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نتیجه جستجو - پذیرش مجدد

تعداد مقالات یافته شده: 2
ردیف عنوان نوع
1 Effects of temporary psychiatric holds on length of stay and readmission risk among persons admitted for psychotic disorders
اثرات بازداشت موقت روانپزشکی بر طول مدت اقامت و خطر بستری مجدد در افراد بستری شده برای اختلالات روانپریشی-2020
The practice of involuntary psychiatric commitment is central to the acute treatment of persons with severe mental illness and others in psychiatric crisis. Deciding whether a patient should be admitted involuntarily re- quires weighing respect for autonomy against beneficence, considering the clinical needs of the patient, and navigating ambiguous legal standards. The relative dearth of information about the impact of involuntary commitment on objective patient outcomes complicates matters ethically, legally, and clinically. To address this gap in the literature, we sought to determine the association between temporary psychiatric holds and length of stay and readmission rates among a retrospective sample of adult patients admitted to a large psychiatric hospital with diagnoses of schizophrenia, schizoaffective disorder, mania, and other psychotic disorders. In total, we identified 460 patients and 559 unique encounters meeting our inclusion criteria; 90 of the encounters were voluntary (involving a temporary psychiatric hold) and 469 were involuntary. Univariable and multivariable analyses suggested that temporary psychiatric holds were not significantly associated with either length of stay or readmission rate. These findings are relevant to clinicians who must decide whether to admit a patient involuntarily, as they suggest that making a patient involuntary is not associated with differences in length of stay or readmission risk.
Keywords: Civil commitment | Length of stay | Readmission | Psychosis
مقاله انگلیسی
2 Outcomes and mortality in parturient and non-parturient patients with peripartum cardiomyopathy: a national readmission database study
خروجی ها و میرایی در والدین بچه آور و غیر بچه آور دارای بیماری قلبی پریپارتوم: یک مطالعه روی پذیرش مجدد پایگاه داده ای ملّی -2017
BACKGROUND: Peripartum cardiomyopathy (PPCM) affects young females and mortality occurs after the peripartum period. Hospital readmissions for patients discharged with PPCM are poorly understood. The aim of this study was to evaluate differences in readmission rates, risk factors, and mortality in women with PPCM. METHODS: We conducted a retrospective cohort analysis using the Healthcare Cost and Utilization Project 2013 National Readmissions Database. From the database, we selected patients with PPCM to include patients discharged between January and November 2013. Readmission rate, mortality rate and risk factors were analyzed. In our cohort of 3800 patients, we found a readmission rate of 15.1% and a mortality rate of 1.6%. Comorbidities associated with readmission were pulmonary hypertension, obesity, renal failure, and drug abuse. Mortality on initial admission was associated with coagulation disorders and respiratory failure. Women who delivered on initial admission had a statistically lower rate of readmission than women who did not deliver on initial admission. CONCLUSIONS: In a large retrospective nationwide analysis of PPCM patients, we found associated conditions that may help predict which patients will have a higher risk for readmission and mortality.
Keywords: risk factors | pregnancy | women | peripartum cardiomyopathy | readmission | mortality
مقاله انگلیسی
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