FACTORS A SSOCIATED WITH 28-DA Y REHOSPITALIZATION OF PATIENTS WITH SCHIZOPHRENIA IN SOMDET CHAOPRAYA INSTITUTE OF PSYCHIATRY
Keywords:
rehospitalization, schizophreniaAbstract
Objective: To study factors associated with 28-day rehospitalization of patients with schizophrenia in
Somdet Chaopraya Institute of Psychiatry.
Material and Methods: This study is retrospective case control study obtained data from clinical records
of patients with schizophrenia in Somdet Chaopraya Institute of Psychiatry during October 1st, 2015 to
September 31th, 2016 in total number of 336 cases. The aim of the study is the factor associated with 28-
day rehospitalization. Binary logistic regression and Multiple logistic regression were used as statistical
analysis.
Results: 121 cases had 28-day rehospitalized and 215 cases had 28-day not rehospitalized, most of age was 31 – 45 years, single and unemployed. The significant associated factors were substance usage, history of poor drug compliance in this admission, visit before appointment, visit after appointment and duration of illness between 11-20 years.
Conclusion: Factors associated with 28-day rehospitalization of patients with schizophrenia in Somdet
Chaopraya Institute of Psychiatry are substance usage, history of poor drug compliance in this admission,
visit before and after the appointment, and chronicity of illness between 11-20 years.
References
World Health Organization. Available from:http://www.who.int/mediacentre/factsheets/fs397/en/ [2016 Apr l].
Phanthunane P, Vos T, Whiteford H, Bertram M, Udomratn P. Schizophrenia in Thailand: prevalence and burden of disease. Popul Health Metr 2010; 17: 8-24.
Jaramillo-Gonzalez LE, Sanchez-Pedraza R, Herazo MI. The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study. BMC Psychiatry 2014; 2(14): 161.
Boaz TL, Becker MA, Andel R, Van D orn RA, Choi J, Sikirica M. Risk factors for early readmission to acute care for persons with schizophrenia taking antipsychotic medications. Psychiatr Serv 2013; 64(12): 1225-9.
Heslin KC, Weiss AJ. Hospital readmissions involving psychiatric disorders, 2012. Healthcare cost and utilization project (HCUP) statistical briefs. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006.
Durbin J, Lin E, Layne C, Teed M. Is readmission a valid indicator of the quality of inpatient psychiatric care?. J Behav health Serv Res 2007; 34(2): 137-50.
สถาบันจิตเวชศาสตร์สมเด็จเจ้าพระยา. รายงานผลการปฏิบัติงาน ประจำปี 2559. กรุงเทพฯ: สถาบันจิตเวชศาสตร์สมเด็จเจ้าพระยา; 2559.
Busch A.B, Epstein AM, McGuire TG, Normand SL, Frank RG. Thirty-day hospital readmission for medicaid enrollees with schizophrenia: the role of local health care systems. J Ment Health Policy 2015; 18(3): 115-24.
Higashi K, Medic G, Littlewood KJ, Diez T, Granström O, De Hert M. Medication adherence in schizophrenia: factors influencing adherence and consequences of nonadherence, a systematic literature review. Ther Adv Psychopharmacol 2013; 3(4): 200-18.
Chulakadabba S. The study of risk factors for re-Admission in schizophrenic patients at Siriraj hospital 1992-1996. Siriraj Hosp Gaz 1999; 51: 358-65.
Cheng KD, Huang CJ, Tsang HY, Lin CH. Factors related to missed first appointments after discharge among patients with schizophrenia in Taiwan. J Formos Med Assoc 2014; 113(7): 436-41.
Marcus SC, Chuang CC, Ng-Mak DS, Olfson M. Outpatient follow-up care and risk of hospital readmission in schizophrenia and bipolar disorder. Psychiatric Serv 2017; 3: appips201600498.
Kurdyak P, Vigod SN, Newman A, Giannakeas V, Mulsant B.H, Stukel T. Impact of physician follow-up care on psychiatric readmission rates in a population-based sample of patients with schizophrenia. Psychiatric Serv 2017: appips201600507.
Lyons JS, O’Mahoney MT, Miller SI, Neme J, Kabat J, Miller F. Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators. Am J Psychiatry 1997; 154(3): 337-40.
Lin CH, Chen WL, Lin CM, Lee MD, Ko MC, Li CY. Predictors of psychiatric readmissions in the short- and long-term: a population-based study in Taiwan. Clinics 2010; 65(5): 481-9.
Downloads
Published
How to Cite
Issue
Section
License
The articles published are copyright of Journal of Somdet Chaopraya Institute of Psychiatry.
