Revista Brasileira de Psiquiatria | |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution | |
Régis Eric Maia Barros1  João Mazzoncini De Azevedo Marques1  Isabela Panzeri Carlotti1  Antonio Waldo Zuardi1  Cristina Marta Del-ben1  | |
[1] ,Universidade de São Paulo Faculty of Medicine of Ribeirão Preto Department of Neurosciences and BehaviorRibeirão Preto SP ,Brazil | |
关键词: Length of stay; Hospital care; Psychiatric emergency services; Residence time; Deinstitutionalization; Tempo de internação; Assistência hospitalar; Serviço de emergência psiquiátrica; Tempo de permanência; Desinstitucionalização; | |
DOI : 10.1590/S1516-44462009005000014 | |
来源: SciELO | |
【 摘 要 】
OBJECTIVE: Characterize and compare acute psychiatric admissions to the psychiatric wards of a general hospital (22 beds), a psychiatric hospital (80) and of an emergency psychiatry unit (6). METHOD: Survey of the ratios and shares of the demographic, diagnostic and hospitalization variables involved in all acute admissions registered in a catchment area in Brazil between 1998 and 2004. RESULTS: From the 11,208 admissions, 47.8% of the patients were admitted to a psychiatric hospital and 14.1% to a general hospital. The emergency psychiatry unit accounted for 38.1% of all admissions during the period, with a higher variability in occupancy rate and bed turnover during the years. Around 80% of the hospital stays lasted less than 20 days and in almost half of these cases, patients were discharged in 2 days. Although the total number of admissions remained stable during the years, in 2004, a 30% increase was seen compared to 2003. In 2004, bed turnover and occupancy rate at the emergency psychiatry unit increased. CONCLUSION: The increase in the number of psychiatric admissions in 2004 could be attributed to a lack of new community-based services available in the area beginning in 1998. Changes in the health care network did affect the emergency psychiatric service and the limitations of the community-based network could influence the rate of psychiatric admissions.
【 授权许可】
CC BY-NC
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