Predictors of readmission to psychiatric wards
DOI:
https://doi.org/10.25118/2236-918x-5-3-1Keywords:
Indicators, psychiatric readmission, psychiatric relapseAbstract
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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Knapp M, Mangalore R, Simon J. The global costs of schizophrenia. Schizophr Bull. 2004;30:279-93. DOI: https://doi.org/10.1093/oxfordjournals.schbul.a007078
Fox-Rushby JA, Hanson K. Calculating and presenting disability adjusted life years (DALYs) in cost-effectiveness analysis. Health Policy Plan. 2001;16:326-31. DOI: https://doi.org/10.1093/heapol/16.3.326
Kapczinski F, Dal-Pizzol F, Teixeira AL, Magalhaes PV, Kauer-Sant’Anna M, Klamt F, et al. Peripheral biomarkers and illness activity in bipolar disorder. J Psych Res. 2011;45:156-61. DOI: https://doi.org/10.1016/j.jpsychires.2010.05.015
Hennekens CH, Hennekens AR, Hollar D, Casey DE. Schizophrenia and increased risks of cardiovascular disease. Am Heart J. 2005;150:1115-21. DOI: https://doi.org/10.1016/j.ahj.2005.02.007
Borges G, Chiu WT, Haro J, Hwang I, Sampson N, Alonso J, et al. Prevalence and identification of groups at risk for twelve-month suicidal behavior in the WHO World Mental Health Surveys. In: Nock MK, Borges G, Ono Y, editors. Suicide: global perspectives from the WHO World Mental Health Surveys. New York: Cambridge University Press; 2012. p. 185-98.
Gastal FL, Andreoli SB, Quintana MI, Almeida Gameiro M, Leite SO, McGrath J. Predicting the revolving door phenomenon among patients with schizophrenic, affective disorders and non-organic psychoses. Rev Saude Publica. 2000;34:280-5. DOI: https://doi.org/10.1590/S0034-89102000000300011
Vigod SN, Kurdyak PA, Dennis CL, Leszcz T, Taylor VH, Blumberger DM, et al. Transitional Interventions to reduce early psychiatric readmissions in adults: systematic review. Br J Psychiatry. 2003;202:187-94. DOI: https://doi.org/10.1192/bjp.bp.112.115030
Lin CH, Chen WL, Lin CM, Lee MD, Ko MC, Li CY. Predictors of psychiatric readmissions in the short-and long-term: a population-based study in Taiwan. Clinics (São Paulo). 2010;65:481-9. DOI: https://doi.org/10.1590/S1807-59322010000500005
Henriksen MG, Parnas J. Self-disorders and schizophrenia: a phenomenological reappraisal of poor insight and noncompliance. Schizophr Bull. 2014;40:542-7. DOI: https://doi.org/10.1093/schbul/sbt087
Medic G, Higashi K, Littlewood KJ, Diez T, Granström O, Kahn RS. Dosing frequency and adherence in chronic psychiatric disease: systematic review and meta-analysis. Neuropsychiatr Dis Treat. 2013;9:119-31. DOI: https://doi.org/10.2147/NDT.S39303
Thieda P, Beard S, Richter A, Kane J. An economic review of compliance with medication therapy in the treatment of schizophrenia. Psychiatr Serv. 2003;54:508-16. DOI: https://doi.org/10.1176/appi.ps.54.4.508
Chapman SC, Horne R. Medication nonadherence and psychiatry. Curr Opin Psychiatry. 2013;26:446-52. DOI: https://doi.org/10.1097/YCO.0b013e3283642da4
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Copyright (c) 2015 Bruno Bertolucci Ortiz, Ana Beatris Miniolli Nardy, Cássia Fiaschi Fogaça, Isabela Moscatel Domingues de Oliveira, Mariana Rauwey Vong, Stephanie Berriel Crocco
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