目的:Catatonia是一种神经精神障碍,可发生在任何年龄的患者中,但尚不确定儿童和成人患者的人口统计学特征或基础诊断是否不同。这项研究调查了在美国5年期间在急性护理住院期间被诊断为紧张症的所有年龄段的患者。
方法:全国住院患者样本,急性护理医院出院的所有付款人数据库,在2016年至2020年期间,我们对出院诊断为紧张症的患者进行了询问,患者按年龄分层为儿科(≤18岁)或成人(>18岁).
结果:在2016年至2020年NIS记录的174,776,205例住院中,有61,990例(95%CI:60,257至63,723;0.035%)涉及卡顿强症的诊断。其中,儿童患者为3255例,成人患者为58,735例。与成人患者相比,小儿紧张症患者更可能是男性和非白人.诊断上,精神病,脑炎,神经发育障碍是儿科患者更常见的主要出院诊断,而成年患者更经常被诊断为情绪障碍。住院时间在儿科和成人卡顿多症患者之间没有显着差异。强直症患者通常采用身体约束。
结论:小儿和成人紧张症患者的性别不同,种族,和诊断,尽管儿科和成人卡顿多尼亚住院患者的住院时间没有差异。这些结果可能会为医院环境中的卡顿多尼亚诊断提供信息,并指出可能是质量改进工作目标的差异。
OBJECTIVE: Catatonia is a neuropsychiatric disorder that can occur in patients of any age, but it is uncertain whether patient demographics or underlying diagnoses differ between pediatric and adult patients. This study investigates patients of all ages diagnosed with catatonia during acute care hospitalizations in the United States over a 5-year period.
METHODS: The National Inpatient Sample, an all-payors database of acute care hospital discharges, was queried for patients with a discharge diagnosis of catatonia between 2016 and 2020 with patients stratified by age as pediatric (≤18 years) or adult (>18 years).
RESULTS: Among 174,776,205 hospitalizations recorded in the NIS from 2016 to 2020, 61,990 (95% CI: 60,257 to 63,723; 0.035%) involved a diagnosis of catatonia. Of these, 3255 were for pediatric patients and 58,735 were for adult patients. Compared with adult patients, pediatric catatonia patients were more likely to be male and non-White. Diagnostically, psychotic disorders, encephalitis, and neurodevelopmental disorders were more common primary discharge diagnoses in pediatric patients, while adult patients more frequently were diagnosed with mood disorders. Length of stay was not significantly different between pediatric and adult catatonia hospitalizations. Physical restraints were commonly applied for patients with catatonia.
CONCLUSIONS: Pediatric and adult catatonia patients differed in sex, race, and diagnosis, although hospital length of stay was not different between pediatric and adult catatonia hospitalizations. These results may inform catatonia diagnosis in the hospital setting and point to disparities that could be targets of quality improvement efforts.