Factors associated with 30-days and 180-days psychiatric readmissions: A snapshot of a metropolitan area

Favero, Elisa Del; Montemagni, Cristiana; Villari, Vincenzo; Rocca, Paola

doi:10.1016/j.psychres.2020.113309

Cited by 9 publications

(6 citation statements)

References 65 publications

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“…We included only admissions lasting longer than 48 h because clinical information collected for shorter admissions is limited. We considered psychiatric re-admission to be any unplanned admission to an acute psychiatric unit for a psychiatric reason [20]. Further re-admission in addition to the index admission was considered only during the study period (from January 2018 to January 2022).…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies have demonstrated that almost 1 in 7 psychiatric patients are re-hospitalized within 30 days of discharge and re-hospitalization rates vary in different countries [12][13][14][15][16][17][18]. The CEPHOS-LINK study [19] reported that re-hospitalization rates in Italy were the lowest in all of Europe, and a recent study on this topic [20] reported that the incidence of re-admissions of psychiatric patients in Italy was 16%. Therefore, identifying predictors of rehospitalization is important for improved management of psychiatric patients.…”

Section: Introductionmentioning

confidence: 99%

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Exploring risk factors for re-hospitalization in a psychiatric inpatient setting: a retrospective naturalistic study

et al. 2022

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Background The reduction of multiple psychiatric hospitalizations is an important clinical challenge in mental health care. In fact, psychiatric re-hospitalization negatively affects the quality of life and the life expectancy of patients with psychiatric disorders. For these reasons, identifying predictors of re-hospitalization is important for better managing psychiatric patients. The first purpose of the present study was to examine the readmission rate in a large sample of inpatients with a psychiatric disorder. Second, we investigated the role of several demographical and clinical features impacting re-hospitalization. Method This retrospective study enrolled 1001 adult inpatients (510 men and 491 women) consecutively admitted to the University Psychiatric Clinic, Sant'Andrea Hospital, Sapienza University of Rome between January 2018 and January 2022. To identify risk factors for psychiatric re-hospitalization, we divided the sample into 3 subgroups: the Zero-Re group which had no readmission after the index hospitalization, the One-Re group with patients re-admitted only once, and the Two-Re with at least two re-admissions. Results The groups differed according to previous hospitalizations, a history of suicide attempts, age at onset, and length of stay. Furthermore, the results of the regression model demonstrated that the Two-Re group was more likely to have a history of suicide attempts and previous hospitalizations. Discussion These results indicate the importance of assessing risk factors in psychiatric hospitalized patients and implementing ad hoc prevention strategies for reducing subsequent re-hospitalizations.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring risk factors for re-hospitalization in a psychiatric inpatient setting: a retrospective naturalistic study

et al. 2022

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“…One study also reported that high school or superior degree patients are less likely to be readmitted (Del Favero et al . 2020). Additionally, unemployed patients (Chen et al .…”

Section: Resultsmentioning

confidence: 99%

“…2020), especially in psychiatric nursing homes (Del Favero et al . 2020). On the contrary, conditional discharge decreased the risk of UHRs (OR = 0.13; 95% CI 0.13–0.61) (Hariman et al .…”

Section: Resultsmentioning

confidence: 99%

“…Two studies cited patients' with up to high school educational background as a predictor of UHRs (Chen et al 2018;Hamilton et al 2015). One study also reported that high school or superior degree patients are less likely to be readmitted (Del Favero et al 2020). Additionally, unemployed patients (Chen et al 2018;Rieke et al 2016) or been single (Ortiz 2019) were significantly associated with UHRs (OR = 1.11-2.23).…”

Section: Pre-index Admissionmentioning

confidence: 99%

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Risk factors associated with 30‐day unplanned hospital readmission for patients with mental illness

Zhou

Ngune

Albrecht

et al. 2022

Int J Mental Health Nurs

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Unplanned hospital readmission rate is up to 43% in mental health settings, which is higher than in general health settings. Unplanned readmissions delay the recovery of patients with mental illness and add financial burden on families and healthcare services. There have been efforts to reduce readmissions with a particular interest in identifying patients at higher readmission risk after index admission; however, the results have been inconsistent. This systematic review synthesized risk factors associated with 30-day unplanned hospital readmissions for patients with mental illness. Eleven electronic databases were searched from 2010 to 30 September 2021 using key terms of 'mental illness', 'readmission' and 'risk factors'. Sixteen studies met the selection criteria for this review. Data were synthesized using content analysis and presented in narrative and tabular form because the extracted risk factors could not be pooled statistically due to methodological heterogeneity of the included studies. Consistently cited readmission predictors were patients with lower educational background, unemployment, previous mental illness hospital admission and more than 7 days of the index hospitalization. Results revealed the complexity of identifying unplanned hospital readmission predictors for people with mental illness. Policymakers need to specify the expected standards that written discharge summary must reach general practitioners concurrently at discharge. Hospital clinicians should ensure that discharge summary summaries are distributed to general practitioners for effective ongoing patient care and management. Having an advanced mental health nurse for patients during their transition period needs to be explored to understand how this role could ensure referrals to the general practitioner are eventuated.

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Early and Frequent Psychiatric Readmissions in a Brazilian Cohort of Hospitalized Patients Between 2001 and 2013

da Rocha,

Reis,

Cherchiglia

2023

Adm Policy Ment Health

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Factors associated with 30-days and 180-days psychiatric readmissions: A snapshot of a metropolitan area

Cited by 9 publications

References 65 publications

Exploring risk factors for re-hospitalization in a psychiatric inpatient setting: a retrospective naturalistic study

Exploring risk factors for re-hospitalization in a psychiatric inpatient setting: a retrospective naturalistic study

Risk factors associated with 30‐day unplanned hospital readmission for patients with mental illness

Early and Frequent Psychiatric Readmissions in a Brazilian Cohort of Hospitalized Patients Between 2001 and 2013

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