Predictors of the length of stay in a psychiatric emergency care centre

Brakoulias, Vlasios; Seymour, Joanne; Lee, Jane; Sammut, Peter; Starčević, Vladan

doi:10.1177/1039856213501010

Cited by 6 publications

(15 citation statements)

References 8 publications

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“…The analysis also adjusted for additional covariates compared with previous studies where carer status significantly impacted on length of stay (Brakoulias et al . ; Jacobs et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…Considering previous findings (Brakoulias et al . ; Jacobs et al . ), it was hypothesized that having an informal carer would be associated with a longer hospital stay.…”

Section: Aimsmentioning

confidence: 99%

“…; Brakoulias et al . ; Compton et al . ; Cyr & Haley ) and whether they live with a family member (Creed et al .…”

Section: Introductionmentioning

confidence: 99%

“…), the length of stay and discharge location (Brakoulias et al . ; Jacobs et al . ), likelihood of postdischarge follow‐up, and patient outcomes (Reininghaus et al .…”

Section: Introductionmentioning

confidence: 99%

“…The exception was an Australian study (Brakoulias et al . ) that reported a significantly longer length of stay for patients brought to hospital by a family member. Jacobs et al .…”

Section: Introductionmentioning

confidence: 99%

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Impact of the carer on length of hospital stay for mental health: Results from two Australian surveys

Hielscher

Diminic

Harris

et al. 2018

Int J Mental Health Nurs

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Informal carers play a vital role in supporting Australians living with a mental illness, including during the acute phases of illness; however, little is known about their impact on length of hospital stay. We aimed to investigate the impact of having a carer and of carer burden on length of hospital stay for mental health. Two Australian datasets were used. Data from the 2010 National Survey of High Impact Psychosis (n = 1825) were used to investigate the impact of having versus not having a carer on length of hospital stay for mental health. Data from the UQ Carer Survey 2016 (n = 105), a convenience sample of mental health carers, were used to investigate the impact of weekly hours of care (a measure of objective carer burden) on length of stay. Multiple logistic regression and correlation analyses were performed to investigate the association between carer status/burden and length of stay. Having a carer was associated with a significantly longer length of hospital stay; however, this relationship was no longer significant after adjusting for diagnosis, global functioning, depressive symptoms, deliberate self‐harm, mental health outpatient contacts and type of admission. Weekly hours of care did not significantly impact on length of stay. Patients with carers had poorer functioning which may be related to longer stays. Our analysis was not able to look at subgroups of carers with different needs. Future work is required to determine other components of the admission and discharge process where having a carer is influential.

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“…The analysis also adjusted for additional covariates compared with previous studies where carer status significantly impacted on length of stay (Brakoulias et al . ; Jacobs et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…Considering previous findings (Brakoulias et al . ; Jacobs et al . ), it was hypothesized that having an informal carer would be associated with a longer hospital stay.…”

Section: Aimsmentioning

confidence: 99%

“…; Brakoulias et al . ; Compton et al . ; Cyr & Haley ) and whether they live with a family member (Creed et al .…”

Section: Introductionmentioning

confidence: 99%

“…), the length of stay and discharge location (Brakoulias et al . ; Jacobs et al . ), likelihood of postdischarge follow‐up, and patient outcomes (Reininghaus et al .…”

Section: Introductionmentioning

confidence: 99%

“…The exception was an Australian study (Brakoulias et al . ) that reported a significantly longer length of stay for patients brought to hospital by a family member. Jacobs et al .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Impact of the carer on length of hospital stay for mental health: Results from two Australian surveys

Hielscher

Diminic

Harris

et al. 2018

Int J Mental Health Nurs

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Length of stay of hospitalized patients at tertiary psychiatry facilities in Uganda: the role of caregiver’s presence

et al. 2022

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Background Whether the presence of caregivers during the hospital stay of patients with mental illness affects the length of hospital stay (LoS) remains inconclusive. Aims (1) To determine the average LoS and the associated factors, and (2) to determine the role of caregivers’ presences during inpatient stay on LoS. Methods We conducted a cross-sectional study in two hospitals in Uganda; one with caregivers and the other without caregivers between July to November 2020. Mann-Whitney U test was used to compare LoS in the two selected hospitals and linear regression was used to determine factors associated with LoS. Results A total of 222 participants were enrolled, the majority were males (62.4%). Mean age was 36.3 (standard deviation (SD) = 13.1) years. The average LoS was 18.3 (SD = 22.3) days, with patients in a hospital without caregivers having a longer median LoS (i.e., (30 (interquartile range (IQR) = 30) vs. 7 (7) days; χ2 = 68.95, p < 0.001). The factors significantly associated a longer LoS among our study participants included; being admitted in a hospital without caregivers (adjusted coefficient [aCoef]: 14.88, 95% CI 7.98–21.79, p < 0.001), a diagnosis of schizophrenia (aCoef: 10.68, 95 %CI 5.53–15.83, p < 0.001), being separated or divorced (aCoef: 7.68, 95% CI 1.09–14.27, p = 0.023), and increase in money spent during the admission (aCoef: 0.14, 95% CI 0.09–0.18, p < 0.001). Conclusion Patients with mental illness in southwestern Uganda have a short LoS (below 28 days), and the stay was much shorter for patients with fulltime caregivers. We recommend caregivers presence during patient’s hospital stay to reduce the LoS and minimize healthcare expenditure.

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Antipsychotic Selection for Acute Agitation and Time to Repeat Use in a Psychiatric Emergency Department

Gomez

Dopheide²

2016

Journal of Psychiatric Practice

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Mean time to repeat use ranged from 14 to 20 hours with IM haloperidol, other IM antipsychotics, and oral SGAs without significant differences in time to repeat use in the 3 different groups. Repeat users of IM antipsychotics had a significantly longer LOS in the ED compared with nonrepeat users of IM antipsychotics. However, patients who were initially administered oral SGAs did not have longer LOS in the ED even if a repeat dose was given.

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Predictors of the length of stay in a psychiatric emergency care centre

Cited by 6 publications

References 8 publications

Impact of the carer on length of hospital stay for mental health: Results from two Australian surveys

Impact of the carer on length of hospital stay for mental health: Results from two Australian surveys

Length of stay of hospitalized patients at tertiary psychiatry facilities in Uganda: the role of caregiver’s presence

Antipsychotic Selection for Acute Agitation and Time to Repeat Use in a Psychiatric Emergency Department

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