Predictors of psychiatric readmissions in the short- and long-term: a population-based study in Taiwan
Clinics
;
65(5): 481-489, 2010. graf, tab
Article
in English
| LILACS
| ID: lil-548628
ABSTRACT
OBJECTIVES:
To explore the risks and rates of readmission and their predictors 14 days, one year, and five years after discharge for the psychiatric population in Taiwan.METHODS:
This was a prospective study based on claims from 44,237 first-time hospitalized psychiatric patients discharged in 2000, who were followed for up to five years after discharge. The cumulative incidence and incidence density of readmission were calculated for various follow-up periods after discharge, and Cox proportional hazard models were generated to identify the significant predictors for psychiatric readmission.RESULTS:
The less than 14-day, one-year, and five-year cumulative incidences were estimated at 6.1 percent, 22.3 percent, and 37.8 percent, respectively. The corresponding figures for incidence density were 4.58, 1.04, and 0.69 per 1,000 person-days, respectively. Certain factors were significantly associated with increased risk of readmission irrespective of the length of follow-up, including male gender, length of hospital stay >15 days, economic poverty, a leading discharge diagnosis of schizophrenia/affective disorders, and residence in less-urbanized regions. Compared to children/adolescents, young adults (20-39 years) were significantly associated with increased risks of
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Patient Discharge
/
Patient Readmission
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2010
Type:
Article
Affiliation country:
Taiwan
Institution/Affiliation country:
Central Taiwan University of Science and Technology/TW
/
Ming Chuan University/TW
/
National Taipei College of Nursing/TW
/
Taipei City Hospital/TW
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