与儿童和青少年心理健康相关的因素从美国国家数据库重新接收
W David Lohr1, Kahir S Jawad2, Nichole Wood1
1Division of Child & Adolescent Psychiatry and Pediatric Psychology, University of Louisville School of Medicine, Louisville, Kentucky.
JAACAP open
|November 18, 2024
概括
在年轻人中,观察到30天精神健康再入院率为7.8%. 较年轻的儿童,多种疾病,公共保险或最初逗留时间较长的儿童面临更高的再接收风险,突出了干预目标.
科学领域:
- 儿科心理健康 儿科心理健康
- 医疗服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 儿童心理健康状况是一个重大的公共卫生问题.
- 了解再接收模式对于改善年轻人的护理连续性和结果至关重要.
研究的目的:
- 确定与儿童和青少年 (5-17岁) 30天精神健康再录取率相关的因素.
- 为高风险儿科群体提供有针对性的预防和干预策略.
主要方法:
- 2019年全国再接收数据库的回顾性,横截面分析.
- 使用临床分类软件 (CCS) 分组使用初级心理健康诊断的住院住院情况的纳入.
- 对患者特征和并发症的单变量和多变量分析,以评估再接收风险.
主要成果:
- 整体30天精神健康再入院率为7.8%,较年轻儿童 (<15岁) 的比例更高.
- 增加的精神健康并发症 (≥3种疾病) 与更高的再录取几率 (aOR=1.20) 相关.
- 特定的诊断 (精神分裂症谱系,双极性,破坏性,神经发育障碍),公共保险 (aOR=1.28) 和较长的初始逗留时间 (≥15天,AOR=1.71) 显著增加了再接收风险.
结论:
- 很大一部分青少年在精神病住院后经历了30天的再入院治疗.
- 年龄较小,特定的心理健康诊断,公共保险和延长的初始住院时间是关键的风险因素.
- 这些发现强调了有针对性的干预措施的必要性,以减少儿科精神健康再录取.
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