Tempo médio de hospitalização e categorias diagnósticas em hospital psiquiátrico

Souza, José Carlos de; Souza, Neomar; Magna, Luís Alberto

doi:10.1590/s0047-20852008000200005

Cited by 12 publications

(11 citation statements)

References 6 publications

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“…The sociodemographic data has shown that most schizophrenic inpatients were male, single, had a low educational level and did not work. Like this study, other papers reported a higher number of male subjects in psychiatric hospital beds (Herrera, 1997;Gomes et al, 2002;Kelly et al, 2004;Souza et al, 2008;Daltio et al, 2011;Gorwood, 2011), characteristic that might be associated with the most severe course of the disease in men, considering that the prevalence of schizophrenia is not very different between sexes (Mari & Leitão, 2000). Durbin et al, (2014) found schizophrenic men to be in a higher risk for hospitalization (OR = 1.42).…”

Section: Discussionsupporting

confidence: 67%

“…The mean length of stay for schizophrenic patients in this study was found to be approximately 30 days. Other authors found similar results, ranging from 21 to 50 days (Hibberd & Trimboli, 1982;Lieberman et al, 1993;Brenner et al, 1999;Souza et al, 2008;Daltio et al, 2011;Yang et al, 2011). The mean length of stay found in this work complies with the recommendation of the Brazilian Ministry of Health maximum length of stay of 30 days (Brasil, 1990).…”

Section: Discussionmentioning

confidence: 52%

“…Even with the movement for the deinstitutionalization of psychiatric patients, it is possible to observe many long-stay hospitalized patients, since the new primary health care model is yet being consolidated. Souza et al, (2008) evaluated the length of hospital stay categorized by diagnostic categories in Mato Grosso do Sul, Brazil. Unlike our findings, the length of hospital stay was not found to be influenced by sex or age.…”

Section: Discussionmentioning

confidence: 99%

“…Schizophrenia was found to be the most frequent cause of psychiatric hospitalization by some authors (Dhadphale & Shaikh, 1981;Gomes et al, 2002;Souza et al, 2008). Beyond the rate of re-hospitalization, length of stay and the effects of inpatient care are important for mental health policies (Babalola et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

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Hospitalization of schizophrenic patients in the public health system of Minas Gerais, Brazil

Rodrigues¹,

André²,

Júnior³

et al. 2016

JBES

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Objectives: The aim of this study was to describe the socio-demographic and clinical variables, identify the determinants of length of stay and estimate the cost of inpatient treatment of schizophrenia in Minas Gerais, Brazil. Methods: A non-concurrent cohort was conducted in three psychiatric hospitals of Minas Gerais, Brazil. The data was collected from patients' records in loco. The association between dependent and independent variables was evaluated via linear regression. The costs were calculated through an absorption costing method. Results: 1,928 patients that met the inclusion criteria were identified. Most patients were male, had no life partner, studied no more than the middle school, had no occupation and lived in the city of hospital assistance. Haloperidol was the most prescribed antipsychotic drug. Risperidone was the most used second-generation antipsychotic, followed by olanzapine. Average length of stay was 30.3 days (SD = 37.5 days) and the median was 20 days. Female patients, living in cities other than the hospital's, with involuntary or mandatory hospitalizations and in use of a second-generation antipsychotic (SGA) and a first-generation antipsychotic (FGA) were associated to a longer length of stay. Average cost of hospitalization was R$ 11,713.07 (US$ 5,300.03) per hospitalization. Our results were corroborated by literature data. Conclusion: We found that most schizophrenic inpatients were male, single, had a low educational level and no occupational activity. The longer length of stay was associated to the socio-demographic and clinical variables, sex, place of residence, willingness to hospitalization of the patient and antipsychotic use.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Hospitalization of schizophrenic patients in the public health system of Minas Gerais, Brazil

Rodrigues¹,

André²,

Júnior³

et al. 2016

JBES

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“…A Brazilian study which evaluated 2,247 hospitalizations, made evident that the average time of hospitalization due to schizophrenia was 29.64 days and due to disorders related to the abuse of alcohol was 27.11 days. The period of treatment of the schizophrenic patients with abuse of alcohol or other drugs is influenced by several factors, among them the chronicity of the picture, thus requiring a longer period of treatment (25) .…”

Section: Discussionmentioning

confidence: 99%

Schizophrenia and the use of alcohol and other drugs: epidemiological profile

Silveira¹,

Oliveira²,

Viola³

et al. 2014

Rev Rene

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Spiritist Psychiatric Hospitals in Brazil: Integration of Conventional Psychiatric Treatment and Spiritual Complementary Therapy

Lucchetti

Aguiar

Braghetta

et al. 2011

Cult Med Psychiatry

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In Brazil, during the XX century, dozens of Spiritist psychiatric hospitals emerged seeking to integrate conventional medical treatment with complementary spiritual therapy. This combined inpatient treatment is largely found in Brazil, where many psychiatric hospitals stem from the Spiritist movement. The present report describes the use of these spiritual practices, their operating structure, health professionals involved, modalities of care, and institutional difficulties in integrating spiritual practices with conventional treatment in six leading Brazilian Spiritist psychiatric hospitals. These hospitals combine conventional psychiatric treatment with voluntary-based spiritual approaches such as laying on of hands ("fluidotherapy"), lectures regarding spiritual and ethical issues, intercessory prayer, spirit release therapy ("disobsession") and "fraternal dialogue". The non-indoctrination and optional nature of these spiritual complementary therapies seem to increase acceptance among patients and their family members. In conclusion, the Spiritist psychiatric hospitals in Brazil have, for more than half a century, provided an integrative approach in the treatment of psychiatric disorders, associating conventional and spiritual treatments, more specifically Spiritist therapy. The lack of standardized treatment protocols and scientific studies remain a barrier to assessing the impact of this integrative approach on patients' mental health, quality of life, adherence, and perceived quality of treatment.

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Tempo médio de hospitalização e categorias diagnósticas em hospital psiquiátrico

Cited by 12 publications

References 6 publications

Hospitalization of schizophrenic patients in the public health system of Minas Gerais, Brazil

Hospitalization of schizophrenic patients in the public health system of Minas Gerais, Brazil

Schizophrenia and the use of alcohol and other drugs: epidemiological profile

Spiritist Psychiatric Hospitals in Brazil: Integration of Conventional Psychiatric Treatment and Spiritual Complementary Therapy

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