The Optimal Length of Hospitalization for Functional Recovery of Schizophrenia Patients, a Real-World Study in Chinese People

Bian, Yun; Chen, Lin; Yang, Fude; Han, Xiaole; Zhang, Jing; Ma, Botao; Zhu, Yu; Wang, Zhixiong

doi:10.1007/s11126-019-09658-9

Cited by 8 publications

(6 citation statements)

References 27 publications

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“…In this research, the LOS of patients with schizophrenia was lower than in a previous similar study about LOS ( 6 ). The reasons which caused the difference of LOS between these two studies with totally different backgrounds were diversified, including, but not limited to, the epidemiology variance brought by time, geography, and sampling variability and the different medical insurance limitations set by local governments.…”

Section: Discussioncontrasting

confidence: 73%

“…While in many cases the LOS was reduced (especially in medically and financially strapped countries), this was more inspired by limiting the psychiatric care cost brought about by long psychiatric hospitalization of schizophrenia patients instead of the simple purpose for functional recovery in communities ( 4 , 5 ). Based on a related survey, the LOS of schizophrenia patients in a developing country was less than that in a developed country, such that the mean LOS of patients with schizophrenia in China was 73.3 ± 42.2 days ( 6 ), while it was 78 ± 76 days in South Korea ( 7 ), 90–120 days in Israel ( 8 ), 96.6 days in Canada ( 9 ), and 290.6 days in Japan ( 10 ). Certainly, factors associated with the LOS of schizophrenia patients were not just found in the financial field.…”

Section: Introductionmentioning

confidence: 99%

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Factors Related to the Length of Stay for Patients With Schizophrenia: A Retrospective Study

Peng

Wang

et al. 2022

Front. Psychiatry

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BackgroundThe length of stay (LOS) of patients with schizophrenia has been a wide concern of researchers. Reasonable management of the LOS to achieve a balance between quality of treatment and efficient medical source allocation has become a significant issue in clinical work in psychiatry. Figuring out the factors related to the LOS of schizophrenia patients can help optimize its management by the hospital.MethodThe essential information of patients was obtained from the electronic medical record system. The variables were divided into the following kinds: demographic, clinical, and biochemical. Univariate analysis and multivariate analysis were conducted to find the potential factors related to the LOS of schizophrenia patients. Receiver operating characteristic analyses were conducted to evaluate the accuracy of judging the LOS of the regression model.ResultA total of 1,160 patients with schizophrenia were enrolled in our research. Our results demonstrated that the status of unmarried (single, separated, divorced, or widowed) and the abnormality of thyroid-stimulating hormone (TSH) were risk factors for the longer LOS of schizophrenia patients. The area under the curve was 0.576, which meant that the regression model had a certain predictive value.ConclusionTo our knowledge, this research is the first study to analyze the effect of various factors, including the biochemical index, on the LOS of a single type of mental disorder. Marital status and TSH were proven to be related to the LOS of schizophrenia patients. The results of this study provided reference factors of LOS for clinical psychiatry, which will be helpful to the management of hospitalization and in optimizing the allocation of medical sources.

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Section: Discussioncontrasting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Factors Related to the Length of Stay for Patients With Schizophrenia: A Retrospective Study

Peng

Wang

et al. 2022

Front. Psychiatry

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“…The mean LOS for SCZ in Germany was 50.2 days ( 29 ). A Chinese study also indicated that 20–50 days may be the optimal LOS for SCZ ( 30 ). This variation may be closely related to local mental health policies and health insurance, and according to previous studies, the LOS in psychiatric inpatient wards varies widely, with the average LOS ranging from 20 to 740 days ( 31 , 32 ).…”

Section: Discussionmentioning

confidence: 99%

Changes in major psychiatric disorders in children and adolescents from 2001 to 2020: A retrospective single-center study

Zheng

Jiang²,

Yang³

et al. 2023

Front. Psychiatry

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ObjectiveThis study aimed to determine the hospitalization rates, length of stay, age at the time of admission, and sex distribution for major psychiatric disorders in children and adolescents and provide a reference for early intervention for these diseases and distribution of medical resources in hospitals.MethodsWe screened 4,423 patients in the child and adolescent wards of the Anhui Provincial Mental Health Center from 2001 to 2020, and examined the top four (81.1%) mental health disorders that accounted for the overall proportion of patients admitted, namely schizophrenia (SCZ) (45.7%), depressive disorder (DD) (14.5%), bipolar disorder (BD) (9.3%), and childhood emotional disorder (CED) (11.6%), and for each disorder, the percentage of hospitalization, length of stay, age at admission, and sex distribution were analyzed.ResultsFrom 2001 to 2020, there was a significantly decreasing trend in the proportion of hospitalizations for SCZ (p < 0.001) and an increasing trend for depression and CED (p < 0.001). In terms of length of stay, SCZ was significantly longer than the other three disorders (p < 0.001), whereas there was no significant difference between DD, BD, and CED, and there was no significant trend in length of stay for any of the four disorders. The age at admission for CED was significantly lower than that for the other three disorders (p < 0.001). There was a decreasing trend in the age at admission for DD (p = 0.011) and an increasing trend for BD (p = 0.001). A significant increase in the number of female patients admitted for SCZ, DD, and CED was observed, while there was no significant change in the sex ratio for BD.ConclusionAlthough there is a significant downward trend in the percentage of hospitalizations for SCZ, it is still the most common psychiatric disorder in children and adolescents. We observed a significant increase in the percentage of hospitalizations for DD and CED. In addition, the proportion of female patients being hospitalized is on the rise, and this aspect requires continuous attention.

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“…There have been many studies on family functioning and quality of life in persons living with schizophrenia [28]. The current research focused on family functioning and subjective quality of life in community rehabilitation and hospitalized persons living with schizophrenia [29]. The results showed that the family functioning scores of rehabilitation patients living with schizophrenia in the community were lower than those of hospitalized patients, indicating that rehabilitation patients living with schizophrenia in the community have better family functioning than that of hospitalized persons living with schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

Correlation Analysis of the Quality of Family Functioning and Subjective Quality of Life in Rehabilitation Patients Living with Schizophrenia in the Community

Fan

Zhao

Zhu

et al. 2020

IJERPH

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Background: Recently, the community rehabilitation model for schizophrenia patients has become increasingly popular, and the Shanghai Pudong New Area has developed a relatively complete community rehabilitation model. This study analyzed the correlation between family function and subjective quality of life in the rehabilitation of patients living with schizophrenia in the community. Methods: This study evaluated persons living with schizophrenia using the Family Assessment Device and the Subjective Quality of Life Scale. A convenient sampling method was used to select 281 rehabilitation patients living with schizophrenia in the community and 166 hospitalized persons living with schizophrenia. Results: There was a significant difference in the Family Assessment Device scores between rehabilitation patients living with schizophrenia in the community and hospitalized persons living with schizophrenia (p < 0.0001). The difference in the scores of the subjective quality of life assessment between rehabilitation patients living with schizophrenia in the community and hospitalized persons living with schizophrenia was not statistically significant (p > 0.05). The regression analysis showed that quality of family function had a significant effect on the subjective quality of life in rehabilitation patients living with schizophrenia in the community and hospitalized persons living with schizophrenia. (F = 10.770 p < 0.001), (F = 2.960 p < 0.01). Conclusions: The quality of family function plays an important role in improving the subjective quality of life in rehabilitation patients living with schizophrenia in the community. It may be beneficial to add some methods to improve family function in the current model of rehabilitation in the community.

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The Optimal Length of Hospitalization for Functional Recovery of Schizophrenia Patients, a Real-World Study in Chinese People

Cited by 8 publications

References 27 publications

Factors Related to the Length of Stay for Patients With Schizophrenia: A Retrospective Study

Factors Related to the Length of Stay for Patients With Schizophrenia: A Retrospective Study

Changes in major psychiatric disorders in children and adolescents from 2001 to 2020: A retrospective single-center study

Correlation Analysis of the Quality of Family Functioning and Subjective Quality of Life in Rehabilitation Patients Living with Schizophrenia in the Community

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