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首页> 外文期刊>Journal of psychiatric practice. >Characteristics and psychosocial predictors of psychiatric emergency center transport and length of stay in patients with dementia and Alzheimer's disease: a preliminary report.
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Characteristics and psychosocial predictors of psychiatric emergency center transport and length of stay in patients with dementia and Alzheimer's disease: a preliminary report.

机译：痴呆症和阿尔茨海默氏病患者的精神病学急诊中心运输和住院时间的特征和社会心理预测因素：初步报告。

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BACKGROUND: Agitation and aggression are common behaviors that often lead to psychiatric emergency center (PEC) admission of nursing home patients with dementia or Alzheimer's disease. However, few if any data are available that adequately describe characteristics and psychosocial triggers of agitation and aggression leading to transport and admission to a PEC. METHODS: A preliminary investigation to explore all possible characteristics and psychosocial predictors of PEC transport and length of stay in men and women nursing home patients with dementia or Alzheimer's disease was designed. Frequency distributions, chi-square, analyses of variance, and regression analyses were used to analyze the data. RESULTS: One hundred PEC patient charts were reviewed, of which 58 charts were missing information and 42 charts provided evaluable data. Nursing homes located in impoverished areas transported patients to the PEC significantly more often than those in affluent areas. A disconnect between the agitated/aggressive mental state reported by nursing home staff leading to the PEC transport and the calm/cooperative mental status PEC clinicians observed during the admission process was evident. Data from the charts also showed that 74% of patients received off-label antipsychotics rather than FDA-approved medications to treat dementia or Alzheimer's disease. CONCLUSIONS: This is one of the few studies to identify characteristics and psychosocial triggers of PEC use and length of stay in nursing home patients. We also highlight potentially dangerous antipsychotic use in dementia and Alzheimer disease. Thus, our data add to the existing knowledge base regarding PEC utilization, length of stay, and pharmacotherapy in nursing home patients with dementia and Alzheimer's disease. Given the preliminary nature of this study, however, the results should be interpreted with caution.
机译：背景：躁动和攻击性是常见的行为，通常会导致患有痴呆症或阿尔茨海默氏病的疗养院患者进入精神病急诊中心（PEC）。但是，几乎没有数据能够充分描述导致交通运输和进入PEC的激动和侵略的特征和社会心理触发因素。方法：进行了初步调查，以探讨痴呆症或阿尔茨海默氏病患者的男性和女性疗养院中PEC转运的所有可能特征和社会心理预测因素以及住院时间。频率分布，卡方，方差分析和回归分析用于分析数据。结果：审查了一百例PEC患者图表，其中58个图表缺少信息，而42个图表提供了可评估的数据。与富裕地区相比，位于贫困地区的疗养院将患者送往PEC的频率更高。疗养院工作人员报告的导致PEC运送的躁动/攻击性精神状态与入院过程中观察到的PEC临床医生的平静/合作精神状态之间存在明显的脱节。图表中的数据还显示，有74％的患者使用了非处方抗精神病药，而不是FDA批准的用于治疗痴呆或阿尔茨海默氏病的药物。结论：这是鉴定PEC使用特征和心理社会触发因素以及疗养院患者住院时间的少数研究之一。我们还重点介绍了痴呆症和阿尔茨海默氏病中潜在的危险性抗精神病药使用。因此，我们的数据增加了有关痴呆和阿尔茨海默氏病患者养老院患者PEC利用，住院时间和药物治疗的现有知识基础。鉴于这项研究的初步性质，应谨慎解释结果。

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