Predictors of psychiatric readmissions in the short- and long-term: a population-based study in Taiwan
Clinics
; 65(5): 481-489, 2010. graf, tab
Artigo
em Inglês
| LILACS
| ID: lil-548628
Biblioteca responsável:
BR1.1
ABSTRACT
OBJECTIVES:
To explore the risks and rates of readmission and their predictors 14 days, one year, and five years after discharge for the psychiatric population in Taiwan.METHODS:
This was a prospective study based on claims from 44,237 first-time hospitalized psychiatric patients discharged in 2000, who were followed for up to five years after discharge. The cumulative incidence and incidence density of readmission were calculated for various follow-up periods after discharge, and Cox proportional hazard models were generated to identify the significant predictors for psychiatric readmission.RESULTS:
The less than 14-day, one-year, and five-year cumulative incidences were estimated at 6.1 percent, 22.3 percent, and 37.8 percent, respectively. The corresponding figures for incidence density were 4.58, 1.04, and 0.69 per 1,000 person-days, respectively. Certain factors were significantly associated with increased risk of readmission irrespective of the length of follow-up, including male gender, length of hospital stay >15 days, economic poverty, a leading discharge diagnosis of schizophrenia/affective disorders, and residence in less-urbanized regions. Compared to children/adolescents, young adults (20-39 years) were significantly associated with increased risks of
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Arranjos de Entrega
/
Coordenação Multissetorial
/
Objetivo 11 Desigualdades e iniquidades na saúde
Base de dados:
LILACS
Assunto principal:
Alta do Paciente
/
Readmissão do Paciente
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Aspecto:
Equidade e iniquidade
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2010
Tipo de documento:
Artigo
País de afiliação:
Taiwan
Instituição/País de afiliação:
Central Taiwan University of Science and Technology/TW
/
Ming Chuan University/TW
/
National Taipei College of Nursing/TW
/
Taipei City Hospital/TW