入院和精神障碍:葡萄牙基于人口的观察性回顾性研究 (2008-2015)
Marta Silva1, Manuel Gonçalves-Pinho2, Ana Rita Ferreira3
1Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.
Epilepsy & behavior : E&B
|October 7, 2023
概括
患有和精神障碍的人体验了医疗保健使用的增加,包括更长的住院时间和更高的成本. 在患者中,早期诊断和治疗精神健康状况对于更好的结果至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在患者 (PWE) 中,精神病并发症很常见.
- 这些并发症与更差的预后和医疗保健资源利用率的增加有关.
- 关于PWE中广泛的精神障碍的医疗保健利用情况的数据有限.
研究的目的:
- 在住院治疗中对注册的精神障碍进行表征.
- 分析精神疾病与住院治疗结果之间的关联.
主要方法:
- 使用行政住院数据 (2008-2015) 的回顾性观察性研究.
- 包括作为主要诊断和精神障碍 (CCS类别650-670) 作为次要诊断.
- 分析住院时间,住院死亡率,再入院和收费情况.
主要成果:
- 在27785例病住院病例中,有33.9%的人注册了精神障碍;与酒精有关的障碍最为普遍 (11.7%).
- 患有精神障碍的住院病例的LoS显著更长 (5.0 vs. 4.0天),IHM更高 (2.8% vs. 2.2%),再入院病例更多 (25.5% vs. 23.7%),中位数费用更高 (1,578.7欧元 vs. 1,324.4欧元).
- 所有的比较都具有统计学意义 (P <0.001).
结论:
- 在病住院期间注册的精神障碍显著增加了医疗保健资源利用率.
- 突出了诊断和治疗患者精神障碍的迫切需要.
- 强调并发性精神健康状况对患者结果和医疗保健负担的影响.
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