Length of Stay, Referral to Aftercare, and Rehospitalization Among Psychiatric Inpatients

Thompson, Estina E.; Neighbors, Harold W.; Munday, Cheryl C.; Trierweiler, Steve

doi:10.1176/appi.ps.54.9.1271

Cited by 92 publications

(80 citation statements)

References 17 publications

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“…It was also demonstrated that more men with bipolar disorder were hospitalized than their female counterparts. This is consistent with the results of the studies by Thompson et al and Rosca et al (16,17).…”

Section: Discussionsupporting

confidence: 93%

Factors Affecting the Risk of Mental Disorders in Patients With Bipolar Disorder in the West of Iran

Vosough¹,

Ghaleiha²,

Faradmal³

et al. 2016

Avicenna J Neuro Psych Physio

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Background: Drug addiction, obsessive compulsive disorders (OCD), and other anxiety disorders are the disorders most commonly found in patients with bipolar disorder. Objectives: The purpose of this study was to identify the factors affecting the risk of drug addiction, obsessive compulsive disorders, and other anxiety disorders in patients with bipolar disorder. Patients and Methods: In this retrospective cohort study, the medical records of 400 patients with bipolar disorder hospitalized in Hamadan, Iran, between 2008 and 2014 were examined. Patient information, including demographic characteristics and comorbidity, was collected. A data analysis was performed using a separate logistic regression for each disorder. The statistical package used was STATA software version 11. A P-value of less than 0.05 was considered statistically significant. Results: The mean (SD) age of the patients with bipolar disorder was 34.62 (1.68) years. Of the 400 patients with bipolar disorder, 135 (33.75%) patients had anxiety disorders, 67 (16.8%) patients suffered from drug addiction, and 45 (11%) patients had OCD. An association

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Section: Discussionsupporting

confidence: 93%

Factors Affecting the Risk of Mental Disorders in Patients With Bipolar Disorder in the West of Iran

Vosough¹,

Ghaleiha²,

Faradmal³

et al. 2016

Avicenna J Neuro Psych Physio

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“…13 Also, mean LOS according to data on Brazilian public inpatient treatment was 14 days for psychiatric wards in general hospitals, 11 compared to a median LOS of 15 days (95%CI 14-15) among manic inpatients treated in private facilities. 34 Moreover, in other countries, Masters et al 35 had a mean LOS of 19.3621.2 days and Thompson et al 36 reported a mean hospital stay of 35.4651.9 days. However, longer LOS is reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of inpatients with severe mental illness: a naturalistic descriptive study

Nuernberg

Baeza

Fleck

et al. 2016

Rev. Bras. Psiquiatr.

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Objective: To describe and evaluate the response and predictors of remission during inpatient treatment in a psychiatric unit in a general hospital based on symptomatology, functionality, and quality of life (QoL). Methods: Patients were admitted to a psychiatric unit in a tertiary general hospital in Brazil from June 2011 to December 2013 and included in the study if they met two of the severe mental illness (SMI) criteria: Global Assessment of Functioning (GAF) p 50 and duration of service contact X 2 years. Patients were assessed by the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression (CGI) Severity Scale , GAF, the World Health Organization Quality of Life Instrument -Abbreviated version (WHOQOL-Bref), and specific diagnostic scales. Results: A total of 239 patients were included. BPRS mean scores were 25.54611.37 at admission and 10.9668.11 at discharge (p o 0.001). Patients with manic episodes (odds ratio: 4.03; 95% confidence interval: 1.14-14.30; p = 0.03) were more likely to achieve remission (CGI p 2 at discharge) than those with depressive episodes. Mean length of stay was 28.95619.86 days. All QoL domains improved significantly in the whole sample. Conclusion: SMI patients had marked improvements in symptomatic and functional measures during psychiatric hospitalization. Patients with manic episodes had higher chance of remission according to the CGI.

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“…6,8,11 Alguns estudos apontam como fator de risco o internamento prolongado, embora apontem como viés a maior gravidade da patologia. [14][15][16][17][18] Por outro lado, internamentos de curta duração também foram associados a um maior risco de internamento pelo risco de não se ter atingido a estabilização da doença aquando da alta.…”

Section: Discussionunclassified

Reinternamentos Hospitalares num Serviço de Pedopsiquiatria: Taxa de Readmissão e Fatores de Risco

et al. 2017

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Several studies indicate that over 25% of child and adolescent inpatients were readmitted within one year of discharge. Several risk factors for psychiatric readmissions have been reported in the literature, but the history of repeated readmissions is the most consistent risk factor. Our aim is to calculate the readmission rates at 30 days and 12 months after discharge and to identify associated risk factors. Material and Methods:The authors consulted the clinical files of patients admitted to the Inpatient Unit between 2010 and 2013, in order to calculate the readmission rates at 30 days and at 12 months. The demographic and clinical characteristics of the readmitted patients were analyzed and compared with a second group of patients with no hospital readmissions, in order to investigate possible predictors of readmission. Results: A total of 445 patients were admitted to our inpatient unit between 2010 and 2013. Six adolescents were readmitted in a 30 days period (1.3%) and 52 were readmitted in a 12 month period after discharge (11.5%). Duration of the hospitalization and the previous number of mental health admissions were significant predictors of future hospital readmissions (p = 0.04 e p = 0.014). Discussion: The low readmission rates may reflect the positive clinical and sociofamilial support being provided after discharge. Conclusion: Rehospitalisation is considered a fundamental target for intervention concerning prevention and intervention in mental healthcare. Thus, knowledge regarding their minimisation is crucial. Keywords: Adolescent; Hospitalization; Mental Disorders; Patient Readmission; Portugal; Psychiatric Department, Hospital; Risk Factors INTRODUÇÃOA maioria das perturbações mentais tem uma evolução crónica, marcada por várias recaídas, pelo que alguns reinternamentos psiquiátricos são inevitáveis.1 Vários estudos indicam que mais de 25% das crianças e adolescentes internados foram readmitidos dentro de um ano após a alta.

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Length of Stay, Referral to Aftercare, and Rehospitalization Among Psychiatric Inpatients

Cited by 92 publications

References 17 publications

Factors Affecting the Risk of Mental Disorders in Patients With Bipolar Disorder in the West of Iran

Factors Affecting the Risk of Mental Disorders in Patients With Bipolar Disorder in the West of Iran

Outcomes of inpatients with severe mental illness: a naturalistic descriptive study

Reinternamentos Hospitalares num Serviço de Pedopsiquiatria: Taxa de Readmissão e Fatores de Risco

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