Key result
Psychiatric inpatients readmitted within 28 days of discharge had significantly higher rates of multiple psychiatric diagnoses (p<0.001) and physical disorders (p<0.05) than matched controls.
Why the study?
To compare inpatients readmitted within 28 days of discharge with patients not readmitted within the same period in a private psychiatric hospital.
What factors are associated with readmission within 28 days of discharge in a private psychiatric hospital?
Case-Control (n=100)
No
What factors are associated with readmission within 28 days of discharge in a private psychiatric hospital?
p-value: p=<0.001
Psychiatric inpatients readmitted within 28 days are more likely to have multiple diagnoses, physical comorbidities, and a history of frequent admissions.
May support identifying high-risk patients with multiple diagnoses at discharge; leaves open whether targeting comorbidities reduces readmissions.
Objective: To compare inpatients who had been readmitted within 28 days of discharge with patients not readmitted within the same period in a private psychiatric hospital. Method: Of 118 readmissions within 28 days in 2017 (7% of admissions), 50 were randomly selected and matched by age and gender with control patients who had not been readmitted within 28 days. Differences in demographics, diagnosis, length of stay and number of admissions in the previous 12 months were examined. Results: Readmitted cases were 64% female, were aged 49.8 ± 18.2 years (range 19–89), 40% were in relationships and 24% were receiving disability support. Most patients were suffering an episode of depression. Cases had higher rates of multiple psychiatric diagnoses ( p < .001) and physical disorders ( p < .05). There were no significant differences between cases and controls on psychiatric diagnoses. Cases had a longer length of stay in their previous admission ( p < .01) and a higher number of admissions in the preceding 12 months ( p < .05) compared to controls. Conclusion: This study indicates that inpatients readmitted within 28 days of discharge were more likely to have multiple diagnoses, physical co-morbidity and relapsing conditions than patients who were not readmitted.
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Hope et al. (2021) conducted a case-control in Psychiatric disorders (n=100). Readmission within 28 days vs. No readmission within 28 days was evaluated on Multiple psychiatric diagnoses (p=<0.001). Psychiatric inpatients readmitted within 28 days of discharge had significantly higher rates of multiple psychiatric diagnoses (p<0.001) and physical disorders (p<0.05) than matched controls.
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