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首页> 外文期刊>Nordic journal of psychiatry. >Do patients improve after short psychiatric admission?: a cohort study in Italy.
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Do patients improve after short psychiatric admission?: a cohort study in Italy.

机译：短期入院后患者会改善吗？：一项在意大利进行的队列研究。

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摘要

BACKGROUND: Information on outcomes of acute inpatient care in routine psychiatric practice is scant. In particular, it is uncertain to what extent short hospitalization can produce clinically meaningful changes. AIM: Our aim was to estimate the symptomatic outcome in a representative sample of patients admitted for short treatment to general hospital psychiatric units in Italy. METHODS: Patients were assessed at admission and discharge using 24-item Brief Psychiatric Rating Scale (BPRS). Reliable change index was calculated to estimate the proportion of change attributable to measurement error and a cut-off score of 38 was adopted to identify the patients who showed clinically significant change. RESULTS: Average length of stay was 5.7 days. Mean BPRS score dropped from 53.2 on admission to 41.5 at discharge, showing statistically significant improvement with an effect size of 0.80. However, reliable change was achieved by 24.7% of patients and clinically meaningful change by 13.6%. CONCLUSIONS: Reliance on statistical significance and effect size overestimates treatment effects, whereas reliable and clinically significant change index provides a conservative way to assess outcome. Few patients showed relevant improvement after a brief admission.
机译：背景：在常规精神病学实践中，有关急性住院治疗结果的信息很少。尤其是，不确定短期住院能在多大程度上产生临床上有意义的变化。目的：我们的目的是评估在意大利综合医院精神科接受短期治疗的患者的代表性样本中的症状结果。方法：使用24项简要精神病评定量表（BPRS）对患者的入院和出院进行评估。计算可靠的变化指数以估计归因于测量误差的变化比例，并采用38的临界值来识别表现出临床上显着变化的患者。结果：平均住院时间为5.7天。 BPRS的平均评分从入院时的53.2下降到出院时的41.5，显示统计学上的显着改善，影响范围为0.80。但是，有24.7％的患者实现了可靠的改变，而有临床意义的改变则达到了13.6％。结论：对统计学意义和效应大小的依赖高估了治疗效果，而可靠且具有临床意义的变化指数提供了一种保守的评估结果的方法。短暂入院后很少有患者表现出相关的改善。

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