Relationship between whether the planned discharge destination is decided and locomotive syndrome for admitted patients in psychiatric long-term care wards

Abstract

We focused on locomotive syndrome as a low physical function factor that may prevent patients with psychiatric disease from being discharged. The purpose of this study is to clarify the factors, including locomotive syndrome, that prevent discharge from psychiatric long-term care wards. Method: We enrolled 74 patients who were admitted to psychiatric long-term care wards at three different hospitals in Japan. Nurses or medical social workers in the ward were asked whether the planned discharge destination had been decided, and patients were categorized into a decided group and an undecided group. Outcome measures were age, sex, F code in the ICD-10 Classification of Mental and Behavioral Disorders, length of stay, chlorpromazine equivalent dose of antipsychotics, locomotive syndrome test scores (25question GLFS, two-step test, stand-up test), and Barthel Index. Results: Based on the multivariate logistic regression analysis results, the length of stay and the two-step test score significantly explained the difference between the two groups. The odds ratio of a length of stay greater than 10 years was 8.42 times that of a length of stay less than 2 years (P=0.012, 95% CI=1.59, 44.53). Regarding the twostep test, the odds ratio for obtaining stage 2 was 10.62 times that for obtaining stage 0 (P=0.013, 95% CI=1.65, 68.23). Conclusion: Those who with longer length of stays and lower two-step test scores tended not to be decided the planned discharge destination.

Outcomes of Physiotherapy on Activities of Daily Living and Discharge to the Community in Psychiatric Long-term Care Ward Patients

“…In addition, the longer the LOS, the less likely the patients were to be discharged at the end of physiotherapy (Table 1). Previous studies 17,18) of patients who did not receive physiotherapy showed that prolonged hospitalization was an impediment to the decision to discharge. Among psychiatric wards, patients with schizophrenia have been found to have particularly prolonged LOS 17) , and in addition, a large percentage of patients admitted to psychiatric long-term care wards also have locomotive syndrome, and it has been pointed out that locomotive syndrome is also associated with prolonged LOS 18) .…”

Association between Locomotive Syndrome and Physical Activity in Long-Term Inpatients of Psychiatric Care Wards in Japan: A Preliminary Study

“…Therefore, longitudinal studies that clarify causal relationships are needed, along with studies that examine the effects of efforts aiming to prevent the decline of motor functioning, including LS, in psychiatric inpatients. Finally, Kota et al [ 37 ] reported that among patients admitted to a psychiatric ward, LS risk as judged by the two-step test is associated with the decision of discharge to the community. We believe that it is necessary to investigate whether improving motor functioning can facilitate patient discharge.…”

Investigations on the Respiratory Function in COVID-19 Patients: A Prospective Cohort Study

“…The test was performed in a wide flat space in the hospitals under adequate protection Activities of daily living: the Barthel Index (BI) was used for the evaluation. The BI is a widely used scale for the functional assessment of independence level in various diseases, and its validity and reliability have been verified [ 11 ] QOL: The MOS item short from the health survey (SF-36) was used to evaluate the patients' QOL. The SF-36 consists of 36 questions, with a total score ranging from 0 to 100, which is computed for eight areas and the physical and mental summary scores.…”

“…Activities of daily living: the Barthel Index (BI) was used for the evaluation. The BI is a widely used scale for the functional assessment of independence level in various diseases, and its validity and reliability have been verified [ 11 ]…”