在第一次躁狂诊断之前的几年里,病例识别和医疗利用情况
Nicole M Benson1, Zhiyou Yang2, Vicki Fung3
1Division of Psychotic Disorders, McLean Hospital, Belmont, MA, United States of America; Mongan Institute, Massachusetts General Hospital, Boston, MA, United States of America; Department of Psychiatry, Harvard Medical School, Boston, MA, United States of America.
识别新发型双相情感障碍 (BPAD) 需要审查所有保险公司多年的患者数据. 这种方法对于估计疾病发病率和了解早期疾病进展至关重要.
科学领域:
- 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
- 流行病学 流行病学
背景情况:
- 使用行政数据集识别新发双相情感障碍 (BPAD) 的评估有限.
- 准确的鉴定对于了解疾病流行率和早期临床过程至关重要.
研究的目的:
- 评估在行政数据中识别新发型BPAD诊断的方法.
- 为了检查BPAD与躁狂的新诊断之前的护理模式.
主要方法:
- 利用马萨诸塞州全付款人索赔数据库 (APCD) 识别2016年被诊断患有躁狂双极障碍的个人.
- 分析了48个月以前的精神病和医疗护理模式.
- 排除了先前有BPAD或躁狂诊断的个人,以确定新病例.
主要成果:
- 在15-35.5岁的人群中,确定了583名新发性BPAD与躁狂的个人 (每10万人中34人).
- 在诊断之前,98%的患者进行了门诊,76%的患者进行了急诊,50%的患者进行了心理健康相关的急诊.
- 37.2%的人在第一次躁狂诊断之前经历过抑郁症.
结论:
- 行政数据可以识别新发病的BPAD,但定义需要验证.
- 为了准确的识别,对多年多款患者病史进行全面审查是必不可少的.
- 准确的鉴定对于估计人口疾病率和了解BPAD早期阶段至关重要.
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