Factors related to readmission to a ward for dementia patients: Sex differences

Ono, Toshiyuki; Tamai, Akira; Takeuchi, Daisuke; Tamai, Yuzuru

doi:10.1111/j.1440-1819.2011.02251.x

Cited by 16 publications

(52 citation statements)

References 9 publications

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“…In particular, Priebe et al [14] considered the readmission rate per person-year, while in other cases separate analysis were made for psychiatric versus non-psychiatric reasons [15]. Furthermore, case patients readmitted during a given time-period vs a control group of non-readmitted within a longer period [16], or early vs late readmission vs control patients [17, 18] or readmitted vs several groups of non-readmitted [19] (community and nursing home) were compared.…”

Section: Resultsmentioning

confidence: 99%

“…Some studies focused on at least one substance use disorder (alcohol dependence, alcohol abuse, alcoholic psychosis, drug dependence, drug abuse, drug psychosis) or inpatients in a substance abuse treatment program with a main alcohol/drug diagnosis or dual diagnosis patients [15, 21–24, 32]. Five studies were restricted to diagnosis of schizophrenia or schizoaffective disorders or psychosis [33–37]; four to diagnosis of affective disorder [19, 26, 38, 39]; two to diagnosis of dementia [18, 40]. …”

Section: Resultsmentioning

confidence: 99%

“…A huge variation in the mean age (when reported) could be noticed across papers resulting in the range 25–55 years, excluding the papers focusing on the late middle age or older [15, 18–21, 40]. …”

Section: Resultsmentioning

confidence: 99%

“…Living in care (vs alone or with family) was found as a protective factor in Dixon et al [30], and Russo et al [59] found homelessness as a risk factor at bivariate level, while living alone was found as protective in Priebe [14] and in Adams [60]. In Ono et al [18], the variable “number of cohabitants” was considered, a larger number turning out to be a protective factor for readmission.…”

Section: Categories Of Pre-discharge Variables Analysedmentioning

confidence: 99%

“…Other different measures of functioning resulted significant in some papers at bivariate and multivariate level. In this latter case, activity of daily living dysfunction was found as a risk factor ([50] and, for women with dementia, both at admission and at discharge [18]).…”

Section: Categories Of Pre-discharge Variables Analysedmentioning

confidence: 99%

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Pre-discharge factors predicting readmissions of psychiatric patients: a systematic review of the literature

et al. 2016

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BackgroundReadmission rate is considered an indicator of the mental health care quality. Previous studies have examined a number of factors that are likely to influence readmission. The main objective of this systematic review is to identify the studied pre-discharge variables and describe their relevance to readmission among psychiatric patients.MethodsStudies on the association between pre-discharge variables and readmission after discharge with a main psychiatric diagnosis were searched in the bibliographic databases Ovid Medline, PsycINFO, ProQuest Health Management and OpenGrey. Relevant publications published between January 1990 and June 2014 were included. For each variable, the number of papers that considered it as a predictor of readmission and that found a significant association was recorded, together with the association direction and whether it was found respectively in bivariate and in multivariate analyses.ResultsOf the 734 articles identified in the search, 58 papers were included in this review, mainly from the USA and concerning patients with severe mental disorders. Analysed variables were classified according to the following categories: patients’ demographic, social and economic characteristics; patients’ clinical characteristics; patients’ clinical history; patients’ attitude and perception; environmental, social and hospital characteristics; and admission and discharge characteristics. The most consistently significant predictor of readmission was previous hospitalisations. Many socio-demographic variables resulted as influencing readmission, but the results were not always homogeneous. Among other patients’ clinical characteristics, diagnosis and measures of functional status were the most often used variables. Among admission characteristics, length of stay was the main factor studied; however, the results were not very consistent. Other relevant aspects resulted associated with readmission, including the presence of social support, but they have been considered only in few papers. Results of quality assessment are also reported in the review. The majority of papers were not representative of the general psychiatric population discharged from an inpatient service. Almost all studies used multivariate analytical methods, i.e., confounders were controlled for, but only around 60% adjusted for previous hospitalisation, the variable most consistently considered associated to readmission in the literature.ConclusionsThe results contribute to increase knowledge on pre-discharge factors that could be considered by researchers as well as by clinicians to predict and prevent readmissions of psychiatric patients. Associations are not always straightforward and interactions between factors have to be considered.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-016-1114-0) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Categories Of Pre-discharge Variables Analysedmentioning

confidence: 99%

Section: Categories Of Pre-discharge Variables Analysedmentioning

confidence: 99%

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Pre-discharge factors predicting readmissions of psychiatric patients: a systematic review of the literature

et al. 2016

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Hospital readmission in persons with dementia: A systematic review

Bao

Dull

et al. 2019

Int J Geriat Psychiatry

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Objective Hospital readmission in persons with dementia is becoming a critical safety and cost issue. The purpose of this review is to systematically assess published evidence on hospital readmissions in persons with dementia, including rate, clinical reasons, risk factors, and prevention programs. Methods A systematic review of relevant literature was conducted. Literature were searched in PubMed, CINAHL, PsycINFO, and Embase as well as hand searching. Quality of reviewed studies were assessed independently by reviewers using quality assessment checklists. Results Nineteen studies met the inclusion criteria and were reviewed. In persons with dementia, all‐cause 30‐day readmission rate was most frequently reported and ranged from 7% to 35%. Compared with those without dementia, persons with dementia had significantly higher rate of readmission. Reported risk factors of readmission varied across studies from patient sociodemographic and clinical status, history of health care utilization, to family caregivers. Reasons for readmission were rarely documented. Programs of home‐based individualized care and interdisciplinary team care were used for preventing readmissions. Findings from some of the studies were limited by small sample sizes, single data source, and other methodologic flaws. Conclusions Persons with dementia are at high risk for hospital readmission, but many of the readmissions are potentially preventable. Multiple strategies such like identifying high‐risk individuals and the clinical reasons for index admission and readmission and implementing home‐based individualized care by interdisciplinary team can reduce preventable hospital readmissions. Future studies should use multiple national data sources and advanced methodology to identify risk factors and clinical reasons of hospital readmissions.

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