Author/Editor		Groleger, Urban
Title		Ocena klinične slike pri bolnikih, hospitaliziranih na sprejemnem psihiatričnem oddelku
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		2002
Volume		str. 57
Language		slo
Abstract		Acute psychiatric wards have become main entry point for psychiatric patients, who need to be admitted in psychiatric hospital. Such wards are usually closed, so treatment includes at least two major clinical decisions: about admission and discharge of patients. Large number of admitted patients every day and shortage of available beds on the ward usually put a lot of pressure on ward psychiatrists to discharge patients as soon as possible. Clinical evaluation could thus be prone to errors and misjudgment, which could both be reduced by the use of clinical assessment scales. Data on psychiatric patients treated on acute psychiatric wards are scarce in the recent literature and nonexistent for our acute psychiatric patients. The study intended to evaluate objectively symptoms and intensity of acute psychiatric disorders in patients treated on admission psychiatric ward at University Psychiatric Hospital in Ljubljana. The study was both prospective and naturalistic in design. For the purposes of the study structured interview was used along with the assessment scales (GAS, CGI and BPRS). All patients, admitted to the ward in one month, were included in the study. Patients were assessed twice for the purposes of the study: at the admission and at discharge from the ward. 191 patients were included in the study (48.2% male and 51.8% female). The mean length of hospitalization was 4 days, 82% of patients were discharged from the ward in the first week. At admission GAS was 41.1, CGI 4.5 and BPRS 37.8. At discharge the values significantly improved (GAS 61.1, CGI 3.1). (Abstract truncated at 2000 characters).
Descriptors		MENTAL DISORDERS HOSPITALIZATION PSYCHIATRIC STATUS RATING SCALES PATIENT ADMISSION LENGTH OF STAY BRIEF PSYCHIATRIC RATING SCALE SEX FACTORS PATIENT COMPLIANCE HOSPITAL BED CAPACITY PROSPECTIVE STUDIES