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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
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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

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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

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