| Revista: | Archives of clinical psychiatry |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000409855 |
| Autores: | Moreschi, Hugo Karling1 Pavan, Gabriela1 Godoy, Julia Almeida1 Mondrzak, Rafael1 Almeida, Mariana Ribeiro2 Pacheco, Marco Antonio1 Nogueira, Eduardo Lopes1 Spanemberg, Lucas1 |
| Instituciones: | 1Pontificia Universidade Catolica do Rio Grande do Sul, Hospital Sao Lucas, Porto Alegre, Rio Grande do Sul. Brasil 2Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul. Brasil |
| Año: | 2015 |
| Periodo: | Ene-Feb |
| Volumen: | 42 |
| Número: | 1 |
| Paginación: | 6-12 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Estadística o encuesta |
| Enfoque: | Analítico |
| Resumen en inglés | General Hospital Psychiatric Units have a fundamental importance in the mental health care systems. However, there is a lack of studies regarding the level of improvement of patients in this type of facility. Objective To assess factors related to good and poor outcomes in psychiatric inpatients using an index composed by clinical parameters easily measured. Methods Length of stay (LOS), Global Assessment of Functioning (variation and at discharge) and Clinical Global Impression (severity and improvement) were used to build a ten-point improvement index (I-Index). Records of psychiatric inpatients of a general hospital during an 18-month period were analyzed. Three groups (poor, intermediate and good outcomes) were compared by univariate and multivariate models according to clinical and sociodemographic variables. Results Two hundred and fifty patients were included, with a percentage in the groups with poor, regular and good outcomes of 16.4%, 59,6% and 24.0% respectively. Poor outcome at the discharge was associated mainly with lower education, transient disability, antipsychotics use, chief complaint “behavioral change/aggressiveness” and psychotic features. Multivariate analysis found a higher OR for diagnoses of “psychotic disorders” and “personality disorders” and others variables in relation to protective categories in the poor outcome group compared to the good outcome group. Discussion Our I-Index proved to be an indicator of that allows an easy and more comprehensive evaluation to assess outcomes of inpatients than just LOS. Different interventions addressed to conditions such as psychotic disorders and disruptive chief complaints are necessary |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Hospitales, Psiquiatría, Pacientes psiquiátricos, Hospitalización, Tiempo de estancia, Diagnóstico clínico, Evaluación de resultados |
| Keyword: | Medicine, Diagnosis, Hospitals, Psychiatry, Psychiatric patients, Hospitalization, Length of stay, Clinical diagnosis, Outcome assessment |
| Texto completo: | Texto completo (Ver HTML) |
