Brief Communication: Factors Affecting Rehospitalisation in Psychiatric Patients in Singapore

Mahendran, Rathi; Mythily,; Chong, Siow‐Ann; Chan, Yiong Huak

doi:10.1177/0020764005053264

Cited by 17 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As concluded by Fernandez et al [5] methodological reasons account for such a wide variation. In the presence study, we did not find any statistically significant correlation between rehospitalization and socio demographic variables like Sex, Religion, Occupation, Domicile, distance from hospital, Marital Status and Family structure which is in accordance with the findings of previous studies [4,7] but contrary to the findings of two studies conducted in the US [9] in 2006 and Singapore [10] in 2005 that found that male gender was associated with an increased risk of 20-month and one-year rehospitalization rates among acute psychiatric inpatients and schizophrenic patients, respectively. Fernandez et al [5] found significant positive correlation between rehospitalization and the distance of less than 50km from the hospital.…”

Section: Discussionsupporting

confidence: 84%

Rehospitalization in Schizophrenia: Socio Demographic and Clinical Correlates

Parikh

Patel

2014

Int J Med Res Rev

View full text Add to dashboard Cite

Rehospitalisation is an important research tool with two major utility aspects. It is a reliable and valid measure for assessing the course of schizophrenia and a measure of hospital effectiveness. Objectives: The study aimed at finding out the rate of rehospitalization and comparing the various socio-demographic and clinical correlates of rehospitalization in schizophrenia and the reason for rehospitalization amongst first admissions and rehospitalizations. Material and Method: It was a cross sectional study, using DSM-4 and a specially designed semi structured proforma, carried out in 50 consecutive indoor patients of schizophrenia who were grouped into two: first admissions and rehospitalization. These two groups were compared regarding socio-demographic and clinical variables using the SPSS version 20 for probability. Results: A substantial 54% of the total patients were rehospitalisation cases. 85.19% of the readmitted group had illness duration of more than 2 years. Non-medical treatment sought by patient's relatives before hospitalization was 73.91% among the first admission as compared to only 18.51% (P<0.05) of rehospitalization group. Rehospitalizations were positively and significantly correlated with older age, low educational level (p<0.05) and low income level. Conclusion: We observed that de novo cases wasted significantly more time before coming for treatment which stresses the need for psychoeducation of schizophrenia caretakers. Our study also found that economic status and education level significantly affect rehospitalisation. This highlights importance of socioeconomic factors in the prediction of rehospitalisation along with clinical correlates.

show abstract

Section: Discussionsupporting

confidence: 84%

Rehospitalization in Schizophrenia: Socio Demographic and Clinical Correlates

Parikh

Patel

2014

Int J Med Res Rev

View full text Add to dashboard Cite

show abstract

“…Two recent studies conducted in the US21 and Singapore,22 on the other hand, found that male gender was associated with an increased risk of 20-month and one-year readmission rates among acute psychiatric inpatients and schizophrenic patients, respectively. Our study showed that male gender was a significant risk factor not only for <14-day readmission but also for <five-year readmission.…”

Section: Discussionmentioning

confidence: 99%

Predictors of psychiatric readmissions in the short- and long-term: a population-based study in taiwan

Lin

Chen

Lin

et al. 2010

Clinics

View full text Add to dashboard Cite

OBJECTIVESTo 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.METHODSThis 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.RESULTSThe less than 14-day, one-year, and five-year cumulative incidences were estimated at 6.1%, 22.3%, and 37.8%, 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

show abstract

“…The leading risk factors are being male [20], being younger [1, 21], substance abuse, and medication non-adherence [19, 22]. However, there is a relative paucity of studies looking at the link between health and changes in the setting because of a lack of detailed information about health status and residential changes over time [23], particularly for patients with SMI [2].…”

Section: Introductionmentioning

confidence: 99%

Homesick: residential and care patterns in patients with severe mental illness

et al. 2016

View full text Add to dashboard Cite

BackgroundChanges in the residential and care settings of patients with severe mental illness (SMI) are a concern because of the large variety of possible negative consequences. This study describes patterns of changes in the residential and care settings of SMI patients and explores associations between these changes, sociodemographics, and clinical characteristics.MethodsFrom January 2006 to January 2012, all data relating to changes in residential and/or care setting by SMI patients (N = 262) were collected from electronic case files. Data covering psychopathology, substance use, and medication adherence were assessed in 2006.ResultsThere were more changes in the residential than in the care setting. In 6 years, only 22% of our sample did not move, 23% changed residence once, 19% twice, 10% three times, and 26% four or more times. Substance use predicted changes of care and/or residential setting and rehospitalisation. The severity of negative symptoms predicted rehospitalisation and duration of hospitalisation. Disorganisation symptoms predicted the duration of hospitalisation.ConclusionsA majority of patients with SMI changed residential and/or care settings several times in 6 years. Patients with substance use or severe negative and disorganisation symptoms may need more intensive and customised treatment. Further research is needed to investigate prevention programmes for highly-frequent movers.

show abstract

Brief Communication: Factors Affecting Rehospitalisation in Psychiatric Patients in Singapore

Abstract: Our study has identified male gender, history of self-harm and a short duration of illness to be risk factors for 'revolving door' phenomena.

Cited by 17 publications

References 11 publications

Rehospitalization in Schizophrenia: Socio Demographic and Clinical Correlates

Rehospitalization in Schizophrenia: Socio Demographic and Clinical Correlates

Predictors of psychiatric readmissions in the short- and long-term: a population-based study in taiwan

Homesick: residential and care patterns in patients with severe mental illness

Contact Info

Product

Resources

About