精神药物过量患者住院时间延长的相关危险因素

T. Abe, Y. Tokuda, G. Stein, S. Ishimatsu, R. Birrer
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引用次数: 4

摘要

目的:探讨精神科药物过量患者住院时间的相关危险因素。方法:采用线性回归和递归分区分析,对人口统计学、物理和实验室数据以及住院时间进行分析,以确定延长住院时间的重要危险因素。结果:140例患者(平均年龄35岁;78%女性)精神药物过量,中位住院时间为2.9天(范围1-17天),出院时全部存活。延长住院时间的显著因素为年龄较大(p<0.0001)、心率增加(p = 0.029)、血压降低(p<0.0001)、格拉斯哥昏迷评分降低(p = 0.015)和血白细胞增加(p = 0.005)。递归划分表明,血液白细胞12900 /mm 3是住院3天或以上的最重要变量的截止值。结论:血白细胞升高是精神药物过量患者住院时间延长的最重要预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk Factors Associated with Prolonged Hospital Stay in Admitted Patients with Psychotropic Drug Overdose
Objective: To determine risk factors associated with their length of hospital stay in admitted patients with psy- chotropic drug overdose. Methods: Demographics, data of physical and laboratory, and hospital stay were analyzed using a linear regression and a recursive partitioning analysis to determine significant risk factors for prolonged hospitalization. Results: In 140 patients (mean age, 35 yr; 78% women) with psychotropic drug overdose, the median hospital stay was 2.9 days (range, 1-17) and all were discharged alive. Significant factors for prolonged hospital stay were older age (p<0.0001), increased heart rate (p = 0.029), lower blood pressure (p<0.0001), lower Glasgow coma scale (p = 0.015), and increased blood leukocyte (p = 0.005). The recursive partitioning showed that blood leukocyte of 12,900/mm 3 was the cutoff of the most important variable for hospital stay of 3 days or greater. Conclusions: Elevated blood leukocyte is the most important predictor for prolonged hospitalization in admitted patients with psychotropic drug overdose.
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