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DOI: 10.1055/a-1191-7637
Die psychiatrische Intensivstation an einer Klinik der Supramaximalversorgung – Analyse der Behandlungsvariablen aus der Therapie Psychiatrischer und Komorbider Somatischer Erkrankungen
The Intensive Psychiatric Care Unit at a Hospital with Maximum Care – An Analysis of Treatment Variables in the Therapy of Psychiatric and comorbid Somatic Disorders![](https://www.thieme-connect.de/media/fdn/20210708/lookinside/thumbnails/0370-09-2019_10-1055-a-1191-7637-1.jpg)
Zusammenfassung
Ziel der Studie und Methodik Alle 873 Behandlungsakten einer psychiatrischen Intensivstation aus einem Zeitraum von 5 Jahren gingen in eine Analyse des Patientenkollektivs, des Behandlungsoutcomes und von Prädiktoren für die stationäre Behandlungsdauer ein.
Ergebnisse und Schlussfolgerung Auf der beschriebenen Station wurden sowohl Patienten mit psychiatrischen Notfallsyndromen als auch Patienten mit komorbiden psychischen und somatischen Erkrankungen behandelt. Somatische Zusatzerkrankungen beeinflussen den stationären Behandlungsverlauf psychisch Erkrankter erheblich, z. B. durch eine um durchschnittlich 2,4 Wochen kürzere intensivpsychiatrische stationäre Behandlungsdauer bei häufiger Notwendigkeit (41,3%) einer stationären, z. B. rehabilitativen Anschlussbehandlung. Die Stationsauslastung von 110 % und die durchschnittliche Behandlungsdauer von 63 Tagen deuten auf einen hohen Bedarf an interdisziplinären psychiatrisch-somatischen Behandlungsmöglichkeiten hin. In Zukunft ist ein Zusammenwachsen von Psychiatrie und somatischer Medizin anzustreben. Untersuchungen zu Versorgungssituation und Wirtschaftlichkeit interdisziplinärer Behandlungsangebote stehen aus.
Abstract
Background and method All 873 medical files of psychiatric inpatients treated over a 5 year period at a psychiatric intensive care unit were analyzed in regard to characteristics of the patient group, outcome and predictors for the length of stay.
Results and conclusions Patients with psychiatric emergency syndromes and patients with comorbid psychiatric and somatic disorders were treated on the described unit. Somatic comorbidities have a considerable effect on the course of treatment for patients with psychiatric disorders. They have to receive stationary treatment for a shorter period (2.4 weeks) but often need further stationary, e. g. rehabilitative treatment. The utilization of this specific unit (110%) and the above average length of stay (63 days) point to an increasing need in inpatient treatment capacities for patients with psychiatric and somatic comorbidities. In future a growing together of somatic medicine and psychiatry in Germany is worthwhile. The evaluation of the treatment situation and aspects of cost effectiveness are yet to come.
Schlüsselwörter
Intensivpsychiatrie - interdisziplinäre - Station - psychiatrische und somatische KomorbiditätPublication History
Received: 25 September 2019
Accepted: 21 May 2020
Article published online:
31 August 2020
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