Predictors of Length of Hospitalization and Impact on Early Readmission for Mental Disorders

Bibliographic Data

ID15460799
AuthorsLia Gentil (0000-0001-6493-2438, Douglas Mental Health University Institute), Guy Grenier (0000-0002-2445-0060, Douglas Mental Health University Institute), Helen‐Maria Vasiliadis (0000-0003-0186-6060, Université de Sherbrooke), Marie‐josée Fleury (0000-0002-4743-8611, Douglas Mental Health University Institute, corresponding author)
Year2022
Volume19
Issue22
Pages15127-15127
Publication date2022-11-16
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph192215127
PMID36429846
OpenAlexW4309608334
LanguageEN
Citations received4
References cited46

Length of hospitalization, if inappropriate to patient needs, may be associated with early readmission, reflecting sub-optimal hospital treatment, and translating difficulties to access outpatient care after discharge. This study identified predictors of brief-stay (1-6 days), mid-stay (7-30 days) or long-stay (≥31 days) hospitalization, and evaluated how lengths of hospital stay impacted on early readmission (within 30 days) among 3729 patients with mental disorders (MD) or substance-related disorders (SRD). This five-year cohort study used medical administrative databases and multinomial logistic regression. Compared to patients with brief-stay or mid-stay hospitalization, more long-stay patients were 65+ years old, had serious MD, and had a usual psychiatrist rather than a general practitioner (GP). Predictors of early readmission were brief-stay hospitalization, residence in more materially deprived areas, more diagnoses of MD/SRD or chronic physical illnesses, and having a usual psychiatrist with or without a GP. Patients with long-stay hospitalization (≥31 days) and early readmission had more complex conditions, especially more co-occurring chronic physical illnesses, and more serious MD, while they tended to have a usual psychiatrist with or without a GP. For patients with more complex conditions, programs such as assertive community treatment, intensive case management or home treatment would be advisable, particularly for those living in materially deprived areas

Mental health · Psychiatry · Adolescent and Pediatric Healthcare · Medicine · Mental Health Treatment and Access · Schizophrenia research and treatment · Emergency Medicine

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