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[Prognostic predictors in medium-term inpatient treatment in longitudinal assessment--is there a lower limit for inpatient length of stay?].
- Source :
-
Praxis der Kinderpsychologie und Kinderpsychiatrie [Prax Kinderpsychol Kinderpsychiatr] 2003 May-Jun; Vol. 52 (5), pp. 338-53. - Publication Year :
- 2003
-
Abstract
- A predictor for the individual length of stay (ILOS) was stable for 3 consecutive cohorts of annual inpatient admissions (n = 1.230, excluding drop-outs, crisis interventions for 14 days and less, longterm treatment for 250 days and more), in spite of decreasing average length of stay (ALOS). The predictor consists of CASCAP psychopathology variables, motivational and social functioning variables assessed by the therapist. ICD-10-diagnoses had no influence on ILOS. Improvement on MAS axis VI needed longer average LOS than improvement in symptoms. Unchanged patients had shorter LOS than improved ones, the lower limit of effective LOS being more than about 55 days for improvement of symptoms. Due to our findings, DRGs are not an adequate instrument to determine reimbursement of inpatient treatment in child and adolescent psychiatry.
- Subjects :
- Adolescent
Child
Child Behavior Disorders psychology
Child Behavior Disorders rehabilitation
Cohort Studies
Crisis Intervention statistics & numerical data
Female
Germany epidemiology
Humans
Longitudinal Studies
Male
Mental Disorders psychology
Mental Disorders rehabilitation
Outcome and Process Assessment, Health Care
Prognosis
Suicide psychology
Suicide Prevention
Child Behavior Disorders epidemiology
Length of Stay statistics & numerical data
Mental Disorders epidemiology
Psychotherapy statistics & numerical data
Subjects
Details
- Language :
- German
- ISSN :
- 0032-7034
- Volume :
- 52
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Praxis der Kinderpsychologie und Kinderpsychiatrie
- Publication Type :
- Academic Journal
- Accession number :
- 12838712