Hostname: page-component-848d4c4894-8kt4b Total loading time: 0 Render date: 2024-06-27T17:41:06.475Z Has data issue: false hasContentIssue false
  • English
  • Français

Variables asociadas con la hospitalización de urgencias psiquiátricas evaluadas en la comunidad

Published online by Cambridge University Press:  12 May 2020

C. Turrina ,
F. Lucchi ,
R. Este ,
R. Micciolo ,
G. Fazzari  and
E. Sacchetti
C. Turrina
Affiliation:
Servicio Universitario de Psiquiatría, Facultad de Medicina y Hospital Civil, Brescia, Italia
F. Lucchi
Affiliation:
Servicio Universitario de Psiquiatría, Facultad de Medicina y Hospital Civil, Brescia, Italia
R. Este
Affiliation:
Servicio Universitario de Psiquiatría, Facultad de Medicina y Hospital Civil, Brescia, Italia
R. Micciolo
Affiliation:
Servicio Universitario de Psiquiatría, Facultad de Medicina y Hospital Civil, Brescia, Italia
G. Fazzari
Affiliation:
Servicio Universitario de Psiquiatría, Facultad de Medicina y Hospital Civil, Brescia, Italia
E. Sacchetti
Affiliation:
Servicio Universitario de Psiquiatría, Facultad de Medicina y Hospital Civil, Brescia, Italia
Get access

Resumen

Investigamos los factores de hospitalización en pacientes enfermos agudos visitados por psiquiatras en su domicilio. Se investigó una serie de 100 llamadas consecutivas por urgencias psiquiátricas de un centro de salud mental comunitario con una evaluación estructurada de los síntomas psiquiátricos y la agresividad (IEF, GAS y VSAS). Se sometieron a prueba las interacciones de primer orden y se examinaron las variables seleccionadas con análisis de regresión matemática. La admisión está asociada significativamente con las puntuaciones de la GAS (se encontraron puntuaciones bajas en 92,6% de los pacientes admitidos frente a 43,8% de pacientes no admitidos), las ideas delirantes paranoides (66,7 frente a 39,7%), y la falta de apoyo social (70,4 frente a 30,1%). El análisis multivariado confirmó un efecto independiente significativo sólo para la puntuación baja del GAS y la falta de apoyo social. El estudio replicó algunos resultados de la investigación sobre la hospitalización en salas de emergencia, mientras que otros factores, como "diagnóstico" y "riesgo de suicidio", no fueron significativos.

Keywords

toma de decisión de admisiónintervenciones comunitariasurgencias psiquiátricas
Type
Original
Information
European Psychiatry (Ed. Española) , Volume 7 , Issue 2 , March 2000 , pp. 98 - 103
Copyright
Copyright © European Psychiatric Association 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Turrina C, Lucchi F, Este R, Micciolo R, Fazzari G, Sacchetti E. Variables associated with the hospitalization of psychiatric emergencies evaluated in the community. Eur Psychiatry 1999; 14: 319-24.

References

Bibliografía

Apsler, R, Bassuk, E.Differences among clinicians in the decisión to admit. Arch Gen Psychiatry 1983; 40: 1133–37.CrossRefGoogle ScholarPubMed
Beck, JC, White, KA, Gage, B. Emergency psychiatric assessment of violence. Am J Psychiatry 1991; 148: 1562–3.Google Scholar
Bengelsdorf, H, Church, JO, Kaye, RA, Orlowsky, B, Alden, DC. The cost effectiveness of crisis intervention. Admission diversión savings can offset the high cost of Service. J Ner Men Dis 1993; 181: 757–62.CrossRefGoogle Scholar
Endicott, J, Spitzer, RL, Fleiss, J, Cohén, J. The Global Assessment Scale: a procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry 1976; 33; 766–71.CrossRefGoogle ScholarPubMed
Feinstein, R, Plutchik, R. Violence and suicide risk assessment in the psychiatric emergency room. Compr Psychiatry 1990; 31: 337–43.CrossRefGoogle ScholarPubMed
Gilling, PM, Hillard, JL, Bell, J. The psychiatric emergency Service holding area: effect on utilization of inpatient resources. Am J Psychiatry 1990; 146: 369–72.Google Scholar
Harrison, J, Barrow, S, Creed, F. Social deprivation and psychiatric admission rates among different diagnostic groups. Br J Psychiatry 1988; 167: 456–62.CrossRefGoogle Scholar
Ingham, JG, Kreitman, NB, Miller, P, Sashidharan, SP, Surtees, PG. Self-esteem, vulnerability and psychiatric disorder in the community. Br J Psychiatry 1986; 148: 375–85.CrossRefGoogle Scholar
Kent, s,Yellowlees, P. Psychiatric and social reasons for frequent rehospitalization. Hosp Com Psychiatry 1984; 45: 347–50.Google Scholar
Marson, DC, McGovern, MP, Pomp, HC. Psychiatric decision making in the emergency room: a research Over-view. Am J Psychiatry 1988; 145: 918–25.Google Scholar
McNiel, DE, Myers, RS, Zeiner, HK, Wolfe, HL, Hatcher, C. The role of violence in decisions about hospialization from the psychiatric emergency room. Am J Psychiatry 1992; 149: 207–12.Google ScholarPubMed
Merson, S, Tyrer, P, Onyett, S, Lack, S, Birkett, P, Lynch, S, Johnson, T. Early intervention in psychiatric emergencies: a controlled clinical trial. Lancet 1992; 339: 1311–14.CrossRefGoogle ScholarPubMed
Mezzich, JE, Dow, JT, Rich, CL, Coffman, GA. Developing an efficient clinical information system for a comprehensivo psychiatric institute, II: the Initial Evaluation Form. Beh Res Met Instrum 1981; 13: 464–78.CrossRefGoogle Scholar
Mezzich, JE, Evanczuk, KJ, Mathias, RJ, Coffman, GA. Symptoms and hospitalization decisions. Am J Psychiatry 1984; 141: 764–9.Google ScholarPubMed
Mezzich, JE, Evanczuk, KJ, Mathias, RJ, Coffman, GA. Admission decisión and multiaxial diagnosis. Arch Gen Psychiatry 1984; 41: 1001–4.CrossRefGoogle Scholar
Mezzina, R, Vidoni, D. Beyond the mental hospital: crisis intervention and continuity of care in Trieste. A four year follow-up study in a community mental health centre. Int J Soc Psychiatry 1985; 41: 1–20.Google Scholar
Mosher, LR. Italy's revolutionary mental health law: an assessment. Am J Psychiatry 1982; 139: 199–203.Google Scholar
Mosher, RL, Burti, L. Community mental health. Principies and practice. New-York, London: W. W, Norton & Co; 1989.Google Scholar
Payne, CD. The GLIM System Release 3. 77 Manual. Generalized linear interactive modelling. London: Royal Statistical Society; 1986.Google Scholar
Rose, SO, Hawkins, J, Apodaca, L. Decisión to admit. Criteria for admission and readmission to a Veteran Administration Hospital. Arch Gen Psychiatry 1997; 34: 418–21.CrossRefGoogle Scholar
Rosset, N, Andreoli, A. Crisis intervention and affective disorders: a comparative cost-effectiveness study. Soc Psychiatry Psychiatr Epid 1995; 30: 231–5.Google ScholarPubMed
Sanguineti, VR, Samuel, SE, Swartz, SL, Robeson, MR. Retrospective study of 2.200 involuntary psychiatric admission and riadmissions. Am J Psychiatry 1996; 153: 392–6.Google Scholar
Schneider, U, Valach, L, Heim, E. Coping and the decisión to hospitalize in emergency psychiatry. Gen Hosp Psychiatry 1995; 17: 362–70.CrossRefGoogle Scholar
Slagg, NB. Characteristics of emergency room patients that predict hospitalization or disposition to alternative treatments. Hosp Com Psychiatry 1993; 44: 252–6.Google ScholarPubMed
Tansella, M. Community-based psychiatry: long-term patterns of care in South-Verona. Psychol Med 1991; 19: 1–54.Google Scholar