Predictors of readmission to psychiatric wards

Authors

  • Bruno Bertolucci Ortiz Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil
  • Ana Beatris Miniolli Nardy Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil
  • Cássia Fiaschi Fogaça Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil
  • Isabela Moscatel Domingues de Oliveira Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil
  • Mariana Rauwey Vong Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil
  • Stephanie Berriel Crocco Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil

DOI:

https://doi.org/10.25118/2236-918x-5-3-1

Keywords:

Indicators, psychiatric readmission, psychiatric relapse

Abstract

Objective: To investigate which factors act as predictors of readmission in patients with psychiatric disorders discharged from a psychiatric ward. Methods: This retrospective study was based on the review of 200 medical records and discharge summaries of patients admitted to the psychiatric ward of Hospital das Clínicas Luzia de Pinho Melo, in Mogi das Cruzes, state of São Paulo, Brazil, between 2000 and 2013. Results: The following factors were statistically significant predictors of readmission: patient age (p = 0.004), number of medications at discharge (p = 0.006), number of daily doses (p = 0.011), social stress (p = 0.002), and low social support (p = 0.001).Conclusion: Even though the study is limited by the retrospective method adopted, the findings suggest that good social support and flexibility in the number of doses are associated with lower readmission rates. We suggest investing in family psychoeducation and involving the patient in treatment decision-making.

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Author Biographies

Bruno Bertolucci Ortiz, Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil

Ana Beatris Miniolli Nardy, Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil

.

Cássia Fiaschi Fogaça, Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil

Isabela Moscatel Domingues de Oliveira, Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil

.

Mariana Rauwey Vong, Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil

Stephanie Berriel Crocco, Disciplina de Psiquiatria, Faculdade de Medicina, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brasil. Hospital das Clínicas Luzia de Pinho Melo, Mogi das Cruzes, SP, Brasil

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Published

2015-06-30

How to Cite

1.
Ortiz BB, Nardy ABM, Fogaça CF, Oliveira IMD de, Vong MR, Crocco SB. Predictors of readmission to psychiatric wards. Debates em Psiquiatria [Internet]. 2015 Jun. 30 [cited 2024 Dec. 22];5(3):6-8. Available from: https://revistardp.org.br/revista/article/view/909

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