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Predictors of 30-day Postdischarge Readmission to a Multistate National Sample of State Psychiatric Hospitals

BACKGROUND: Early discharge from psychiatric inpatient care may pose challenges for the patient's recovery and may incite a rapid return to the hospital. This study identified demographic, clinical, and the continuing of care characteristics associated with rapid readmission into a sample of ps...

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Autor principal: Ortiz, Glorimar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716555/
https://www.ncbi.nlm.nih.gov/pubmed/30239473
http://dx.doi.org/10.1097/JHQ.0000000000000162
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author Ortiz, Glorimar
author_facet Ortiz, Glorimar
author_sort Ortiz, Glorimar
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description BACKGROUND: Early discharge from psychiatric inpatient care may pose challenges for the patient's recovery and may incite a rapid return to the hospital. This study identified demographic, clinical, and the continuing of care characteristics associated with rapid readmission into a sample of psychiatric inpatient hospitals. METHODS: Cross-sectional analysis of 60,254 discharges from state psychiatric hospitals. Logistic regression explored the relationship between predictors of rapid readmission. RESULTS: Eight percent of discharges were readmitted to the same hospital within 30 days after discharge. Factors significantly related with rapid readmission included white (odds ratio, 1.23; 95% confidence interval, 1.13–1.34), non-Hispanic (1.48, 1.26–1.73), not married (1.53, 1.32–1.76), voluntarily admitted (1.18, 1.05–1.33), with length of stay (LOS) ≤ 7 days (3.52, 3.04–4.08), or LOS 8–31 days (3.20, 2.79–3.66), or LOS 32–92 days (1.91, 1.65–2.22), with a schizophrenia or other psychotic disorders (1.69, 1.46–1.96) or personality disorder (1.76, 1.50–2.06), referred to a setting different from the outpatient (1.27, 1.16–1.40), or with a living arrangement different from private residence (1.54, 1.40–1.68). CONCLUSIONS: Disparities in rapid readmission rates exist among state psychiatric hospitals. A national overview of the individuals with mental illness at risk of being prematurely discharged may suggests insights into quality initiatives aimed at reducing rapid readmissions into psychiatric inpatient care.
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spelling pubmed-67165552019-10-02 Predictors of 30-day Postdischarge Readmission to a Multistate National Sample of State Psychiatric Hospitals Ortiz, Glorimar J Healthc Qual Original Article BACKGROUND: Early discharge from psychiatric inpatient care may pose challenges for the patient's recovery and may incite a rapid return to the hospital. This study identified demographic, clinical, and the continuing of care characteristics associated with rapid readmission into a sample of psychiatric inpatient hospitals. METHODS: Cross-sectional analysis of 60,254 discharges from state psychiatric hospitals. Logistic regression explored the relationship between predictors of rapid readmission. RESULTS: Eight percent of discharges were readmitted to the same hospital within 30 days after discharge. Factors significantly related with rapid readmission included white (odds ratio, 1.23; 95% confidence interval, 1.13–1.34), non-Hispanic (1.48, 1.26–1.73), not married (1.53, 1.32–1.76), voluntarily admitted (1.18, 1.05–1.33), with length of stay (LOS) ≤ 7 days (3.52, 3.04–4.08), or LOS 8–31 days (3.20, 2.79–3.66), or LOS 32–92 days (1.91, 1.65–2.22), with a schizophrenia or other psychotic disorders (1.69, 1.46–1.96) or personality disorder (1.76, 1.50–2.06), referred to a setting different from the outpatient (1.27, 1.16–1.40), or with a living arrangement different from private residence (1.54, 1.40–1.68). CONCLUSIONS: Disparities in rapid readmission rates exist among state psychiatric hospitals. A national overview of the individuals with mental illness at risk of being prematurely discharged may suggests insights into quality initiatives aimed at reducing rapid readmissions into psychiatric inpatient care. Lippincott Williams & Wilkins 2019 2019-07-10 /pmc/articles/PMC6716555/ /pubmed/30239473 http://dx.doi.org/10.1097/JHQ.0000000000000162 Text en © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the National Association for Healthcare Quality. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Article
Ortiz, Glorimar
Predictors of 30-day Postdischarge Readmission to a Multistate National Sample of State Psychiatric Hospitals
title Predictors of 30-day Postdischarge Readmission to a Multistate National Sample of State Psychiatric Hospitals
title_full Predictors of 30-day Postdischarge Readmission to a Multistate National Sample of State Psychiatric Hospitals
title_fullStr Predictors of 30-day Postdischarge Readmission to a Multistate National Sample of State Psychiatric Hospitals
title_full_unstemmed Predictors of 30-day Postdischarge Readmission to a Multistate National Sample of State Psychiatric Hospitals
title_short Predictors of 30-day Postdischarge Readmission to a Multistate National Sample of State Psychiatric Hospitals
title_sort predictors of 30-day postdischarge readmission to a multistate national sample of state psychiatric hospitals
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716555/
https://www.ncbi.nlm.nih.gov/pubmed/30239473
http://dx.doi.org/10.1097/JHQ.0000000000000162
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