精神病学对腺炎的影响:一个求助的呼吁
Holly D Shan1, Samuel S Huffman1,2, John D Bovill1
1Department of Plastic and Reconstructive Surgery, Georgetown University School of Medicine, Washington, District of Columbia.
患有辅助性腹炎 (HS) 和精神疾病的患者经历了更多的手术和急诊. 这些患者还报告了更大的经济困难,突出了对综合护理的需求.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 卫生经济学 卫生经济学
背景情况:
- 补腺炎 (HS) 经常与精神疾病并发.
- 精神病诊断对HS患者手术和财务结果的影响仍未得到充分研究.
研究的目的:
- 评估精神病诊断如何影响HS患者的手术干预,医疗保健利用和财务困境.
主要方法:
- 对138名HS患者 (2010-2021) 的回顾性队列研究.
- 基于精神疾病存在的分层.
- 使用COST-FACIT调查评估程序干预,紧急部门 (ED) 访问和财务困难.
主要成果:
- 患有精神病诊断的患者接受的手术数量显著增加 (中位数为7.0对1.5),急救诊所访问次数也增加 (中位数为1.0对0).
- 精神科队列报告了更大的财务困难 (p < 0.001) 和较低的COST-FACIT分数.
- 在多变量分析中,精神病诊断预测了较低的信用评分,ED访问的增加和更高的手术率.
结论:
- 在HS患者中,先前存在的精神疾病与增加的医疗保健利用率和手术程序有关.
- 这些并发症与严重的财务困难有关,需要综合护理方法.
- 整形外科医生应考虑精神病的并发症,以整体的患者管理HS.
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