The characteristics of psychiatric patients readmitted within a month of discharge

Marks, Frances

doi:10.1017/s0033291700029445

Cited by 27 publications

(6 citation statements)

References 16 publications

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“…In our study, 55.56% of the patients had had more than one previous admissions which is slightly higher than the result (44%) of other studies, Behere et al [ [11], which were conducted in general psychiatric patients. As also studied in India by Malhotra et al [7] and Behere et al [16], the percentage of more than one previous admission is 35 and 23 respectively.…”

Section: Discussioncontrasting

confidence: 73%

“…Our findings suggest a longer duration of hospital stay during rehospitalizations which is in accordance with the findings of Malhotra et al [7] in 1982 who concluded that hospital stay of rehospitalizations was longer in general hospital psychiatric unit. Rosenblatt and Mayer [15], Marks [11], contend that rehospitalizations are consistently correlated with short length of hospital stay than previous admissions.…”

Section: Discussionmentioning

confidence: 99%

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Rehospitalization in Schizophrenia: Socio Demographic and Clinical Correlates

Parikh

Patel

2014

Int J Med Res Rev

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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.

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Section: Discussioncontrasting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Rehospitalization in Schizophrenia: Socio Demographic and Clinical Correlates

Parikh

Patel

2014

Int J Med Res Rev

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“…Readmissions have been taken as a sign of failure of outpatient care both to the patients and to the medical staff, and comparisons of readmission rates of different institutions are often taken as one of the criteria of their relative successful treatment (Marks, 1977) Even though the term 'Revolving Door' has been generally used to define patients with chronic psychiatric disorders that require multiple hospitalizations, many authors have used different RD criteria. These inconsistencies pose practical problems for the development of policies that require a specific, constant and operational definition, allowing the identification of patients at risk and their needs and planning effective programs for them (Bachrach, 1988).…”

Section: Discussionmentioning

confidence: 99%

The revolving door phenomenon in severe psychiatric disorders: A systematic review

Barbosa

Marques

2023

Int J Soc Psychiatry

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Background: The treatment of psychiatric patients has suffered a major change over the last decades, with long-term hospitalizations being replaced by short-term stays and appropriate aftercare in outpatient services. Some chronically ill patients exhibit a pattern of multiple hospitalizations, designated as the Revolving Door (RD) phenomenon. Aims: This review aims to analyse the existing literature regarding sociodemographic, clinical and other factors associated with multiple hospitalizations in psychiatric facilities. Method: The search performed in the PubMed database for the terms revolving[Title] AND (psyc*[Title] OR schizo*[Title] OR mental[Title]) presented 30 citations, 8 of which met the eligibility criteria. Four other studies found in references of these articles were also included in the review. Results: Albeit the use of different criteria to define the RD phenomenon, it is more likely to be associated with patients who are younger, single, with low educational level, unemployed, diagnosed with a psychotic disorder, particularly schizophrenia, and with alcohol and/or substance use. It is also associated with a younger age on disease onset, suicidality, noncompliance and voluntary type of admission. Conclusion: Recognizing patients with a RD pattern of admissions and prediction of rehospitalization can help the development of preventive intervention strategies and identify potential limitations in existing health care delivery systems.

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“…There is no consensus on what time period defines a "failed discharge" which makes it difficult to compare rates; authors have adopted definitions of one month, three months, six months and even 12 months. According to the Camberwell Register, 9-14% of all admissions during 1965-70 were readmissions within one month of discharge (Marks, 1977).…”

Section: Commentmentioning

confidence: 99%

Audit in psychiatry: “failed discharges”

Jones¹

1991

Psychiatr. bull.

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Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patients (Department of Health, 1989). The medical profession has been under pressure to extend and improve audit procedures in recent years (McKee et al, 1989), but there have been doubts about the most satisfactory methods, particularly in psychiatry (Garden & Oyebode, 1989). There are numerous methodological problems in measuring the outcome of psychosocial care (Shaw, 1989; Royal College of Psychiatrists, 1989). Indicators of outcome which have been used in medicine include incidence of adverse events. Reintervention rates do offer some measure of outcome, and have been used widely in other medical specialities.

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The characteristics of psychiatric patients readmitted within a month of discharge

Cited by 27 publications

References 16 publications

Rehospitalization in Schizophrenia: Socio Demographic and Clinical Correlates

Rehospitalization in Schizophrenia: Socio Demographic and Clinical Correlates

The revolving door phenomenon in severe psychiatric disorders: A systematic review

Audit in psychiatry: “failed discharges”

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