuente con el equipo de salud mental comunitario (CMT) incluso después del alta de la CTO.

Palabras clave:

Orden de tratamiento comunitario descarga de CTO predictores de recaída recaída tras el alta de la CTO

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