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Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study

BACKGROUND: Psychiatric morbidity burden accounts 12.45% of the disease admission burden in Ethiopia; only two referral hospitals are found to manage all cases. The aim of this study is to assess the predictors of patient outcomes. METHOD: A 3 years retrospective patients’ cards, charts and medical...

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Autores principales: Tadesse, Sinan, Gizaw, Abraham Tamirat, Abraha, Getachew Kirose, Gebretsadik, Lakew Abebe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5471740/
https://www.ncbi.nlm.nih.gov/pubmed/28630647
http://dx.doi.org/10.1186/s13033-017-0148-0
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author Tadesse, Sinan
Gizaw, Abraham Tamirat
Abraha, Getachew Kirose
Gebretsadik, Lakew Abebe
author_facet Tadesse, Sinan
Gizaw, Abraham Tamirat
Abraha, Getachew Kirose
Gebretsadik, Lakew Abebe
author_sort Tadesse, Sinan
collection PubMed
description BACKGROUND: Psychiatric morbidity burden accounts 12.45% of the disease admission burden in Ethiopia; only two referral hospitals are found to manage all cases. The aim of this study is to assess the predictors of patient outcomes. METHOD: A 3 years retrospective patients’ cards, charts and medical notes review in psychiatry case admission department of Jimma university teaching and training specialised hospital was conducted. All the admitted cases included in this study. Bivariate and multivariable logistic regression analyses were conducted to identify independent predictors of outcomes. RESULT: Among 402 study participants, the majority of them 301 (74.9%), were improved from their mental illnesses. First to eight grades completed study participants were found to be 1.34 times more likely improved mental illness than not able to read or write [AOR = 1.34, 95% CI (1.18–2.78), P < 0.009)]. The probability of improving from mental illness on married study participants was found 2.81 times more likely than single study participants [AOR = 2.81, CI (1.90–4.50), P < 0.043]. First time admitted cases improved 2.82 times more likely than those having a previous admission history [AOR = 2.82, CI (2.05–3.17), P < 0.05]. Duration of stay from 31 to 44 days showed more likely than from 1 to 20 days on patient improvement, [AOR = 1.88, CI (1.42–2.65), P < 0.034]. However, the hospital stay above 44 days does not show any statistical association with patient’s medical improvement. CONCLUSION: Married, better educated, and the hospital stay of one to one-and-half month predicts better health outcome. Thus, this study suggests, psychiatric case management needs the collaborative care of the family in concurrence with counselling and guidance with enough time to better-off patients’ outcomes. Our findings are useful in designing and improving—patient services for psychiatric patient programs and focused health communication and counselling strategies in relation to psychoactive substances in Ethiopia.
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spelling pubmed-54717402017-06-19 Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study Tadesse, Sinan Gizaw, Abraham Tamirat Abraha, Getachew Kirose Gebretsadik, Lakew Abebe Int J Ment Health Syst Research BACKGROUND: Psychiatric morbidity burden accounts 12.45% of the disease admission burden in Ethiopia; only two referral hospitals are found to manage all cases. The aim of this study is to assess the predictors of patient outcomes. METHOD: A 3 years retrospective patients’ cards, charts and medical notes review in psychiatry case admission department of Jimma university teaching and training specialised hospital was conducted. All the admitted cases included in this study. Bivariate and multivariable logistic regression analyses were conducted to identify independent predictors of outcomes. RESULT: Among 402 study participants, the majority of them 301 (74.9%), were improved from their mental illnesses. First to eight grades completed study participants were found to be 1.34 times more likely improved mental illness than not able to read or write [AOR = 1.34, 95% CI (1.18–2.78), P < 0.009)]. The probability of improving from mental illness on married study participants was found 2.81 times more likely than single study participants [AOR = 2.81, CI (1.90–4.50), P < 0.043]. First time admitted cases improved 2.82 times more likely than those having a previous admission history [AOR = 2.82, CI (2.05–3.17), P < 0.05]. Duration of stay from 31 to 44 days showed more likely than from 1 to 20 days on patient improvement, [AOR = 1.88, CI (1.42–2.65), P < 0.034]. However, the hospital stay above 44 days does not show any statistical association with patient’s medical improvement. CONCLUSION: Married, better educated, and the hospital stay of one to one-and-half month predicts better health outcome. Thus, this study suggests, psychiatric case management needs the collaborative care of the family in concurrence with counselling and guidance with enough time to better-off patients’ outcomes. Our findings are useful in designing and improving—patient services for psychiatric patient programs and focused health communication and counselling strategies in relation to psychoactive substances in Ethiopia. BioMed Central 2017-06-14 /pmc/articles/PMC5471740/ /pubmed/28630647 http://dx.doi.org/10.1186/s13033-017-0148-0 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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
Tadesse, Sinan
Gizaw, Abraham Tamirat
Abraha, Getachew Kirose
Gebretsadik, Lakew Abebe
Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study
title Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study
title_full Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study
title_fullStr Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study
title_full_unstemmed Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study
title_short Patterns of psychiatric admissions and predictors of patient’s outcome in Jimma University Teaching and Referral Hospital: a retrospective study
title_sort patterns of psychiatric admissions and predictors of patient’s outcome in jimma university teaching and referral hospital: a retrospective study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5471740/
https://www.ncbi.nlm.nih.gov/pubmed/28630647
http://dx.doi.org/10.1186/s13033-017-0148-0
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