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超越脊柱:探索脊髓缩症中的心理健康障碍
Julius Gerstmeyer1,2,3, Anna Gorbacheva4, Clifford Pierre1,4
1Swedish Neuroscience Institute, Swedish Medical Center, 550 17th Avenue, Suite 500, Seattle, WA 98122, USA.
Journal of clinical medicine
|March 27, 2025
概括
精神健康障碍 (MHD) 在脊髓瘤炎 (SD) 患者中很常见,并增加了再录取风险,特别是与物质有关的疾病. 整合心理健康护理可能会改善SD患者的治疗结果.
科学领域:
- 传染性疾病 传染性疾病
- 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:
- 脊髓瘤炎 (SD) 是一个日益严重的全球健康问题.
- 众所周知,心理健康障碍 (MHD) 对患者的结果产生负面影响.
- MHDs对SD患者结果的影响仍未得到充分研究.
研究的目的:
- 确定住院SD患者中MHD的发生率.
- 评估MHD与SD患者90天所有原因再入院率之间的关联.
- 确定独立预测再接收风险的特定MHD.
主要方法:
- 2020年全国再接收数据库 (NRD) 的回顾性分析.
- 确定了具有SD初级ICD-10代码的成年患者.
- 使用ICD-10 F代码识别了MHD;使用VisitLinks跟踪重新入院.
主要成果:
- 在6139名SD患者中,61.4%的患者至少有一次MHD.
- 90天再入院率总体为35%,MHD患者 (36.1%) 的再入院率更高.
- 阿片类药物和酒精使用障碍是增加再接收风险的独立预测因素 (分别为OR 1.187,p=0.019和OR 1.310,p=0.020).
结论:
- 在SD患者中,MHDs很普遍,并且与更高的再入院率有关.
- 与药物相关的疾病显著增加了SD患者的再入院风险.
- 将心理健康干预措施整合到SD护理中可能会改善患者的治疗结果并减少再入院.
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