Predictors of psychiatric readmissions to the psychiatric unit of a tertiary health facility in a Nigerian city - a 5-year study

Yussuf, AD; Kuranga, S A; Balogun, OR; Ajiboye, P. O.; Issa, B. A.; Adegunloye, O. A.; Parakoyi, M T

doi:10.4314/ajpsy.v11i3.30267

Cited by 15 publications

(25 citation statements)

References 18 publications

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“…There may have been minimization of information by the patients as the subject is an area of strong stigma attached to it. The finding on compliance to oral medications in this present study was similar to that found by a study conducted by Yussuf et al (2008), which also reported medication non-compliance as not significant in predicting low rate of hospitalization. This is may be explained by the fact that the patients who were referred to HCPS are generally those with history of frequent relapses and having poor treatment adherence and consequently were prescribed regular depot injections (69%).…”

Section: Discussionsupporting

confidence: 91%

Hospital‐based community psychiatric service for patients with schizophrenia in Kuala Lumpur: A 1‐year follow‐up study of re‐hospitalization

Dahlan

Midin

Sidi

et al. 2013

Asia-Pacific Psychiatry

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Introduction: Hospital-based community psychiatric service (HCPS) is a developing intervention in Malaysia targeted for patients with severe mental illnesses (SMIs). Its effectiveness had not been systematically measured. This study aimed to assess the outcome of HCPS with respect to re-hospitalization and factors associated with low re-hospitalization among patients with schizophrenia in the metropolitan city of Kuala Lumpur. Methods: A naturalistic and retrospective cohort study was conducted using within-subject pre-post design on 155 patients with schizophrenia who received HCPS in Hospital Kuala Lumpur (HKL). The selection was made by simple random sampling. The hospital admission profiles were obtained from clinical records. The socio-demographic and relevant clinical data were also assessed through clinical interviews. Results: One hundred and forty (90%) of 155 respondents had low rate of hospital admission with significant reduction of being hospitalized within 1 year after receiving HCPS (p < 0.001). Having good social support was significantly associated with lower rate of rehospitalization (p = 0.001). Discussion: The study revealed the effectiveness of HCPS in terms of reducing rates of hospital admission among patients with schizophrenia in Malaysia. The finding may be used as an evidence to develop the service further in other hospitals. However, the finding needs to be replicated through studies with better design involving more psychiatric centres.

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Section: Discussionsupporting

confidence: 91%

Hospital‐based community psychiatric service for patients with schizophrenia in Kuala Lumpur: A 1‐year follow‐up study of re‐hospitalization

Dahlan

Midin

Sidi

et al. 2013

Asia-Pacific Psychiatry

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“…The factors such as demographics, social, and clinical factors have been studied for more than three decades [14]. In addition, poor adherence to treatment [8, 15–17], nonvoluntary first admission [14, 17], substance, alcohol, and drug abuse [4, 7, 14, 16] have been mentioned as related factors to the readmission of patients to psychiatric wards. Some studies have illustrated that diagnoses are related to readmission.…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have illustrated that diagnoses are related to readmission. For example, the diagnosis of schizophrenia has been reported as a major factor on readmission [4, 15, 17–20]. …”

Section: Introductionmentioning

confidence: 99%

“…Length of stay at hospital has also been notified as a highly related factor [15, 17, 19, 21]. The shorter the length of the stay at a hospital, due to the lack of empty beds, the more readmission of psychiatric patients.…”

Section: Introductionmentioning

confidence: 99%

“…This could decrease the quality of care and definitely increase the costs [10]. In some studies, the history of admission in elderly people has been pointed as a related factor [6, 7, 15, 18, 19]. The diagnosis of bipolar disorder [4, 14], psychotic disorders [7, 21], and mood disorders [3, 7] is also mentioned as an effective factors on readmission.…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Readmission of Patients at a University Hospital Psychiatric Ward in Iran

et al. 2013

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Objectives. Readmission has a major role in the reduction of the quality of life and the increase in the years of lost life. The main objectives of this study were to answer to the following research questions. (a) What was the readmission rate? (b) What were the social, demographic, and clinical characteristics of patients admitted to the Psychiatric Emergency Service at Nour University Hospital, affiliated to Isfahan University of Medical Sciences, Isfahan, Iran? (c) What were the effective factors on readmission? Method. This cross-sectional study was conducted on a total number of 3935 patients who were admitted to Isfahan University Hospital Psychiatric Ward in Isfahan, Iran, from 2004 to 2010. Gender, age, marital status, education, self-report history of previous admission, type of psychiatric disorder, substance misuse, suicide, and the length of the current psychiatric disorder were collected from the registered medical files of patients. The data were analysed using the negative binomial regression model. Results. We found that factors such as psychiatric anxiety disorder, bipolar I, bipolar II, psychotic disorder, depression, and self report history of previous admission were statistically significant in the number of readmissions using the negative binomial model. Conclusion. Readmission to the psychiatric ward is mainly predictable by the type of diagnosis and psychosocial supports.

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Predictors of psychiatric re‐hospitalization in older adults with severe mental illness

Sylvestre

Segal

et al. 2015

Int J Geriat Psychiatry

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The rate of psychiatric re-hospitalization is high in older adults admitted for severe mental illness. Clinicians should be aware of the especially high rates of re-hospitalization in geriatric psychiatric inpatients with bipolar disorder, previous psychiatric admissions, or those living in a supervised setting. Future research could investigate approaches to prevent psychiatric re-hospitalization in these vulnerable sub-populations.

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Predictors of psychiatric readmissions to the psychiatric unit of a tertiary health facility in a Nigerian city - a 5-year study

Cited by 15 publications

References 18 publications

Hospital‐based community psychiatric service for patients with schizophrenia in Kuala Lumpur: A 1‐year follow‐up study of re‐hospitalization

Hospital‐based community psychiatric service for patients with schizophrenia in Kuala Lumpur: A 1‐year follow‐up study of re‐hospitalization

Factors Associated with Readmission of Patients at a University Hospital Psychiatric Ward in Iran

Predictors of psychiatric re‐hospitalization in older adults with severe mental illness

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