Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution

Detalhes bibliográficos
Autor(a) principal: Barros,Régis Eric Maia
Data de Publicação: 2010
Outros Autores: Marques,João Mazzoncini de Azevedo, Carlotti,Isabela Panzeri, Zuardi,Antonio Waldo, Del-Ben,Cristina Marta
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462010000200009
Resumo: OBJECTIVE: Characterize and compare acute psychiatric admissions to the psychiatric wards of a general hospital (22 beds), a psychiatric hospital (80) and of an emergency psychiatry unit (6). METHOD: Survey of the ratios and shares of the demographic, diagnostic and hospitalization variables involved in all acute admissions registered in a catchment area in Brazil between 1998 and 2004. RESULTS: From the 11,208 admissions, 47.8% of the patients were admitted to a psychiatric hospital and 14.1% to a general hospital. The emergency psychiatry unit accounted for 38.1% of all admissions during the period, with a higher variability in occupancy rate and bed turnover during the years. Around 80% of the hospital stays lasted less than 20 days and in almost half of these cases, patients were discharged in 2 days. Although the total number of admissions remained stable during the years, in 2004, a 30% increase was seen compared to 2003. In 2004, bed turnover and occupancy rate at the emergency psychiatry unit increased. CONCLUSION: The increase in the number of psychiatric admissions in 2004 could be attributed to a lack of new community-based services available in the area beginning in 1998. Changes in the health care network did affect the emergency psychiatric service and the limitations of the community-based network could influence the rate of psychiatric admissions.
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spelling Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institutionLength of stayHospital carePsychiatric emergency servicesResidence timeDeinstitutionalizationOBJECTIVE: Characterize and compare acute psychiatric admissions to the psychiatric wards of a general hospital (22 beds), a psychiatric hospital (80) and of an emergency psychiatry unit (6). METHOD: Survey of the ratios and shares of the demographic, diagnostic and hospitalization variables involved in all acute admissions registered in a catchment area in Brazil between 1998 and 2004. RESULTS: From the 11,208 admissions, 47.8% of the patients were admitted to a psychiatric hospital and 14.1% to a general hospital. The emergency psychiatry unit accounted for 38.1% of all admissions during the period, with a higher variability in occupancy rate and bed turnover during the years. Around 80% of the hospital stays lasted less than 20 days and in almost half of these cases, patients were discharged in 2 days. Although the total number of admissions remained stable during the years, in 2004, a 30% increase was seen compared to 2003. In 2004, bed turnover and occupancy rate at the emergency psychiatry unit increased. CONCLUSION: The increase in the number of psychiatric admissions in 2004 could be attributed to a lack of new community-based services available in the area beginning in 1998. Changes in the health care network did affect the emergency psychiatric service and the limitations of the community-based network could influence the rate of psychiatric admissions.Associação Brasileira de Psiquiatria2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462010000200009Brazilian Journal of Psychiatry v.32 n.2 2010reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.1590/S1516-44462009005000014info:eu-repo/semantics/openAccessBarros,Régis Eric MaiaMarques,João Mazzoncini de AzevedoCarlotti,Isabela PanzeriZuardi,Antonio WaldoDel-Ben,Cristina Martaeng2010-07-16T00:00:00Zoai:scielo:S1516-44462010000200009Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2010-07-16T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
title Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
spellingShingle Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
Barros,Régis Eric Maia
Length of stay
Hospital care
Psychiatric emergency services
Residence time
Deinstitutionalization
title_short Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
title_full Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
title_fullStr Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
title_full_unstemmed Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
title_sort Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
author Barros,Régis Eric Maia
author_facet Barros,Régis Eric Maia
Marques,João Mazzoncini de Azevedo
Carlotti,Isabela Panzeri
Zuardi,Antonio Waldo
Del-Ben,Cristina Marta
author_role author
author2 Marques,João Mazzoncini de Azevedo
Carlotti,Isabela Panzeri
Zuardi,Antonio Waldo
Del-Ben,Cristina Marta
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Barros,Régis Eric Maia
Marques,João Mazzoncini de Azevedo
Carlotti,Isabela Panzeri
Zuardi,Antonio Waldo
Del-Ben,Cristina Marta
dc.subject.por.fl_str_mv Length of stay
Hospital care
Psychiatric emergency services
Residence time
Deinstitutionalization
topic Length of stay
Hospital care
Psychiatric emergency services
Residence time
Deinstitutionalization
description OBJECTIVE: Characterize and compare acute psychiatric admissions to the psychiatric wards of a general hospital (22 beds), a psychiatric hospital (80) and of an emergency psychiatry unit (6). METHOD: Survey of the ratios and shares of the demographic, diagnostic and hospitalization variables involved in all acute admissions registered in a catchment area in Brazil between 1998 and 2004. RESULTS: From the 11,208 admissions, 47.8% of the patients were admitted to a psychiatric hospital and 14.1% to a general hospital. The emergency psychiatry unit accounted for 38.1% of all admissions during the period, with a higher variability in occupancy rate and bed turnover during the years. Around 80% of the hospital stays lasted less than 20 days and in almost half of these cases, patients were discharged in 2 days. Although the total number of admissions remained stable during the years, in 2004, a 30% increase was seen compared to 2003. In 2004, bed turnover and occupancy rate at the emergency psychiatry unit increased. CONCLUSION: The increase in the number of psychiatric admissions in 2004 could be attributed to a lack of new community-based services available in the area beginning in 1998. Changes in the health care network did affect the emergency psychiatric service and the limitations of the community-based network could influence the rate of psychiatric admissions.
publishDate 2010
dc.date.none.fl_str_mv 2010-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462010000200009
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462010000200009
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1516-44462009005000014
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Brazilian Journal of Psychiatry v.32 n.2 2010
reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
instname:Associação Brasileira de Psiquiatria (ABP)
instacron:ABP
instname_str Associação Brasileira de Psiquiatria (ABP)
instacron_str ABP
institution ABP
reponame_str Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
collection Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
repository.name.fl_str_mv Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv ||rbp@abpbrasil.org.br
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