INPATIENT CHARACTERISTICS AT THE PSYCHIATRIC EMERGENCY UNIT OF KARASUYAMA HOSPITAL

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  • 昭和大学附属烏山病院精神科救急病棟（スーパー救急病棟）における入院患者の傾向
  • ショウワ ダイガク フゾク カラスヤマ ビョウイン セイシンカ キュウキュウ ビョウトウ(スーパー キュウキュウ ビョウトウ)ニ オケル ニュウイン カンジャ ノ ケイコウ

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There remain many issues in both optimal planning and flexibility for short-term improvement coping with diagnosis at the psychiatric emergency hospital. The objective of this study was to clarify the reality of the inpatient situation in the psychiatric emergency service in Japan and to resolve various problems. We retrospectively reviewed 1,899 medical records of inpatients at the psychiatric emergency unit in Showa University Karasuyama Hospital between January 2010 and December 2013 to evaluate outcomes. The same trend was seen each year regarding age distribution (average age: 46.9±17.6 years old), the ratio of male to female (1：1.29) and the proportion of patients within the involuntary hospitalization according to low (80.9%). Our psychiatric emergency treatment was generally in compliance with the regulations for factors, such as the proportion of patients within a 90-day hospitalization period (86.9%) and directly discharge from our emergency service ward to home (69.6%). Hospitalization period of inpatients with schizophrenia was longer than others. Bipolar disorder patients were repeatedly hospitalized and depression cases were older than others. Therefore, emergency treatment of mood disorder made it difficult to comply with administrative requirements. These results indicate that it is important for psychiatric emergency in Japan to maintain balance between short-term intensive and efficient care for inpatients and smoothly switching over to outpatient treatment for the prevention of recurrence.

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