Cross-sectional study of readmissions to the psychiatric ward of Hospital Estadual Mário Covas in Santo André, state of São Paulo, between 2008 and 2015

Abstract

Objectives To assess the sociodemographic and diagnostic profile of data related to psychiatric readmissions to the psychiatric ward at Hospital Estadual Mário Covas between January 2008 and September 2015, in order to investigate the possible correlation between the rate of admission and readmission and the presence or absence of a discharged patient unit or other outpatient treatment unit. Methods This was a cross-sectional, descriptive study. Data on patients readmitted during the study period were sourced from a statistical analysis of the Hospital Estadual Mário Covas database using STATA 11.0. Results During the study period, hospitalization rates decreased, while the readmission rates increased over the years, at a total of 662 readmissions. This rise in readmissions had no correlation with the presence of a discharged patient unit or other outpatient unit. Women comprised the majority of the sample, with a mean age of 42; the most prevalent disorder among women was bipolar affective disorder, while among men it was schizophrenia. The length of hospitalization increased over time, with a maximum mean time of 23 days in 2015. Most of the patients were referred from Santo André as well as from hospitals in São Paulo. Conclusion The increase in the rate of readmissions over the years suggests that the mental healthcare model may have shortcomings along the chain. It is important to understand the epidemiological profile and chain of events that led to repeated hospitalizations in order to design new strategies and approaches to care so as to keep the patients stabilized.

Factors associated with the hospitalization of users referred from primary health care to follow-up in Psychosocial Care Centers in the city of São Paulo, Brazil

“…Considering the scenario of setbacks in mental health policies in the psychosocial and anti-asylum approach 1,16 , the results corroborate studies that highlight PHC services as being strategic for consolidating a more resolute treatment model, as they are closer to the users and advance in comprehensive care in the network 3,5,6 . The incorporation of practices, such as dispensing medication 10,11,22,36 , providing matrix support, and sharing treatment with other services and levels of care 2,5,6,9,10,12,36 , are presented as qualifying mechanisms of care for people suffering from mental health issues 10,28,37,[41][42][43] .…”

Evolução antropométrica de pacientes esquizofrênicos internados em um hospital público de Fortaleza-CE mediante modulação dietética com probióticos / Anthropometric evolution of schizophrenic patients admitted to a public hospital in Fortaleza-CE through dietary modulation with probiotics

“…Outros autores demonstraram um maior número de pacientes do sexo masculino em leitos psiquiátricos, característica que pode estar relacionada a um curso mais grave da doença em homens, considerando que a prevalência da doença é semelhante entre os sexos. Durbin et al [14], encontraram que homens com esquizofrenia tem uma chance maior de serem hospitalizados (OR=1,42) e Wakim et al [15] comprovou que as reinternações de pacientes esquizofrênicos do sexo masculino é bem maior (29%) do que o feminino (9%). Esse mesmo autor retratou que em relação ao número de internações 46,30% apresentaram de 2 a 3 vezes e 16,67% deles de 4 a 6 vezes, enquanto no presente estudo 35% tiveram mais do que 6 internações, com uma mediana em torno de 5 internações.…”

Sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar

“…Recurrent psychiatric readmissions place additional strain on the health care system and make treatment more expensive. [1][2][3][4][5] A higher readmission rate is generally considered an indicator of poor inpatient psychiatric services; post-discharge care, external stressors and other non-clinical factors are also recognized contributors. [6][7][8] Psychiatric readmission has been studied extensively, and attempts have been made to identify its predictors.…”