[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
About Journal::
Editorial Board::
Articles Archive::
Indexing Databases::
To Authors::
To Reviewers::
Registration::
Submit Your Article::
Policies and Publication Ethics::
Archiving Policy::
Site Facilities::
Contact Us::
::
Google Scholar Metrics

Citation Indices from GS

AllSince 2019
Citations804666
h-index1211
i10-index1714
..
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Registered in

AWT IMAGE

AWT IMAGE

..
:: Volume 11, Issue 4 (9-2024) ::
2024, 11(4): 34-46 Back to browse issues page
The Relationship Between Outpatient Visits and Time to Readmission of Psychiatric Inpatients: An 8-Year Follow-Up Study
Mandana Haghshenas , Behnoosh Shahsavaripoor , Masoud AhmadzadAsl , Maryam Kheiry , Behnam Shariati , Farnoush Davoudi , Morteza Naserbakht
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada , m.ahmadzad@gmail.com
Abstract:   (366 Views)
Introduction: Readmission is an important indicator of poor post-discharge management for psychiatric patients. This study explores the factors influencing psychiatric patient readmission, with a focus on post-discharge follow-up visits.
Materials & Methods: This retrospective cohort study analyzed the clinical records of psychiatric inpatients over an eight-year period up to 2019. The relationship between various clinical factors during hospitalization (e.g., length of stay, diagnosis, treatment adherence) and post-discharge follow-up leading to readmission was assessed using Kaplan-Meier survival analysis, Log-rank test, and Cox regression analysis.
Results:  The study revealed a 23% readmission rate. Gender, education, length of hospital stay, number of previous hospitalizations, and restraint during hospitalization showed significant associations with post-discharge visits (P < 0.05). Gender, place of hospitalization, and type of discharge were related to the timing of the first post-discharge visit (P < 0.05). Scheduling follow-up visits at discharge was significantly associated with post-discharge follow-up (p = 0.001).
Conclusion:  To reduce or delay readmissions, the study recommends increasing post-discharge visits, minimizing treating psychiatrists, scheduling outpatient follow-up upon discharge, providing psycho-education at discharge (particularly for women and individuals with higher education), addressing patients who leave against medical advice, and conducting telephone follow-up for high-risk patients.


 
Keywords: Patient Readmission, Psychiatry, Risk Factors, Outpatient
Full-Text [PDF 711 kb]   (149 Downloads)    
Type of Study: Research | Subject: Psychology
Received: 2024/01/31 | Accepted: 2024/06/10 | Published: 2024/09/18
References
1. Co-operation OfE, Development. Making mental health count: The social and economic costs of neglecting mental health care: OECD Publishing; 2014.
2. Donisi V, Tedeschi F, Wahlbeck K, Haaramo P, Amaddeo F. Pre-discharge factors predicting readmissions of psychiatric patients: a systematic review of the literature. BMC psychiatry. 2016;16(1):1-17.
3. Sfetcu R, Musat S, Haaramo P, Ciutan M, Scintee G, Vladescu C, et al. Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature. BMC psychiatry. 2017;17(1):1-15.
4. Silva M, Antunes A, Loureiro A, Azeredo-Lopes S, Saraceno B, Caldas-de-Almeida J, et al. Factors associated with length of stay and readmission in acute psychiatric inpatient services in Portugal. Psychiatry Res. 2020;293:113420. doi:org/10.1016/j.psychres.2020.113420
5. Elhassan NM, Elhusein B, Al Abdulla M, Saad TA, Kumar R. Sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar. J Int Med Res. 2020;48(12). doi:org/10.1177/0300060520977
6. Šprah L, Dernovšek MZ, Wahlbeck K, Haaramo P. Psychiatric readmissions and their association with physical comorbidity: a systematic literature review. BMC psychiatry. 2017;17(1):1-17.
7. Alexander Grinshpoon M, Lerner Y, Hornik-Lurie T, Dès Sc NZ, Ponizovsky AM. Post-discharge contact with mental health clinics and psychiatric readmission: a 6-month follow-up study. Isr J Psychiatry. 2011;48(4):262.
8. Lee SY, Kim KH, Kim T, Kim SM, Kim J-W, Han C, et al. Outpatient follow-up visit after hospital discharge lowers risk of rehospitalization in patients with schizophrenia: a nationwide population-based study. Psychiatry Investig. 2015;12(4):425. doi: 10.4306/pi.2015.12.4.425
9. Lien L. Are readmission rates influenced by how psychiatric services are organized? Nord J Psychiatry. 2002;56(1):23-8. doi: 10.1080/08039480252803873
10. Nelson EA, Maruish ME, Axler JL. Effects of discharge planning and compliance with outpatient appointments on readmission rates. Psychiatric serv. 2000;51(7):885-9. doi: org/10.1176/appi.ps.51.7.885
11. Vigod SN, Kurdyak PA, Dennis C-L, Leszcz T, Taylor VH, Blumberger DM, et al. Transitional interventions to reduce early psychiatric readmissions in adults: systematic review. Br J Psychiatry. 2013;202(3):187-94. doi: org/10.1192/bjp.bp.112.115030
12. Böckmann V, Lay B, Seifritz E, Kawohl W, Roser P, Habermeyer B. Patient-level predictors of psychiatric readmission in substance use disorders. Front Psychiatry. 2019;10:828. doi: org/10.3389/fpsyt.2019.00828
13. Han X, Jiang F, Tang Y, Needleman J, Guo M, Chen Y, et al. Factors associated with 30-day and 1-year readmission among psychiatric inpatients in Beijing China: a retrospective, medical record-based analysis. BMC psychiatry. 2020;20(1):1-12.
14. Baeza FLC, da Rocha NS, de Almeida Fleck MP. Readmission in psychiatry inpatients within a year of discharge: the role of symptoms at discharge and post-discharge care in a Brazilian sample. Gen Hosp Psychiatry. 2018;51:63-70. doi:
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Haghshenas M, Shahsavaripoor B, AhmadzadAsl M, kheiry M, Shariati B, Davoudi F et al . The Relationship Between Outpatient Visits and Time to Readmission of Psychiatric Inpatients: An 8-Year Follow-Up Study. Journal of Basic Research in Medical Sciences 2024; 11 (4) :34-46
URL: http://jbrms.medilam.ac.ir/article-1-812-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 11, Issue 4 (9-2024) Back to browse issues page
مجله ی تحقیقات پایه در علوم پزشکی Journal of Basic Research in Medical Sciences
Persian site map - English site map - Created in 0.15 seconds with 40 queries by YEKTAWEB 4671