[1]杨学来赵亚楠.北京市3岁～17岁孤独症住院患者非计划再入院现状及影响因素研究[J].中国卫生质量管理,2024,31(03):032-36.[doi:10.13912/j.cnki.chqm.2024.31.3.09]
　YANG Xuelai,ZHAO Yanan.Status and Influencing Factors of Unplanned Readmission among Autism Inpatients Aged 3~17 in Beijing[J].Chinese Health Quality Management,2024,31(03):032-36.[doi:10.13912/j.cnki.chqm.2024.31.3.09]
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北京市3岁～17岁孤独症住院患者非计划再入院现状及影响因素研究()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年03期
页码:
032-36
栏目:
医疗质量
出版日期:
2024-03-15

文章信息/Info

Title:
Status and Influencing Factors of Unplanned Readmission among Autism Inpatients Aged 3~17 in Beijing
作者:
杨学来赵亚楠
中日友好医院
Author(s):
YANG Xuelai; ZHAO Yanan
China-Japan Friendship Hospital
关键词:
北京市; 孤独症; 儿童; 青少年; 非计划再入院; 影响因素
Keywords:
Beijing; Autism; Children; Adolescent; Unplanned Readmission;  Influencing Factors
分类号:
R197.323；R749.94
DOI:
10.13912/j.cnki.chqm.2024.31.3.09
文献标志码:
A
摘要:
目的分析北京市3岁～17岁孤独症住院患者非计划再入院现状，探讨影响因素，为精神类疾病医疗质量提升提供参考。方法收集北京市市级医院2022年1月1日-12月31日3岁～17岁孤独症住院患者资料，分析31天非计划再入院和年内非计划再入院情况。采用单因素分析和Logistic回归分析探讨非计划再入院影响因素。结果共纳入341名孤独症患者，31天非计划再入院率和年内非计划再入院率分别为7.0%、18.8%。年龄是3岁～17岁孤独症患者31天非计划再入院影响因素，首次住院天数是患者31天非计划再入院和年内非计划再入院影响因素。结论儿童和青少年孤独症患者的非计划再入院率较低，低龄儿童31天非计划再入院率较高，首次住院时间较长患者非计划再入院率较高。应探索降低孤独症患者非计划再入院率的措施，提高孤独症患者医疗服务质量。
Abstract:
ObjectiveTo analyze the unplanned readmission status of 3-17 years old autistic inpatients in Beijing, and explore the influencing factors, so as to provide reference for improving the medical quality of mental diseases.MethodsData of hospitalized patients with autism aged 3-17 years from January 1 to December 31, 2022 were collected from municipal hospitals in Beijing, and the situation of 31-day unplanned readmission and intra-year unplanned readmission was analyzed. Univariate analysis and Logistic regression analysis were used to explore the influencing factors of unplanned readmission.ResultsA total of 341 patients with autism were included. The 31-day and intra-year unplanned readmission rates were 7.0% and 18.8%, respectively. Age was the influencing factor of 31-day unplanned readmission for autism patients aged 3-17 years, and the length of first hospital stay was the influencing factor of 31-day unplanned readmission and intra-year unplanned readmission. Conclusion The unplanned readmission rate of children and adolescents with autism was low, the 31-day unplanned readmission rate of young children was relatively high, and the unplanned readmission rate of patients with a longer first hospitalization was higher. Measures should be explored to reduce the unplanned readmission rate of autistic patients and improve the quality of medical services for autistic patients.

参考文献/References:

［1］HUANG YQ, WANG Y, WANG H, et al.Prevalence of mental disorders in China: a cross-sectional epidemiological study［J］.Lancet Psychiatry,2019,6(3):211-224.［2］马 宁,严 俊,马 弘,等. 2010年中国精神卫生机构和床位资源现状分析［J］.中国心理卫生杂志,2012,26(12):885-889.［3］徐俊芳.精神疾病的经济负担及医疗保险的补偿研究：基于山东省就诊患者的研究［D］.济南：山东大学，2016［4］白 琼.美国医院降低再入院率的策略与启示［J］.中国卫生质量管理,2020,27(5):148-151.［5］苏 勇.某三甲医院 31 天内非计划再入院现状及影响因素研究［J］.现代医院. 2021, 21（11）:1702-1705.［6］American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-V［Z］.2013.［7］刘 贤, 林穗方, 陈文雄，等. 中国儿童孤独症谱系障碍患病率Meta分析［J］.中国儿童保健杂志,2018,26(4):402-429.［8］SIEGEL M.The severe end of the spectrum: insights and opportunities from the Autism Inpatient Collection (AIC)［J］.J Autism Dev Disord,2018,48(11):3641-3646. ［9］KOMPELLA S,VITTORI A, KROIN J, et al. Impact of antipsychotic use on readmission rates in children and adolescents with autism spectrum disorder and irritability［J］.Cureus,2022,14(2):e22361. ［10］Agency of Healthcare Research and Quality. Hospital readmissions involving psychiatric disorders, 2012［Z］. 2015.［11］OKUMURA Y, SUGIYAMA N, NODA T. Timely follow-up visits after psychiatric hospitalization and readmission in schizophrenia and bipolar disorder in Japan［J］.Psychiatry Res,2018,270:490-495.［12］DUHIG M, GUNASEKARA I, PATTERSON S.Understanding readmission to psychiatric hospital in Australia from the service users’ perspective: a qualitative study［J］. Health Soc Care Community,2017,25(1):75-82.?倓 ［13］TSOUTSOULIS K,MAXWELL A,MENON TARUR PADINJAREVEETTIL A,et al. Impact of inpatient mental health rehabilitation on psychiatric readmissions: a propensity score matched case control study［J］.J Ment Health,2020,29(5):532-540.?倓［14］ZHAO YN, SU BB, ZHU DW, et al. Medical service utilization and costs of autism spectrum disorder: evidence from hospital records in Beijing, China［J］.Autism Res,2023,16(7):1462-1474. ［15］RIGHI G, BENEVIDES J, MAZEFSKY C, et al.Predictors of inpatient psychiatric hospitalization for children and adolescents with autism spectrum disorder［J］.J Autism Dev Disord,2018,48(11):3647-3657.［16］SHEEHAN R,MUTCH J,MARSTON L,et al. Risk factors for inpatient admission among adults with intellectual disa-bility and autism: investigation of electronic clinical records［J］.BJPsych Open,2020,7(1):e5. ［17］韩雪燕.北京市精神专科医院患者再入院及其影响因素研究［D］.北京：北京协和医学院, 2020.［18］SPRAN L,DERNOVSEK MZ,WAHBEECK K,et al.Psychiatric readmissions and their association with physical comorbidity: a systematic literature review［J］.BMC Psychiatry,2017,17(1):2.?倓［19］MADDEN A,VAJDA J,LLAMOCCA EN,et al.Factors associated with psychiatric readmission of children and adolescents in the U.S: a systematic review of the literature［J］.Gen Hosp Psychiatry,2020,65:33-42.

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更新日期/Last Update: 2024-03-15