Epidemiologic Analysis of the Inpatient Psychiatric Unit at a General Metropolitan Community Hospital of Buenos Aires city, Argentina

Sebastián Malleza, Tomás Abudarham, Fernando Carlos Bertolani, Daniel Matusevich, José Luis Faccioli
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Abstract

Objectives: To explore the frequency of sociodemographic, clinical, and therapeutic variables of the Inpatient Psychiatric Unit at the Italian Hospital of Buenos.

Introduction: Considering that the Inpatient Psychiatric Unit functions within a General Metropolitan Community Hospital, referent both at the local and the international level, we deem it relevant to perform an updated characterization of the population admitted into our Unit. This is especially important given the changes presented since the approval of the National Mental Health Law N° 26.657.

Materials and methods: We performed an observational descriptive and analytic cross-sectional study, studying the patients admitted into the Inpatient Psychiatric Unit for a period of 12 consecutive months (from October 1st, 2018, to September 30th, 2019).

Results: During the study period a total of 254 hospitalizations were registered. Mean Age: 51,85 years (S.D.=21,23), Median hospitalization time 22 days [IQR=14.00, 34.00], 31.5% of the admissions were involuntary. The most frequent cause of hospitalization was due to depressive episodes (32.7%), psychosis (22.8%), and dementia/behavioral symptoms (13%). 10.6% of the patients were admitted into our Unit after a suicide attempt.

Discussion: The present study provides an updated analysis of the hospitalized population. It contributes to outlining the changes that have taken place over the last years, because of the new legislation.

Conclusions: The description of the epidemiologic characteristics of the inpatient population in our setting is crucial to have a current situation diagnosis that allows us to develop health-policy strategies and an adequate allocation of resources.

阿根廷布宜诺斯艾利斯市大都会综合社区医院精神科住院病人流行病学分析
目的:探讨布宜诺斯艾利斯意大利医院精神科住院病人的社会人口学、临床和治疗变量的频率。导言:考虑到住院精神病科在综合城市社区医院内运作,在当地和国际层面都具有参考意义,我们认为对我们科收治的人口进行最新的特征描述是相关的。鉴于第26.657号《国家精神卫生法》获得批准以来所发生的变化,这一点尤其重要。材料与方法:我们采用观察性描述性和分析性横断面研究,对连续12个月(2018年10月1日至2019年9月30日)入住精神科住院的患者进行研究。结果:研究期间共登记住院254例。平均年龄:51,85岁(sd =21,23),中位住院时间22天[IQR=14.00, 34.00],非自愿入院占31.5%。最常见的住院原因是抑郁发作(32.7%)、精神病(22.8%)和痴呆/行为症状(13%)。10.6%的患者是在自杀未遂后入院的。讨论:本研究提供了住院人群的最新分析。它有助于概述过去几年由于新立法而发生的变化。结论:在我们的环境中,住院人口的流行病学特征的描述对于进行现状诊断至关重要,这使我们能够制定卫生政策策略和适当的资源分配。
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