Predictors of readmission to psychiatric wards

• Main Author: Ortiz, Bruno Bertolucci
• Publication Date: 2015
• Other Authors: Nardy, Ana Beatris Miniolli, Fogaça, Cássia Fiaschi, Oliveira, Isabela Moscatel Domingues de, Vong, Mariana Rauwey, Crocco, Stephanie Berriel
• Format: Article
• Language: por
• Source: Debates em Psiquiatria (Online)
• Download full: https://revistardp.org.br/revista/article/view/909
• topic: Indicadores; reinternação psiquiátrica; recaídas psiquiátricas; Indicators; psychiatric readmission; psychiatric relapse

Objective: To investigate which factors act as predictors of readmission in patients with psychiatric disorders discharged from a psychiatric ward. Methods: This retrospective study was based on the review of 200 medical records and discharge summaries of patients admitted to the psychiatric ward of Hospital das Clínicas Luzia de Pinho Melo, in Mogi das Cruzes, state of São Paulo, Brazil, between 2000 and 2013. Results: The following factors were statistically significant predictors of readmission: patient age (p = 0.004), number of medications at discharge (p = 0.006), number of daily doses (p = 0.011), social stress (p = 0.002), and low social support (p = 0.001).Conclusion: Even though the study is limited by the retrospective method adopted, the findings suggest that good social support and flexibility in the number of doses are associated with lower readmission rates. We suggest investing in family psychoeducation and involving the patient in treatment decision-making.