Length of stay of psychiatric admissions in a general hospital in Ethiopia: a retrospective study

International Journal of Mental Health Systems
Fikir AddisuMarkos Tesfaye

Abstract

In sub-Saharan Africa, the number of psychiatric beds per population is disproportionately low. Moreover, there is a lack of data regarding the patterns of psychiatric admissions and the factors leading to long psychiatric hospitalization in this region. This study aimed to investigate the average length of stay (LOS) and the factors associated with prolonged hospitalizations. A ten-year retrospective chart review of patients admitted to the psychiatric facility of Jimma University Specialized Hospital in southwest Ethiopia was conducted. The medical charts of 846 admissions spanning the period from January 2001 to December 2010 were reviewed. LOS greater than 21 days was considered as a cut-off point for lengthier stay. Bivariate and multivariable logistic regression analyses were conducted to identify factors independently associated with LOS. The most common discharge diagnoses were schizophrenia and other psychotic disorders (27.6%), and bipolar disorder (23.4%). A global clinical rating taken on discharge showed 90.3% improved outcome. The median (25th, 75th percentiles) LOS was 22 (15, 36) days. Patients with major depressive disorder [aOR = 0.51 (0.32 - 0.81)] and brief psychotic disorder [aOR = 0.52 (0.33 - 0.84)] were ...Continue Reading

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Citations

Sep 9, 2016·International Journal of Mental Health Systems·Mohammed Abdullah Al-Sughayir
Jun 20, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Kiran DyamenahalliElizabeth J Kovacs
Sep 29, 2018·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·Sellwane M Mere, Saeeda Paruk
Apr 21, 2017·The Cochrane Database of Systematic Reviews·Shinobu KobayashiRintaro Mori
Dec 23, 2019·The Psychiatric Quarterly·Sima NoohiMahdi Elikaei
Oct 24, 2018·Social Psychiatry and Psychiatric Epidemiology·Brian S BarnettMina C Hosseinipour

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Software Mentioned

Statistical Package for Social Science ( SPSS )

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