A 10-year retrospective analysis of hospital admissions and length of stay among a cohort of homeless adults in Vancouver, Canada

BMC Health Services Research
Angela RussolilloJulian M Somers

Abstract

Homelessness is associated with a very high prevalence of substance use and mental disorders and elevated levels of acute health service use. Among the homeless, little is known regarding the relative impact of specific mental disorders on healthcare utilization. The aim of the present study was to examine the association between different categories of diagnosed mental disorders with hospital admission and length of stay (LOS) in a cohort of homeless adults in Vancouver, Canada. Participants were recruited as part of an experimental trial in which participants met criteria for both homelessness and mental illness. Administrative data were obtained (with separate consent) including comprehensive records of acute hospitalizations during the 10 years prior to recruitment and while participants where experiencing homelessness. Generalized Estimating Equations were used to estimate the associations between outcome variables (acute hospital admissions and LOS) and predictor variables (specific disorders). Among the eligible sample (n = 433) 80 % were hospitalized, with an average of 6.0 hospital admissions and 71.4 days per person during the 10-year observation period. Of a combined total 2601 admissions to hospital, 1982 were psych...Continue Reading

References

Feb 15, 1992·Annals of Internal Medicine·J V MartellC Wong
Feb 1, 1997·American Journal of Public Health·L GelbergP Koegel
Jun 12, 1998·The New England Journal of Medicine·S A SalitA L Mosso
Aug 26, 1998·Medical Care·R Rosenheck, C L Seibyl
May 4, 2000·Journal of Health Care for the Poor and Underserved·J A SteinL Gelberg
Feb 13, 2001·Acta Psychiatrica Scandinavica·S Hwang
Feb 15, 2001·JAMA : the Journal of the American Medical Association·M B KushelJ S Haas
May 4, 2002·American Journal of Public Health·Margot B KushelAndrew R Moss
Feb 3, 2007·American Journal of Public Health·Bella SchanzerCarol L M Caton
Mar 6, 2007·Journal of Health Care for the Poor and Underserved·Jennifer AdamsMargot Kushel
May 6, 2008·Journal of Psychiatric and Mental Health Nursing·C ForchukE Jensen
Oct 17, 2008·The Journal of Behavioral Health Services & Research·Lillian GelbergLisa Arangua
Jul 31, 2009·The Journal of Behavioral Health Services & Research·Jean-Pierre BoninNoé Djawn White
Aug 5, 2010·Emergency Medicine Journal : EMJ·G MooreE Manias
Jan 21, 2011·Scandinavian Journal of Public Health·Ulla BeijerAnna Fugelstad
Mar 1, 2011·Journal of Substance Abuse Treatment·Kele DingAnne Helene Skinstad
Aug 6, 2011·General Hospital Psychiatry·George J UnickMartha Shumway
Nov 24, 2011·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Carol E AdairUNKNOWN At Home/Chez Soi Project Team
Mar 17, 2012·The International Journal on Drug Policy·Julian M SomersMichelle Patterson
Feb 23, 2013·The Journal of Behavioral Health Services & Research·Tami MarkShelagh Smith
Mar 9, 2013·International Journal of Offender Therapy and Comparative Criminology·Julian M SomersAkm Moniruzzaman
Jun 4, 2013·Journal of Health Care for the Poor and Underserved·S Ryan GreysenEmily A Wang
Oct 24, 2013·American Journal of Public Health·Catharine ChambersStephen W Hwang
Oct 24, 2013·American Journal of Public Health·Catharine ChambersStephen W Hwang
Jan 7, 2014·Comprehensive Psychiatry·Grace A MastersFranca Centorrino
Apr 9, 2014·BMC Medical Informatics and Decision Making·Evelene M Carter, Henry W W Potts
May 21, 2015·Epidemiology and Psychiatric Sciences·J M SomersA Russolillo

❮ Previous
Next ❯

Citations

Dec 12, 2019·The Australian and New Zealand Journal of Psychiatry·Olav NielssenMatthew Large
Oct 28, 2019·Medical Care·Melanie W RacineTravis P Baggett
May 20, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Catherine HimsworthChristopher Sargeant
Jan 15, 2018·European Psychiatry : the Journal of the Association of European Psychiatrists·Giorgia DimitriStefan Priebe
Jun 18, 2020·Risk Management and Healthcare Policy·Rosaria Di LorenzoPaola Ferri
Jan 31, 2021·Journal of General Internal Medicine·Andrea WangStephen W Hwang
Oct 28, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Kristen R ChoiSarah L Starks
Nov 24, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Massimo RalliLucia Ercoli

❮ Previous
Next ❯

Clinical Trials Mentioned

ISRCTN57595077
ISRCTN66721740

Related Concepts

Related Feeds

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.