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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >The hospital as predictor of children's and adolescents' length of stay.
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The hospital as predictor of children's and adolescents' length of stay.

机译：医院可预测儿童和青少年的住院时间。

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OBJECTIVE: To predict psychiatric hospital length of stay (LOS) for a sample of Illinois Department of Children and Family Services wards across 4 fiscal years. METHOD: A prospective design was implemented using the Children's Severity of Psychiatric Illness scale, a reliable and valid measure of psychiatric severity, risk factors, youth strengths, and contextual/environmental factors. Data were collected for 1,930 hospital episodes across 44 hospitals from fiscal year 1998 through fiscal year 2001. Youths were screened for admission appropriateness by the Illinois Screening, Assessment, and Supportive Services (SASS) program. The Children's Severity of Psychiatric Illness was completed by SASS workers upon conclusion of their crisis interviews. In addition to completing the Children's Severity of Psychiatric Illness, SASS workers reported on demographic information and LOS. RESULTS: The sample of 1,930 youths was randomly split to form development (n = 983) and validation (n = 947) samples. LOS was predicted using ordinary least squares regression. Thirty percent of the variance (F(19,666) = 16.6, p < .0001) in LOS was predicted for the development sample and 22% (F(14,657) = 14.6, p < .0001) was predicted for the confirmation sample. Hospital was the largest and most consistent predictor of LOS for both samples after controlling for clinical variables. Two hospitals accounted for approximately 10% of the variance in both samples (development beta = .273, p < .01 and beta = -.169, p < .01). Two SASS agencies also consistently predicted LOS (development beta = -.134, p < .05 and beta = .102, p < .05). No consistent changes in predictors of LOS occurred over time (FY98-FY01). CONCLUSIONS: These findings suggest that nonclinical variables are the primary predictors of LOS in the Illinois system of care. In addition, these variables are consistent predictors over time. Quality assurance efforts might seek to further understand potential practice pattern variations across hospitals and SASS agencies.
机译：目的：预测伊利诺伊州儿童和家庭服务部病房在4个会计年度内的精神病医院住院时间（LOS）。方法：采用儿童精神疾病严重程度量表进行了前瞻性设计，该量表是对精神病严重程度，危险因素，青少年长处以及情境/环境因素的可靠有效测量。从1998财政年度到2001财政年度，收集了44家医院中1,930例医院发作的数据。伊利诺伊州筛查，评估和支持服务（SASS）计划对青少年的入院适应性进行了筛查。 SASS员工在完成危机采访后完成了儿童的精神疾病严重程度。除了完成儿童的精神疾病严重程度，SASS工作者还报告了人口统计信息和LOS。结果：将1,930名青年样本随机分为发展样本（n = 983）和验证样本（n = 947）。使用普通最小二乘回归预测LOS。预测开发样本的LOS中有30％的方差（F（19,666）= 16.6，p <.0001），而对于确认样本则为22％（F（14,657）= 14.6，p <.0001）。在控制了临床变量之后，医院是两个样本中最大，最一致的LOS预测指标。两家医院在这两个样本中的差异大约占10％（发展beta = .273，p <.01，beta = -.169，p <.01）。两个SASS机构也一致地预测LOS（发展beta = -.134，p <.05和beta = .102，p <.05）。随着时间的流逝，LOS的预测指标未发生一致的变化（FY98-FY01）。结论：这些发现表明，非临床变量是伊利诺伊州护理系统中LOS的主要预测指标。此外，这些变量是随时间推移的一致预测变量。质量保证工作可能会寻求进一步了解医院和SASS机构之间可能存在的实践模式差异。

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