精神病并发症和创伤:对住院患者的结果的影响以及对未来管理的影响
Maximilian Arthur Meyer1,2, Tijmen van den Bosch3,4, Zita Millenaar4
1Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. maximilian.meyer@cuanschutz.edu.
概括
患有精神病并发症的重创患者在住院治疗中经历了更糟糕的结果,包括更高的发病率和更长的住院时间. 急性精神病发作显著加剧了这些结果,无论之前的精神疾病史.
科学领域:
- 创伤外科 手术 创伤外科
- 精神病医学 精神病医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在创伤患者中,先前存在的精神疾病是常见的.
- 精神病相关疾病对重大创伤后住院患者的结果的影响需要进一步量化.
- 评估精神病学表现的敏度对于预测结果至关重要.
研究的目的:
- 量化先前存在的精神疾病对重大创伤后住院患者结果的影响.
- 评估精神病学陈述敏度在预测创伤患者结果中的作用.
主要方法:
- 从2018年1月到2019年12月,对成年创伤患者 (伤害严重程度评分≥16) 的回顾性单中心队列研究.
- 两变量分析比较了精神病并发症患者和没有精神病并发症患者之间的特征和结果.
- 分组分析检查了精神病史的影响和咨询需要.
主要成果:
- 在640名患者中,有99名患者 (15.4%) 患有精神病并发症,在医院内患病率较高 (44%对26%),并且有明显的损伤机制.
- 精神病并发症与肺部和神经系统疾病增加,以及深层伤口感染有关.
- 患有精神病并发症的患者在重症监护室 (ICU) 和整体住院时间 (LOS) 显着更长.
结论:
- 精神病并发症在重创患者的住院病率和住院时间 (LOS) 显著恶化.
- 对结果的负面影响在急性精神病发作的情况下最为明显,有或没有精神疾病史.
- 与对照组相比,仅仅精神疾病史并没有显著改变结果.
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