< p > <大胆>简介:< /大胆>许多双相情感障碍患者(BD)需要住院治疗,而这些患者的医院病床数量是有限的。管理的长度保持(LOS)是一种有效解决这个问题。洛在双相障碍及其影响因素的研究是有限的。本研究旨在确定因素有关洛杉矶中国BD患者在不同极性。< / p > < p > <大胆>方法:< /大胆>这是一个真实的,横断面研究。从电子医疗记录系统获得数据。病人承认北京安定医院2014年1月至2017年12月,诊断为双相障碍。人口统计信息、临床特点和生化变量收集。患者分为短期和长期洛杉矶团体基于截断值。一个单变量的研究和多元逻辑回归分析进行识别变量与洛各BD极性有关。接受者操作特征(ROC)分析是利用回归模型精度评价歧视。Result: Four thousand six hundred and seventy-five visits from 4,451 individuals were included in the analysis. For the whole sample, unmarried status, psychotic features, and family history of mental disorders were positively associated with long LOS (all p < 0.05). There was an additive interaction between a family history of mental disorders and polarities (p < 0.05). For manic episodes, unmarried status, psychotic features, and family history of mental disorders were positively associated with long LOS (all p < 0.05). For depressive episodes, psychotic features and high-density lipoprotein cholesterol (HDLC) levels were positively associated with long LOS (all p < 0.05). For mixed states, unmarried status was positively associated with long LOS, while low-density lipoprotein cholesterol (LDLC) levels were negatively associated with LOS (all p < 0.05). The area under the curve (AUC) values for depressive episodes, manic episodes, and mixed states in the combined model were 0.587, 0.553, and 0.619, respectively (all p < 0.05).
Discussion: The findings suggested that LOS correlates differed by polarity, with marital status, psychotic features, a family history of mental disorders, and lipid levels strongly linked with LOS in patients with BD.