Pacientes que se beneficiam de internação psiquiátrica em hospital geral

• Autor(a) principal: Dalgalarrondo, Paulo
• Data de Publicação: 2003
• Outros Autores: Botega, Neury J, Banzato, Cláudio E M
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/31639
• topic: Hospitalização; Tempo de internação; Pacientes internados; Psiquiatria; Hospitais gerais; Unidade hospitalar de psiquiatria; Fatores socioeconômicos; Reabilitação; Hospitalization; Length of stay; Inpatients; Psychiatry; Hospitals; general; Psychiatric department; hospital; Socioeconomic factors; Rehabilitation

OBJECTIVES: Psychiatric hospitalization though burdensome remains a very important therapeutic option for severely-ill psychiatric patients. Hospitalization in general hospital psychiatry units (GHPU) are often regarded as the best option. A study was carried out with the purpose of assessing socioeconomic and medical variables associated with success and failure of hospitalization. METHODS: A review was performed on sociodemographics and medical data of 1,463 patients admitted to a general hospital's GHPU in the period between 1986 and 1997. Statistical analysis was conducted using univariate and multivariate polythomic logistic regression. RESULTS: In the multivariate analysis three factors were identified as associated to poor hospitalization outcomes (poor condition at discharge and longer hospital stay): age >;60 years, poor social functioning, and diagnosis of organic mental disorder. CONCLUSIONS: Although 80% of the patients experienced a considerable symptomatic improvement, a small group benefited less from hospitalization. It is suggestive that these patients would benefit more from psychosocial interventions.