Key result
Black youths, youths insured by Medicaid, and youths with a length of stay longer than 7 days had significantly higher odds of psychiatric readmission within 1 year of discharge.
Why the study?
Predictors of readmission to a psychiatric inpatient unit within 1 year of discharge among a racially diverse sample of youths remained to be examined.
Observational (n=1,604)
No
Black youths, those on Medicaid, and those with longer initial stays are at higher risk for psychiatric readmission within 1 year, highlighting the need for targeted care coordination.
May inform risk stratification for youth psychiatric discharge; leaves open whether targeted interventions reduce readmissions.
OBJECTIVE: This study examined predictors of readmission to a psychiatric inpatient unit of an urban children's hospital within 1 year of discharge among a racially diverse sample of youths. METHODS: The authors retrospectively analyzed 2 years of electronic health record data of inpatient psychiatric unit admissions (N=1,604). Multivariate logistic regression and random-effects multinomial logistic regression were used for analyses. RESULTS: The estimated odds ratios for any readmission within 1 year of discharge were significantly higher for Black youths, youths insured by Medicaid, and youths with a length of stay longer than 7 days. Factors remained strongly predictive when examining multiple readmissions versus no readmissions. CONCLUSIONS: Black youths, youths insured by Medicaid, and youths with longer stays were more likely than other youths to be readmitted. Findings suggest the need for interventions such as care coordination to target predictors of readmission and the need to examine inequities in the health care system.
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Soutullo et al. (2022) conducted an observational in Psychiatric inpatient admission (n=1,604). Black race, Medicaid insurance, and length of stay >7 days vs. Other youths (non-Black, non-Medicaid, length of stay ≤7 days) was evaluated on Any readmission to a psychiatric inpatient unit within 1 year of discharge. Black youths, youths insured by Medicaid, and youths with a length of stay longer than 7 days had significantly higher odds of psychiatric readmission within 1 year of discharge.
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