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
Dans Anglais
| 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
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Sortie du patient
/
Réadmission du patient
Type d'étude:
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
Clinics
Thème du journal:
Médicament
Année:
2010
Type:
Article
Pays d'affiliation:
Taïwan
Institution/Pays d'affiliation:
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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