住院烧伤患者的精神病并发症:葡萄牙基于人口的观察性回顾性研究 (2000-2015)
João Bastos1, Alberto Freitas2, Gonçalo Gandra3
1Faculty of Medicine, University of Porto, Porto, Portugal.
概括
精神病并发症显著恶化烧伤患者的结果,导致更长的住院时间和更高的死亡率. 早期查和综合护理对于更好的结果和减少医疗保健负担至关重要.
科学领域:
- 医学研究 医学研究
- 精神病学是一个精神病学.
- 烧伤护理 烧伤护理
背景情况:
- 烧伤严重影响生活质量.
- 烧伤患者的精神病并发症尚未得到充分研究.
研究的目的:
- 评估葡萄牙烧伤患者的精神病并发症患病率.
- 检查与烧伤特征,医院结果和再入院的关联.
主要方法:
- 基于人口的回顾性观察性研究 (2000-2015年).
- 利用了全国范围内的成人烧伤住院的行政数据.
- 分析了二次诊断 (精神障碍650-670) 并比较了结果.
主要成果:
- 12.9%的烧伤住院病例涉及精神病并发症.
- 患有精神疾病的患者的住院时间更长 (18 vs. 10天),死亡率更高 (7.9% vs. 5.2%),烧伤更严重 (≥20% TBSA).
- 精神病障碍,与酒精有关的疾病,以及妄/痴呆症与较差的结果有关.
结论:
- 精神病并发症与长时间住院,死亡率增加以及烧伤患者再入院率更高有关.
- 强调了早期精神病学查的必要性.
- 强调综合的多学科护理,以改善结果和减少医疗保健负担.
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