Impact of length of stay for first psychiatric admissions on the ratio of readmissions in subsequent years in a large Brazilian catchment area

Social Psychiatry and Psychiatric Epidemiology
Regis Eric Maia BarrosCristina Marta Del-Ben

Abstract

This study aims to verify the impact that the length of stay has on the rates of readmission for patients who were first admitted to various inpatient psychiatric units in a large catchment area in a middle-income country. The study included all patients who were first admitted to the 108 acute psychiatric beds available in the catchment area of Ribeirão Preto, Brazil, for a period of 8 years. Demographic features, inpatient unit of discharge, diagnosis and length of stay were assessed by bivariate analysis. An analysis of the time span between first admission and readmission was also conducted using survival curves estimated by the Kaplan-Meier formula. For the analyses of the risk of readmissions, a logistic regression analysis was conducted. From a total of 6261 patients admitted in the period of the survey, approximately one-third (2006) had at least one other readmission during the follow-up period. The rates per year of early readmission (within 90 days after discharge) varied from 16.1 to 20.9 %. The risk of readmission was higher immediately after discharge. The survival analysis showed that ultrashort length of stay (1-2 days) was associated with reduced odds of readmission, but multivariate logistic analysis showed no...Continue Reading

References

May 1, 1995·Psychiatric Services : a Journal of the American Psychiatric Association·C Swett
Nov 27, 1999·Revista de saúde pública·C M Del-BenA W Zuardi
Mar 1, 2002·Nordic Journal of Psychiatry·Lars Lien
Sep 25, 2003·Social Psychiatry and Psychiatric Epidemiology·J Peen, J Dekker
May 7, 2004·Psychiatric Services : a Journal of the American Psychiatric Association·Roberto FigueroaJohn Engberg
Oct 2, 2004·The British Journal of Psychiatry : the Journal of Mental Science·Graham Thornicroft, Michele Tansella
Jan 27, 2005·Social Psychiatry and Psychiatric Epidemiology·Christiane RoickMatthias C Angermeyer
May 11, 2005·General Hospital Psychiatry·Armanda C T B F RufinoCristina M Del-Ben
Jul 6, 2005·The Australian and New Zealand Journal of Psychiatry·Candace Bobier, Matt Warwick
Dec 15, 2005·Clinical Practice and Epidemiology in Mental Health : CP & EMH·Stefan KroppMarc Ziegenbein
Jun 10, 2006·The Psychiatric Quarterly·Michael T ComptonBruce E Rudisch
Jan 31, 2007·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Susan MooreChristopher Flowers
Apr 18, 2007·The Journal of Behavioral Health Services & Research·Janet DurbinMoira Teed
Dec 11, 2007·Disease-a-month : DM·Maureen SladeUNKNOWN Illinois Hospital Association Behavioral Health Constituency Section Steering Committee and its Best Practices Task Force
May 3, 2008·Psychiatric Services : a Journal of the American Psychiatric Association·William H SledgeTimothy Schmutte
Sep 9, 2008·International Journal of Mental Health Systems·Mario D MateusShekhar Saxena
Jan 2, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Stefan PriebeKsenija Yeeles
Jun 3, 2009·Psychiatric Services : a Journal of the American Psychiatric Association·Nirma C SilvaLilian S Palazzo
Sep 22, 2009·Schizophrenia Research·Alexandra M OliveiraMarcia Scazufca
Dec 23, 2009·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Régis Eric Maia BarrosCristina Marta Del-Ben
Jun 2, 2010·Psychiatric Services : a Journal of the American Psychiatric Association·Tami L MarkCarol Stocks
Aug 28, 2010·Australian Health Review : a Publication of the Australian Hospital Association·Thomas CallalyMichael Berk
Oct 7, 2010·Administration and Policy in Mental Health·Alex D TullochAnthony S David
Feb 3, 2011·Psychiatric Services : a Journal of the American Psychiatric Association·Shekhar SaxenaBenedetto Saraceno
Feb 3, 2011·Psychiatric Services : a Journal of the American Psychiatric Association·Ira D GlickHarold I Schwartz
May 13, 2011·Lancet·Jairnilson PaimJames Macinko
Jul 13, 2011·Annals of Family Medicine·Joao Mazzoncini de Azevedo-Marques, Antonio Waldo Zuardi
Apr 4, 2013·The British Journal of Psychiatry : the Journal of Mental Science·Graham Thornicroft, Michele Tansella
Sep 17, 2013·Asia-Pacific Psychiatry : Official Journal of the Pacific Rim College of Psychiatrists·Yanling ZhouHongbo He
Dec 4, 2013·The British Journal of Psychiatry : the Journal of Mental Science·Jorun Rugkåsa, John Dawson
Apr 24, 2014·Administration and Policy in Mental Health·Eric P Slade, Howard H Goldman
Feb 24, 2015·Epidemiology and Psychiatric Sciences·A D TullochG Thornicroft

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Citations

Aug 2, 2017·Early Intervention in Psychiatry·Joseph H PuyatSierra Williams
Mar 25, 2021·International Journal of Law and Psychiatry·Tyler A DurnsBrent M Kious
Jul 29, 2021·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·M E S B SantosC M Del-Ben

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