精神和身体疾病共患病和医院利用率之间的关联
Jennifer E Holland1, David C Rettew1,2,3,4, Susan E Varni1,2
1The Robert Larner, M.D. College of Medicine.
Hospital pediatrics
|August 9, 2023
概括
伴随性身体和精神疾病在青少年和年轻人中很常见,大大增加了他们对急诊室的访问和住院.
科学领域:
- 青少年和年轻人的健康 (AYA)
- 慢性疾病 流行病学 流行病学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 青少年和年轻人 (AYA) 经历了一系列慢性身体和精神疾病.
- 身体和精神健康状况之间的并发症是这个年龄组的一个重大问题.
- 了解这些并发症对医疗保健利用的影响对于有针对性的干预措施至关重要.
研究的目的:
- 确定AYA中慢性身体疾病和精神疾病的患病率.
- 在AYA中调查身体和精神健康状况之间的并发症率.
- 评估并发症如何影响医院利用率,包括急诊室 (ED) 访问和住院住院.
主要方法:
- 利用了来自佛蒙特州2018年全付费者数据库的49,089名有保险资格的AYA (12至21岁) 的人口级数据集.
- 采用多重后勤回归分析来检查身体疾病类型,并发性精神疾病和医疗保健利用之间的关联.
- 在分析中控制人口因素和保险状况.
主要成果:
- 在AYA样本中,精神疾病很普遍 (31%),并且经常与各种身体疾病并发.
- 伴随性精神疾病与多种身体疾病类别中ED使用和住院的几率增加显著相关.
- 例如,患有肺部疾病和并发性精神疾病的AYA使用ED的几率是1.74倍,住院的几率是2.9倍.
结论:
- 伴随性身体和精神疾病在青少年和年轻人中很常见.
- 伴随性精神疾病的存在大大增加了急诊室访问和住院住院的可能性.
- 这些发现凸显了需要综合护理模型来解决AYA的复杂的健康需求与并发症的条件.
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