Predictors of length of hospital stay for patients with late‐onset depression in <scp>J</scp>apan

Matsumoto, Takuya; Kobayashi, Toshiyuki; Kato, Satoshi

doi:10.1111/psyg.12048

Cited by 5 publications

(7 citation statements)

References 23 publications

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“…Moreover, typical symptoms of depression might be masked among men by other signs related to men’s tendency to be overly sexually active, usually in the form of promiscuity or a series of brief affairs [ 27 ]. Nevertheless, as revealed in our study, men in both Poznan and Kiel were hospitalized shorter than women and this finding is in line with results obtained in Japan [ 21 ]. On the one hand, it could be deemed surprising, especially considering the fact that hidden symptoms of depression among men may contribute to a more severe course of depression.…”

Section: Discussionsupporting

confidence: 93%

“…Moreover, it could be even greater if hospitalizations had been equalized in terms of LOHS. Discrepancies in LOHS for patients with depression are quite common and range from 61 days in Canada, through 51 days in Germany, to 11 days in the USA [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…In general, men are known to reveal a reluctance to present concerns about their mental health e.g. due to socioculturally prescribed male roles related to gender-relevant behavior [ 21 , 27 ], and they do not seek mental health care as often as women do [ 6 , 28 ]. Moreover, typical symptoms of depression might be masked among men by other signs related to men’s tendency to be overly sexually active, usually in the form of promiscuity or a series of brief affairs [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

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The economic burden of inpatient care of depression in Poznan (Poland) and Kiel (Germany) in 2016

et al. 2018

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Depression is a global health problem associated with a significant public health burden and costs. Although studies on costs of diseases are being considered as an increasingly important factor for health policies, information concerning costs of inpatient care of depression is still insufficient. Thus, the main aim of this study was to evaluate costs of hospitalization of patients treated in 2016 in psychiatric clinics in Poznan (Poland) and in Kiel (Germany) and to analyze treatment used in these centers. The study was conducted from September 2017 to February 2018. 545 hospital records were considered (187 in Poznan and 358 in Kiel). Eventually, 490 hospital records were included, 168 in Poland and 322 in Germany. In general, the costs were calculated based on the patients’ sex and diagnosis (F32 and F33) separately and, subsequently, the outcomes were added and multiplied by the length of hospital stay, giving the cost of hospitalization. The annual cost of inpatient care of depression in 2016 was EUR 491,067.19 () in Poznan and EUR 2,847,991.00 in Kiel. In Poznan, hospitalization was underfunded reaching EUR 183,042.55 (37.27% of total costs in Poznan). In Poznan, the most frequently prescribed medicine was quetiapine, followed by olanzapine and venlafaxine, whereas in Kiel it was venlafaxine, followed by mirtazapine and promethazine. Although non-pharmacological therapies were commonly used in both centers, in Kiel this type of treatment was better structured. The study confirms the degree of the economic burden of inpatient care of depression. The underfunding of mental health revealed, emphasizes the need for urgent amendment of organization and funding of mental health care in Poland. Patients in Poznan were hospitalized on average 10 days longer than in Kiel, thus a reduction of length of hospitalization in Poznan seems possible. Although pharmacotherapy seemed to be comprehensive in both centers, there were some differences between Poznan and Kiel. Access to non-pharmacological therapies during outpatient care was limited in Poznan, however, compared to Kiel.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The economic burden of inpatient care of depression in Poznan (Poland) and Kiel (Germany) in 2016

et al. 2018

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“…Nuestro estudio en función a la evolución favorable de los pacientes, deja una vez más abierta la posibilidad de que el factor más importante asociado a la estancia hospitalaria, no es el factor clínico, sino que, a pesar del buen manejo de los pacientes y su evolución favorable, se atribuyen factores sociales, personales y judiciales, principalmente, que escapan al control del equipo de salud del personal y por ende al cumplimiento de los estándares establecidos para una adecuada estancia hospitalaria, concordando también con los hallazgos de Cheng (14) , pero contrapuesto a Anderson (15) y Øiesvold (16) , que dan mayor importancia a la complejidad clínica (por ejemplo, estados psicóticos y admisiones planificadas) y no otros factores. Otros estudios de predicción de factores clínicos y el tiempo de hospitalización, no llegan a ser compatibles con los hallazgos particulares de nuestro trabajo (17,18,19) .…”

Section: Discussionunclassified

Características personales, clínicas y sociales en pacientes con estancia hospitalaria prolongada en los pabellones de pacientes agudos del Hospital Víctor Larco Herrera

et al. 2018

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“…With respect to length of stay (LOS) in hospital for mood disorder patients, several correlates have been suggested, ranging from sociodemographic features (age, being a housewife, living alone), clinical features (correlation with life events as being in grief for a loss, number of previous episodes and admissions, melancholic features, negative symptoms, increased dependence for instrumental activities of daily living, comorbid alcohol or drug-related disorders) and treatment type [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

A Snapshot of Treatment of Inpatients with A Mood Disorder Episode: Does Theory Match Everyday Clinical Practice?

Zeppegno¹,

Gramaglia²,

Gattoni³

et al. 2017

Clin Depress

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Mood disorders represent a major cause of hospitalization in psychiatric ward. We focused on sex differences, therapies and rehospitalization rates/length of stay in inpatients with mood disorders. Rehospitalization is often observed in patients with mental disorders, with rates up to 80%. Socio-demographic features, clinical features and treatment type influence the length of stay. The objective of this study was to assess how the literature findings match everyday clinical practice in an acute psychiatric ward. We performed a retrospective observational study extracting data from our medical records from 1 st July 2012 to 1 st July 2014. 85 patients were eligible for the study; the overall number of admittances to the ward was 103. We have not found any difference in the rates of Bipolar Disorder between males and females, we failed to find an higher frequency of Depressive disorders in females. In our sample the rates of early readmission is 17.5%. Patients with an involuntary admission included exclusively those with a manic or hypomanic episode; patients with depressive episodes were more likely to have committed a suicide attempt.

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Predictors of length of hospital stay for patients with late‐onset depression in Japan

Abstract: These results suggest that job status, changes in household circumstances and the failure of initial treatment is responsible for the long LOHS in Japan.

Cited by 5 publications

References 23 publications

The economic burden of inpatient care of depression in Poznan (Poland) and Kiel (Germany) in 2016

The economic burden of inpatient care of depression in Poznan (Poland) and Kiel (Germany) in 2016

Características personales, clínicas y sociales en pacientes con estancia hospitalaria prolongada en los pabellones de pacientes agudos del Hospital Víctor Larco Herrera

A Snapshot of Treatment of Inpatients with A Mood Disorder Episode: Does Theory Match Everyday Clinical Practice?

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