在基于登记册的研究中加强非影响性精神病的识别
Minna Holm1, Kimmo Suokas2,3, Emmi Liukko4
1Finnish Institute for Health and Welfare, Equality Unit, Helsinki, Finland. minna.holm@thl.fi.
Schizophrenia (Heidelberg, Germany)
|February 19, 2024
概括
芬兰精神病护理登记数据可以错误诊断非影响性精神病 (NAP). 随访14年可能会错过早期治疗发作,特别是在老年患者中,这凸显了在基于注册的研究中需要谨慎排除标准的需要.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 芬兰精神病护理质量登记册记录了非影响性精神病 (NAP) 护理,包括专门精神病诊所以外的服务.
- 这种综合性方法可能会带来诊断的不准确性,特别是在准确识别疾病的第一个发作时.
研究的目的:
- 调查基于注册的NAP诊断中的潜在不准确性.
- 为了评估确定第一个精神病发作的可靠性,使用14年的洗期.
主要方法:
- 利用芬兰医疗保健护理登记册,在2010-2018年间识别出第一个基于登记册的NAP诊断 (ICD-10 F20-F29) 的个人.
- 从1996年至2009年以前被诊断为NAP的人被排除在外.
- 对于不可靠的NAP诊断的定义标准:在7岁之前,痴呆症之前,或在出院时未得到确认.
主要成果:
- 14年的追溯期可能无法识别精神病的初始治疗情节,特别是在老年人中.
- 具体的排除标准,如年龄,先前的痴呆症和出院时的诊断确认,用于评估可靠性.
结论:
- 基于精神病障碍的注册研究需要仔细考虑排除标准和治疗开始的定义.
- 使用行政数据识别非影响性精神病的第一个情节的准确性需要改进方法.
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