北京市3岁~17岁孤独症住院患者非计划再入院现状及影响因素研究

Status and Influencing Factors of Unplanned Readmission among Autism Inpatients Aged 3~17 in Beijing

目的分析北京市3岁~17岁孤独症住院患者非计划再入院现状,探讨影响因素,为精神类疾病医疗质量提升提供参考。方法收集北京市市级医院2022年1月1日-12月31日3岁~17岁孤独症住院患者资料,分析31天非计划再入院和年内非计划再入院情况。采用单因素分析和Logistic回归分析探讨非计划再入院影响因素。结果共纳入341名孤独症患者,31天非计划再入院率和年内非计划再入院率分别为7.0%、18.8%。年龄是3岁~17岁孤独症患者31天非计划再入院影响因素,首次住院天数是患者31天非计划再入院和年内非计划再入院影响因素。结论儿童和青少年孤独症患者的非计划再入院率较低,低龄儿童31天非计划再入院率较高,首次住院时间较长患者非计划再入院率较高。应探索降低孤独症患者非计划再入院率的措施,提高孤独症患者医疗服务质量。

Objective To analyze the unplanned readmission status of 3-17 years old autistic inpatients in Beijing,and explore the influencing factors,so as to provide reference for improving the medical quality of mental diseases.Methods Data of hospitalized patients with autism aged 3-17 years from January 1 to December 31,2022 were collected from municipal hospitals in Beijing,and the situation of 31-day unplanned readmission and intra-year unplanned readmission was analyzed.Univariate analysis and Logistic regression analysis were used to explore the influencing factors of unplanned readmission.Results A total of 341 patients with autism were included.The 31-day and intra-year unplanned readmission rates were 7.0%and 18.8%,respectively.Age was the influencing factor of 31-day unplanned readmission for autism patients aged 3-17 years,and the length of first hospital stay was the influencing factor of 31-day unplanned readmission and intra-year unplanned readmission.Conclusion The unplanned readmission rate of children and adolescents with autism was low,the 31-day unplanned readmission rate of young children was relatively high,and the unplanned readmission rate of patients with a longer first hospitalization was higher.Measures should be explored to reduce the unplanned readmission rate of autistic patients and improve the quality of medical services for autistic patients.