S Raaj, S Navanathan, B Matti, A Bhagawan, P Twomey, J Lally, R Browne
{"title":"爱尔兰精神病重症监护室的入院模式：纵向随访。","authors":"S Raaj, S Navanathan, B Matti, A Bhagawan, P Twomey, J Lally, R Browne","doi":"10.1017/ipm.2021.18","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aims to describe the course of admission and clinical characteristics of admissions to a psychiatric intensive care unit (PICU) in the Phoenix Care Centre (PCC), Dublin, Ireland.</p><p><strong>Methods: </strong>This retrospective chart study was conducted at the PCC, Dublin, Ireland. The cohort included all admission episodes (<i>n</i> = 91 complete data) over a three-year study period between January 2014 and January 2017.</p><p><strong>Results: </strong>The mean age of admitted cases was 37.1 (s.d. = 11.3; range 18-63). The mean length of stay (LOS) was 59.3 days (s.d. = 61.0; median 39.5 days). All patients were admitted under Mental Health Act legislation. Antipsychotic polypharmacy was used in 61% (<i>n</i> = 55) of the admissions. A diagnosis of acute psychotic disorder (B = -1.027, <i>p</i> = 0.003, 95% CI: -1.691, -0.363) was associated with reduced LOS in PICU.</p><p><strong>Conclusion: </strong>Our study describes the cohort of patients admitted as being predominantly male, younger-aged, single, having a diagnosis of schizophrenia and being legally detained. The primary indication for referral is risk of assault, which highlights the need for the intensive and secure treatment model that a PICU can provide.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"361-368"},"PeriodicalIF":1.8000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/ipm.2021.18","citationCount":"3","resultStr":"{\"title\":\"Admission patterns in a psychiatric intensive care unit in Ireland: a longitudinal follow-up.\",\"authors\":\"S Raaj, S Navanathan, B Matti, A Bhagawan, P Twomey, J Lally, R Browne\",\"doi\":\"10.1017/ipm.2021.18\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aims to describe the course of admission and clinical characteristics of admissions to a psychiatric intensive care unit (PICU) in the Phoenix Care Centre (PCC), Dublin, Ireland.</p><p><strong>Methods: </strong>This retrospective chart study was conducted at the PCC, Dublin, Ireland. The cohort included all admission episodes (<i>n</i> = 91 complete data) over a three-year study period between January 2014 and January 2017.</p><p><strong>Results: </strong>The mean age of admitted cases was 37.1 (s.d. = 11.3; range 18-63). The mean length of stay (LOS) was 59.3 days (s.d. = 61.0; median 39.5 days). All patients were admitted under Mental Health Act legislation. Antipsychotic polypharmacy was used in 61% (<i>n</i> = 55) of the admissions. A diagnosis of acute psychotic disorder (B = -1.027, <i>p</i> = 0.003, 95% CI: -1.691, -0.363) was associated with reduced LOS in PICU.</p><p><strong>Conclusion: </strong>Our study describes the cohort of patients admitted as being predominantly male, younger-aged, single, having a diagnosis of schizophrenia and being legally detained. The primary indication for referral is risk of assault, which highlights the need for the intensive and secure treatment model that a PICU can provide.</p>\",\"PeriodicalId\":46220,\"journal\":{\"name\":\"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE\",\"volume\":\" \",\"pages\":\"361-368\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1017/ipm.2021.18\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1017/ipm.2021.18\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/4/23 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1017/ipm.2021.18","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/4/23 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Admission patterns in a psychiatric intensive care unit in Ireland: a longitudinal follow-up.
Objective: This study aims to describe the course of admission and clinical characteristics of admissions to a psychiatric intensive care unit (PICU) in the Phoenix Care Centre (PCC), Dublin, Ireland.
Methods: This retrospective chart study was conducted at the PCC, Dublin, Ireland. The cohort included all admission episodes (n = 91 complete data) over a three-year study period between January 2014 and January 2017.
Results: The mean age of admitted cases was 37.1 (s.d. = 11.3; range 18-63). The mean length of stay (LOS) was 59.3 days (s.d. = 61.0; median 39.5 days). All patients were admitted under Mental Health Act legislation. Antipsychotic polypharmacy was used in 61% (n = 55) of the admissions. A diagnosis of acute psychotic disorder (B = -1.027, p = 0.003, 95% CI: -1.691, -0.363) was associated with reduced LOS in PICU.
Conclusion: Our study describes the cohort of patients admitted as being predominantly male, younger-aged, single, having a diagnosis of schizophrenia and being legally detained. The primary indication for referral is risk of assault, which highlights the need for the intensive and secure treatment model that a PICU can provide.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
