Correlates of Psychiatric Inpatients Length of Stay in North-Central Nigeria

Abstract

Long duration of hospitalisation has been associated with negative consequences of isolating the patients from their social network, initiating maladaptive patterns in the patients and worsening the burden of care on the relatives. In this particular study, we were interested in determining factors that correlate with length of stay on admission among in-patients receiving psychiatric services in North-Central Nigeria. The prospective study was part of a larger in-patients study conducted on 112 consenting patients admitted in the psychiatric wards of Benue State University Teaching Hospital Makurdi, Federal Medical Centre Makurdi and Jos University Teaching Hospital Jos during the study period. Patients who stayed on hospital admission for more than twenty-eight (28) days were classified as ‘long stay’, conversely, those who were discharged from admission after spending 28 days or less were referred to as ‘short stay’ patients. A total of 112 subjects were recruited for the study, 67(59.8%) were female while 45(40.2%) were male, the mean age was 36.98±11.09 years and 54(48.2%) subjects were still married at the time of the study. Forty-two representing 37.5% of the respondents stayed on admission for more than 28 days. The mean duration of stay was 28.8±24.5 days. Long duration of stay was found to be significantly associated with the quality of intimate partner relationship (p=0.001), years of completed education (p=0.021), age group (p=0.001), nature of psychiatric diagnosis (p=0.014), pharmacotherapy (p=0.001), comorbid physical condition (p=0.001), previous admission (p=0.001), defaulted treatment (p=0.001), frequency of previous episodes (p=0.001) and the number of years a patient has had the mental disorder (p=0.001). We concluded that, assessing duration of stay on admission among in-patients treatment for psychiatric disorders is very necessary.