Cognitive impairment in psychiatric patients and length of hospital stay

Kato, Kaori; Galynker, Igor; Miner, Christian R.; Rosenblum, Jennifer

doi:10.1016/0010-440x(95)90084-9

Cited by 19 publications

(11 citation statements)

References 30 publications

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“…The association with cognitive impairment has been previously identified (Kato, Galynker, Miner, & Rosenblum, 1995). Psychiatric inpatient units for older adults may be more effective than general adult units in dealing with cognitive impairment and medical comorbidity.…”

Section: Discussionmentioning

confidence: 91%

Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital

Cheng

Shumway

Leary

et al. 2016

Community Ment Health J

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This case-control study identified patient-specific factors associated with the longest psychiatric inpatient lengths of stay (LOS) at a large urban county hospital. Subjects with LOS ≥ 60 days comprised the extended LOS (ELOS) case cohort. An equally-sized control cohort consisted of a random sample of inpatients with LOS ≤ 30 days. T-tests and chi-square tests were conducted to determine differences between groups. Factors associated with ELOS included older age, cognitive impairment, higher number of medical conditions requiring medication, and violence during hospital stay. Initiatives focused on community placement of patients with these characteristics may reduce prolonged LOS at safety-net hospitals.

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Section: Discussionmentioning

confidence: 91%

Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital

Cheng

Shumway

Leary

et al. 2016

Community Ment Health J

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“…The first option is to include additional factors in an attempt to enhance the predictiveness of diagnosis-based models. Factors that have been added include comorbidity, severity of illness, clinical functioning, the identification of the attending psychiatrist (18), and cognitive impairment (19,20). The second option would be to consider a non-diagnosis model.…”

Section: Discussionmentioning

confidence: 99%

Predictors of length of hospital stay

Daradkeh

El‐Rufaie

Reda

et al. 1996

Nordic Journal of Psychiatry

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“…Cognitive impairments have been demonstrated most frequently in the neuropsychological assessment of attention, memory, and executive functioning (Calev 1984;Gold et al 1992;Braff 1993). These deficits commonly persist after effective psychotropic treatment of psychotic symptoms (Medalia and Gold 1992) and have been demonstrated to interfere with many aspects of successful psychiatric rehabilitation (Kato et al 1995;Green 1996;Perm et al 1998). Because of the significant impact on functional outcome for many schizophrenia patients, effective remediation of cognitive deficits has been increasingly recognized as an important component of comprehensive treatment (Storzbach and Corrigan 1996;Kem and Green 1998;Silverstein et al 1998a).…”

mentioning

confidence: 99%

Remediation of problem-solving skills in schizophrenia: evidence of a persistent effect

Medalia

Revheim

Casey

2002

Schizophrenia Research

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Neuropsychological deficits in problem solving are commonly found in patients with schizophrenia. We have previously presented the results of a study examining the feasibility of utilizing problem-solving teaching techniques developed within educational psychology, for remediating the problem-solving deficits of inpatients with schizophrenia spectrum disorders. These techniques emphasize the importance of intrinsic motivation on therapeutic outcome and promote this through contextualization, personalization and control of learning activities. We present here the results of the follow-up assessment, which found that the gains made by the problem-solving group persisted for 4 weeks after cessation of problem-solving remediation ended. These results provide more evidence of the therapeutic benefit of problem-solving training techniques that promote intrinsic motivation and generic problem-solving strategies.

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Cognitive impairment in psychiatric patients and length of hospital stay

Cited by 19 publications

References 30 publications

Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital

Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital

Predictors of length of hospital stay

Remediation of problem-solving skills in schizophrenia: evidence of a persistent effect

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