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Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review
AIMS: This study aimed to conduct a systematic review of studies on the outcomes of long-term hospitalisation of individuals with severe mental illness, considering readmission rates as the primary outcome. METHODS: Studies considered were those in which participants were aged between 18 and 64 year...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10612306/ https://www.ncbi.nlm.nih.gov/pubmed/37891519 http://dx.doi.org/10.1186/s12888-023-05290-x |
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author | Sato, Sayaka Nakanishi, Miharu Ogawa, Makoto Abe, Makiko Yasuma, Naonori Kono, Toshiaki Igarashi, Momoka Iwanaga, Mai Kawaguchi, Takayuki Yamaguchi, Sosei |
author_facet | Sato, Sayaka Nakanishi, Miharu Ogawa, Makoto Abe, Makiko Yasuma, Naonori Kono, Toshiaki Igarashi, Momoka Iwanaga, Mai Kawaguchi, Takayuki Yamaguchi, Sosei |
author_sort | Sato, Sayaka |
collection | PubMed |
description | AIMS: This study aimed to conduct a systematic review of studies on the outcomes of long-term hospitalisation of individuals with severe mental illness, considering readmission rates as the primary outcome. METHODS: Studies considered were those in which participants were aged between 18 and 64 years with severe mental illness; exposure to psychiatric hospitals or wards was long-term (more than one year); primary outcomes were readmission rates; secondary outcomes were duration of readmission, employment, schooling, and social participation; and the study design was either observational or interventional with a randomised controlled trial (RCT) design. Relevant studies were searched using MEDLINE, PsycINFO, Web of Science, CINAHL, and the Japan Medical Abstract Society. The final search was conducted on 1 February 2022. The risk of bias in non-randomised studies of interventions was used to assess the methodological quality. A descriptive literature review is also conducted. RESULTS: Of the 11,999 studies initially searched, three cohort studies (2,293 participants) met the eligibility criteria. The risk of bias in these studies was rated as critical or serious. The 1–10 years readmission rate for patients with schizophrenia who had been hospitalised for more than one year ranged from 33 to 55%. The average of readmission durations described in the two studies was 70.5 ± 95.6 days per year (in the case of a 7.5-year follow-up) and 306 ± 399 days (in the case of a 3–8-year follow-up). None of the studies reported other outcomes defined in this study. CONCLUSIONS: The readmission rates in the included studies varied. Differences in the follow-up period or the intensity of community services may have contributed to this variability. In countries preparing to implement de-institutionalisation, highly individualised community support should be designed to avoid relocation to residential services under supervision. The length of stay for readmissions was shorter than that for index admissions. The results also imply that discharge to the community contributes to improved clinical outcomes such as improved social functioning. The validity of retaining patients admitted because of the risk of rehospitalisation was considered low. Future research directions have also been discussed. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-023-05290-x. |
format | Online Article Text |
id | pubmed-10612306 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-106123062023-10-29 Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review Sato, Sayaka Nakanishi, Miharu Ogawa, Makoto Abe, Makiko Yasuma, Naonori Kono, Toshiaki Igarashi, Momoka Iwanaga, Mai Kawaguchi, Takayuki Yamaguchi, Sosei BMC Psychiatry Research AIMS: This study aimed to conduct a systematic review of studies on the outcomes of long-term hospitalisation of individuals with severe mental illness, considering readmission rates as the primary outcome. METHODS: Studies considered were those in which participants were aged between 18 and 64 years with severe mental illness; exposure to psychiatric hospitals or wards was long-term (more than one year); primary outcomes were readmission rates; secondary outcomes were duration of readmission, employment, schooling, and social participation; and the study design was either observational or interventional with a randomised controlled trial (RCT) design. Relevant studies were searched using MEDLINE, PsycINFO, Web of Science, CINAHL, and the Japan Medical Abstract Society. The final search was conducted on 1 February 2022. The risk of bias in non-randomised studies of interventions was used to assess the methodological quality. A descriptive literature review is also conducted. RESULTS: Of the 11,999 studies initially searched, three cohort studies (2,293 participants) met the eligibility criteria. The risk of bias in these studies was rated as critical or serious. The 1–10 years readmission rate for patients with schizophrenia who had been hospitalised for more than one year ranged from 33 to 55%. The average of readmission durations described in the two studies was 70.5 ± 95.6 days per year (in the case of a 7.5-year follow-up) and 306 ± 399 days (in the case of a 3–8-year follow-up). None of the studies reported other outcomes defined in this study. CONCLUSIONS: The readmission rates in the included studies varied. Differences in the follow-up period or the intensity of community services may have contributed to this variability. In countries preparing to implement de-institutionalisation, highly individualised community support should be designed to avoid relocation to residential services under supervision. The length of stay for readmissions was shorter than that for index admissions. The results also imply that discharge to the community contributes to improved clinical outcomes such as improved social functioning. The validity of retaining patients admitted because of the risk of rehospitalisation was considered low. Future research directions have also been discussed. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-023-05290-x. BioMed Central 2023-10-27 /pmc/articles/PMC10612306/ /pubmed/37891519 http://dx.doi.org/10.1186/s12888-023-05290-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Sato, Sayaka Nakanishi, Miharu Ogawa, Makoto Abe, Makiko Yasuma, Naonori Kono, Toshiaki Igarashi, Momoka Iwanaga, Mai Kawaguchi, Takayuki Yamaguchi, Sosei Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review |
title | Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review |
title_full | Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review |
title_fullStr | Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review |
title_full_unstemmed | Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review |
title_short | Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review |
title_sort | rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10612306/ https://www.ncbi.nlm.nih.gov/pubmed/37891519 http://dx.doi.org/10.1186/s12888-023-05290-x |
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