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The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study

BACKGROUND: The rehospitalization of patients with mental disorders is common, with rehospitalization rates of up to 80% observed in these patients. This phenomenon negatively impacts families, patients, and the health care system. Several factors have been associated with an increased likelihood of...

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Autores principales: Jaramillo-Gonzalez, Luis Eduardo, Sanchez-Pedraza, Ricardo, Herazo, Maria Isabel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059735/
https://www.ncbi.nlm.nih.gov/pubmed/24888262
http://dx.doi.org/10.1186/1471-244X-14-161
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author Jaramillo-Gonzalez, Luis Eduardo
Sanchez-Pedraza, Ricardo
Herazo, Maria Isabel
author_facet Jaramillo-Gonzalez, Luis Eduardo
Sanchez-Pedraza, Ricardo
Herazo, Maria Isabel
author_sort Jaramillo-Gonzalez, Luis Eduardo
collection PubMed
description BACKGROUND: The rehospitalization of patients with mental disorders is common, with rehospitalization rates of up to 80% observed in these patients. This phenomenon negatively impacts families, patients, and the health care system. Several factors have been associated with an increased likelihood of rehospitalization. This study was aimed at determining the frequency and the factors associated with rehospitalization in a psychiatric clinic. METHODS: We performed a prospective cohort study with 361 patients who were hospitalized at the Clinic of Our Lady of Peace in Bogota, Colombia from August-December 2009. We calculated the incidence rates of rehospitalization and the risk factors using Cox regression. RESULTS: Overall, 60% of the patients in this cohort were rehospitalized during the year that followed the index event. The variables associated with rehospitalization were separated, divorced, or single status; higher socio-economic strata; a longer duration of index hospitalization; and a diagnosis of substance abuse, schizophrenia, bipolar disorder, or depression. CONCLUSIONS: The rehospitalization rate in our study was as high as reported in other studies. The associated factors with it in this group, may contribute to the design of programs that will reduce the frequency of rehospitalization among patients with mental disorders, in countries like Colombia. Additionally, these results may be useful in interventions, such as coping skills training, psycho-education, and community care strategies, which have been demonstrated to reduce the frequency of rehospitalization.
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spelling pubmed-40597352014-06-17 The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study Jaramillo-Gonzalez, Luis Eduardo Sanchez-Pedraza, Ricardo Herazo, Maria Isabel BMC Psychiatry Research Article BACKGROUND: The rehospitalization of patients with mental disorders is common, with rehospitalization rates of up to 80% observed in these patients. This phenomenon negatively impacts families, patients, and the health care system. Several factors have been associated with an increased likelihood of rehospitalization. This study was aimed at determining the frequency and the factors associated with rehospitalization in a psychiatric clinic. METHODS: We performed a prospective cohort study with 361 patients who were hospitalized at the Clinic of Our Lady of Peace in Bogota, Colombia from August-December 2009. We calculated the incidence rates of rehospitalization and the risk factors using Cox regression. RESULTS: Overall, 60% of the patients in this cohort were rehospitalized during the year that followed the index event. The variables associated with rehospitalization were separated, divorced, or single status; higher socio-economic strata; a longer duration of index hospitalization; and a diagnosis of substance abuse, schizophrenia, bipolar disorder, or depression. CONCLUSIONS: The rehospitalization rate in our study was as high as reported in other studies. The associated factors with it in this group, may contribute to the design of programs that will reduce the frequency of rehospitalization among patients with mental disorders, in countries like Colombia. Additionally, these results may be useful in interventions, such as coping skills training, psycho-education, and community care strategies, which have been demonstrated to reduce the frequency of rehospitalization. BioMed Central 2014-06-02 /pmc/articles/PMC4059735/ /pubmed/24888262 http://dx.doi.org/10.1186/1471-244X-14-161 Text en Copyright © 2014 Jaramillo-Gonzalez et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Jaramillo-Gonzalez, Luis Eduardo
Sanchez-Pedraza, Ricardo
Herazo, Maria Isabel
The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study
title The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study
title_full The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study
title_fullStr The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study
title_full_unstemmed The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study
title_short The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study
title_sort frequency of rehospitalization and associated factors in colombian psychiatric patients: a cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059735/
https://www.ncbi.nlm.nih.gov/pubmed/24888262
http://dx.doi.org/10.1186/1471-244X-14-161
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