Predictors of Length of Stay in a Psychiatric Ward Serving Active Duty Military and Civilian Patients

McLay, Robert N.; Daylo, Amado A.; Hammer, Paul S.

doi:10.7205/milmed.170.3.219

Cited by 20 publications

(18 citation statements)

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“…This is similar to previous studies [7,[14][15][16][17][18] which also observed that these disorders were associated with a longer hospital stay. Master et al explained that this group of disorders are chronic and debilitating, often requiring a longer time for resolution of symptoms and special forms of treatment such as drug dependence treatment and rehabilitation in therapeutic communities [14].…”

Section: Discussionsupporting

confidence: 82%

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Correlates of Length of Admission among Patients Discharged in a Mono-specialist Neuropsychiatric Hospital in Nigeria

Lucky¹,

Oladipo²,

Opeyemi³

et al. 2017

Clinical Psychiatry

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Introduction: The concept of length of admission among psychiatric patients may be used as an indicator of service efficiency, quality of care and also for planning and distribution of hospital resources. Most studies on length of stay among psychiatric patients in Nigeria were conducted in Psychiatry department of tertiary hospitals with rarity of such studies in psychiatric mono-specialist where we have bulk of in-patients.

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Section: Discussionsupporting

confidence: 82%

“…This is in keeping with previous studies [7,8,[16][17][18]. The common depot preparation (fluphenazine decanoate and flupenthixol decanoate) used in the study centre are 1st generation antipsychotics which may be associated with extrapyramidal side effects in addition to other possible motor disorders [19,20].…”

Section: Discussionsupporting

confidence: 53%

Correlates of Length of Admission among Patients Discharged in a Mono-specialist Neuropsychiatric Hospital in Nigeria

Lucky¹,

Oladipo²,

Opeyemi³

et al. 2017

Clinical Psychiatry

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“…Previous studies 17,[21][22][23][24] have also shown that older age, cognitive impairment, 23,24 functional dependence, 23 as well as the presence of multiple comorbidities and physical illnesses 25 were associated with longer hospital LOS for psychiatric patients. Additionally, diagnoses of schizophrenia, 26,27 psychotic or mood disorders, 21,22 and the presence of aggression or agitation 26 are associated with longer hospital stays.…”

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confidence: 99%

“…Additionally, diagnoses of schizophrenia, 26,27 psychotic or mood disorders, 21,22 and the presence of aggression or agitation 26 are associated with longer hospital stays. Our study's objective was to describe psychiatric patients occupying acute beds in a psychiatric unit and based on their needs, to determine the level of care required (acute, compared with nonacute) at day 30 of hospitalization.…”

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confidence: 99%

Characteristics and Needs of Psychiatric Patients with Prolonged Hospital Stay

et al. 2015

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Objective: To describe the characteristics and needs prior to, on admission, during the first month in hospital, at the thirtieth day of hospitalization and posthospital discharge of psychiatric patients occupying acute beds.Methods: This prospective observational study was conducted in 2 tertiary care hospitals. Adult patients hospitalized on a psychiatric unit for 30 days were identified. Data was collected from their medical charts and interviews with their health care team. The categorization of acute and nonacute status at day 30 was based on the health care professional's evaluation. Descriptive and univariate analyses were performed.Results: A total of 262 patients were identified (mean age 45 years), 66% lived at home and 11% were homeless. More than one-half were cognitively impaired and a few had special medical needs. Ninety-seven per cent had been admitted from the emergency department. At day 30, 81% of patients required acute care, while 19% (95% CI 15% to 24%) occupied an acute care bed, despite the resolution of their acute condition. The main reason preventing discharge of nonacute patients was the difficulty or inability to find appropriate resources that met patients' needs. As for patients who required acute care, the most common psychiatric issues were delusions or hallucinations (34%), inability to take medications independently (23.6%), and inadequate control of aggression or impulsivity (16.5%). Conclusions:Prevention of the discharge of nonacute patients is largely due to the difficulty in finding appropriate resources that meet patients' needs. Improved access to community and subacute care resources could potentially facilitate the hospital discharge of psychiatric nonacute patients. W W W Caractéristiques et besoins des patients psychiatriques dont le séjour à l'hôpital est prolongéObjectif : Décrire les caractéristiques et les besoins, avant l'hospitalisation, au moment de l'admission, durant le premier mois, au 30 e jour d'hospitalisation et après le congé de l'hôpital de patients psychiatriques occupant des lits de soins actifs.Méthode : Cette étude d'observation prospective a été menée dans 2 hôpitaux de soins tertiaires. Les patients adultes hospitalisés dans une unité psychiatrique pendant 30 jours ont été identifiés. Les données ont été recueillies dans leurs dossiers médicaux et par des entrevues avec leur équipe de soins de santé. La catégorisation du statut aigu et non aigu au 30 e jour se fondait sur l'évaluation des professionnels de la santé. Des analyses descriptives et univariées ont été exécutées.Résultats : Un total de 262 patients ont été identifiés (âge moyen 45 ans), dont 66 % vivaient à la maison et 11 % étaient sans abri. Plus de la moitié étaient cognitivement déficients et quelques-uns avaient des besoins médicaux spéciaux. Quatre-vingt

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“…The average hospital length of stay (AHLS) of psychiatric inpatients is often reported to be longer compared with AHLS of inpatients of somatic clinics . The reason for this can lie in a range of chronic and frequently disabling conditions including the severity of many mental disorders, high readmission rates, or the need of compulsory treatment . Older people with mental illness may have a particularly extensive AHLS because they are more likely to have comorbid somatic illness, medical complications, and social problems, which may cause difficulties with treatment and delay discharge from the hospital …”

Section: Introductionmentioning

confidence: 99%

Hospital length of stay among older people treated with flexible and integrative psychiatric service models in Germany

Ignatyev

Mundt

Peter

et al. 2019

Int J Geriat Psychiatry

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Objective Since 2012, a new law (§64b, Book V of the Social Security Code [SGB V]) regulates the implementation of flexible and integrative psychiatric treatment projects (FIT64b) in Germany. FIT64b allows rapid discharge of patients from inpatient to outpatient settings and cost reductions of hospital stays. Several psychiatric centres exclusively provide FIT64b; others provide FIT64b alongside with standard health care. The aim of the study was to assess the average hospital length of stay (AHLS) of older patients with mental illness included in FIT64b projects. Methods A secondary data analysis was conducted using administrative data from eight German mental health centres providing FIT64b. The effects of gender, age, type of centre, and main diagnosis on AHLS were calculated for all older patients with age 65 years or older (n = 3495) treated in FIT64b in the year 2016. Data were analysed with descriptive statistics and robust multiway procedures. Results The AHLS of older people with mental illness was 4.8 (SD = 11.5) days. The AHLS was shorter in centres exclusively providing FIT64b than in centres providing FIT64b alongside with standard health care: 3.2 (SD = 6.4) vs 8.4 (SD = 17.8) days, P = .001. This difference was particularly marked among patients with schizophrenia spectrum disorders, mood disorders, and neurotic, stress‐related, and somatoform disorders. Conclusions FIT64b relates to very short AHLS even among older people. Centres using FIT64b alongside with standard health care usually provide standard care to most patients, which could lead to lower fidelity in the implementation of FIT64b.

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Predictors of Length of Stay in a Psychiatric Ward Serving Active Duty Military and Civilian Patients

Cited by 20 publications

References 0 publications

Correlates of Length of Admission among Patients Discharged in a Mono-specialist Neuropsychiatric Hospital in Nigeria

Correlates of Length of Admission among Patients Discharged in a Mono-specialist Neuropsychiatric Hospital in Nigeria

Characteristics and Needs of Psychiatric Patients with Prolonged Hospital Stay

Hospital length of stay among older people treated with flexible and integrative psychiatric service models in Germany

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