Predictors of Length of Stay in an Acute Psychiatric Hospital

Ithman, Muaid; Gopalakrishna, Ganesh; Beck, Niels C.; Das, Jairam; Petroski, Gregory F.

doi:10.4172/2332-0893.1000119

Cited by 22 publications

(14 citation statements)

References 15 publications

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“…As a result, the world is suffering from increasing burden of mental disorders [4, 5]. The provision of adequate, fair and equitable care for patients in the developing world, particularly in sub-Saharan Africa is one of the greatest challenges of the 21st-century health system [6].…”

Section: Introductionmentioning

confidence: 99%

Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study

Tadesse

Gizaw

Abraha

et al. 2017

Int J Ment Health Syst

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BackgroundPsychiatric morbidity burden accounts 12.45% of the disease admission burden in Ethiopia; only two referral hospitals are found to manage all cases. The aim of this study is to assess the predictors of patient outcomes.MethodA 3 years retrospective patients’ cards, charts and medical notes review in psychiatry case admission department of Jimma university teaching and training specialised hospital was conducted. All the admitted cases included in this study. Bivariate and multivariable logistic regression analyses were conducted to identify independent predictors of outcomes.ResultAmong 402 study participants, the majority of them 301 (74.9%), were improved from their mental illnesses. First to eight grades completed study participants were found to be 1.34 times more likely improved mental illness than not able to read or write [AOR = 1.34, 95% CI (1.18–2.78), P < 0.009)]. The probability of improving from mental illness on married study participants was found 2.81 times more likely than single study participants [AOR = 2.81, CI (1.90–4.50), P < 0.043]. First time admitted cases improved 2.82 times more likely than those having a previous admission history [AOR = 2.82, CI (2.05–3.17), P < 0.05]. Duration of stay from 31 to 44 days showed more likely than from 1 to 20 days on patient improvement, [AOR = 1.88, CI (1.42–2.65), P < 0.034]. However, the hospital stay above 44 days does not show any statistical association with patient’s medical improvement.ConclusionMarried, better educated, and the hospital stay of one to one-and-half month predicts better health outcome. Thus, this study suggests, psychiatric case management needs the collaborative care of the family in concurrence with counselling and guidance with enough time to better-off patients’ outcomes. Our findings are useful in designing and improving—patient services for psychiatric patient programs and focused health communication and counselling strategies in relation to psychoactive substances in Ethiopia.

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Section: Introductionmentioning

confidence: 99%

Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study

Tadesse

Gizaw

Abraha

et al. 2017

Int J Ment Health Syst

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“…The literature reviews have highlighted that employing an experienced and educated nurse has positive patient outcomes in acute care settings and that nurses may reduce the risk of nosocomial complications among patients and reduce LOS, resulting in medical saving and better patient outcomes [10,47]. This is inconsistent with other studies which indicated that LOS added only 5% variation [48]. Nonetheless, patient's complexity and total LOS are the two factors that could cause the variation in nursing costs [13].…”

Section: Factors Influencing Nursing Costmentioning

confidence: 99%

The development of inpatient cost and nursing service weights in a tertiary hospital in Malaysia

Hassan

Aljunid

Nur

2020

BMC Health Serv Res

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Background The current healthcare sector consists of diverse services to accommodate the high demands and expectations of the users. Nursing plays a major role in catering to these demands and expectations, but nursing costs and service weights are underestimated. Therefore, this study aimed to estimate the nursing costs and service weights as well as identify the factors that influence these costs. Methods A retrospective cross-sectional descriptive study was conducted at Universiti Kebangsaan Malaysia Medical Centre (UKMMC) using 85,042 hospital discharges from 2009 to 2012. A casemix costing method using the step-down approach was used to derive the nursing costs and service weights. The cost analysis was performed using the hospital data obtained from five departments of the UKMMC: Finance, Human Resource, Nursing Management, Maintenance and Medical Information. The costing data were trimmed using a low trim point and high trim point (L3H3) method. Results The highest nursing cost and service weights for medical cases were from F-4-13-II (bipolar disorders including mania - moderate, RM6,129; 4.9871). The highest nursing cost and service weights for surgical cases were from G-1-11-III (ventricular shunt - major, RM9,694; 7.8880). In obstetrics and gynaecology (O&G), the highest nursing cost and service weights were from O-6-10-III (caesarean section - major, RM2,515; 2.0467). Finally, the highest nursing cost and service weights for paediatric were from P-8-08-II (neonate birthweight > 2499 g with respiratory distress syndrome congenital pneumonia - moderate, RM1,300; 1.0582). Multiple linear regression analysis showed that nursing hours were significantly related to the following factors: length of stay (β = 7.6, p < 0.05), adult (β = − 6.0, p < 0.05), severity level I (β = − 3.2, p < 0.05), severity level III (β = 7.3, p < 0.05), male gender (β = − 4.2, p < 0.05), and the elderly (β = − 0.5, p < 0.05). Conclusions The results showed that nursing cost and service weights were higher in surgical cases compared to other disciplines such as medical, O&G and paediatric. This is possible as there are significant differences in the nursing activities and work processes between wards and specialities.

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“…There is a growing body of research regarding effectiveness of family education in the prognosis of mental disorders. In a study by Itheman conducted on predictive variables of admission duration in acute psychiatric patients, being male, single, elderly and admitted to hospital against their will were found to be most significantly correlated with the length of hospitalization (6). Bamel et al suggested that psychoeducation of the patients and their families would result in a 17% decrease in re-hospitalization rate and a 50% fall in the length of ad-Copyright © 2019, Hormozgan Medical Journal.…”

Section: Introductionmentioning

confidence: 99%

Impact of Family Psychoeducation Intervention on Relapse Prevention in Hospitalized Psychiatric Patients

Niksalehi

Namazi

Tashk

et al. 2019

Hormozgan medical journal

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Background: Family psychoeducation is considered as an intervention focused on individual rehabilitation of mental disorders through improving the caregiver's awareness about their family member's illness, risk factors, and treatment component and relapse prevention strategies. Objectives: The aim of this study was to determine the impact of family psychoeducation on patients' relapse and length of stay in hospital. Methods: In this retrospective study, registered data in the health information management unit, including demographic data, acute symptoms and signs and medical history, was used and sample selection was done through a purposive sampling procedure. Participants consisted of 2192 patients with severe mental disorders admitted to Ibn Sina Psychiatric Hospital in Bandar Abbas, Iran since 2009 to 2014. The recipients of psychoeducation comprised all immediate family members of the patients in psychiatric hospital who were available at time of discharge. Subjects were receiving standard pharmacologic treatment and one session of individual family psychoeducation interventions. The psychoeducation was presented by a psychologist and a nurse upon patient discharge day from hospital between 2011 and 2014. The findings including recurrence rate and admission durations were compared with data collected during the three years leading to the intervention (2009 to 2011). Data was assessed through Paired-sample t-test. Results: The results revealed that receiving psychoeducation by family can positively affect the rate of readmission (t = 41.30, P < 0.001) and the length of stay in hospital (t = 39.10, P < 0.001). Conclusions: Since psychoeducation of caregivers can be significantly influential in reducing the recurrence rate and duration of hospitalization, it is advisable after discharge for patients suffering from chronic mental disorders.

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Predictors of Length of Stay in an Acute Psychiatric Hospital

Cited by 22 publications

References 15 publications

Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study

Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study

The development of inpatient cost and nursing service weights in a tertiary hospital in Malaysia

Impact of Family Psychoeducation Intervention on Relapse Prevention in Hospitalized Psychiatric Patients

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