Predictors of readmission to psychiatric wards

Detalhes bibliográficos
Autor(a) principal: Ortiz, Bruno Bertolucci
Data de Publicação: 2015
Outros Autores: Nardy, Ana Beatris Miniolli, Fogaça, Cássia Fiaschi, Oliveira, Isabela Moscatel Domingues de, Vong, Mariana Rauwey, Crocco, Stephanie Berriel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Debates em Psiquiatria (Online)
Texto Completo: https://revistardp.org.br/revista/article/view/909
Resumo: 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.
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spelling Predictors of readmission to psychiatric wardsIndicadores de reinternação em enfermaria de psiquiatriaIndicadoresreinternação psiquiátricarecaídas psiquiátricasIndicatorspsychiatric readmissionpsychiatric relapseObjective: 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.Objetivo: Investigar quais fatores atuam como indicadores e reinternação de pacientes com distúrbios psiquiátricos que obtiveram alta em enfermaria psiquiátrica. Métodos: Estudo retrospectivo com revisão de 200 prontuários e resumos de alta de pacientes internados no período de 2000 a 2013 na enfermaria psiquiátrica do Hospital das Clínicas Luzia de Pinho Melo, de Mogi das Cruzes (SP), para levantamento de dados. Resultados: Observou-se que idade (p = 0,004), número de medicações na alta (p = 0,006), número de tomadas por dia (p = 0,011), presença de estresse social (p = 0,002) e baixo suporte social (p = 0,001) foram preditores estatisticamente significativos de reinternação. Conclusão: Apesar de o estudo ser limitado pelo método retrospectivo, evidencia-se que um bom suporte social e flexibilidade nas tomadas das medicações estão associados com menores taxas de reinternação. Sugere-se investimento em psicoeducação familiar e participação do paciente na escolha terapêutica.Associação Brasileira de Psiquiatria2015-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/90910.25118/2236-918x-5-3-1Debates in Psychiatry; Vol. 5 No. 3 (2015); 6-8Debates em Psiquiatria; Vol. 5 Núm. 3 (2015); 6-8Debates em Psiquiatria; v. 5 n. 3 (2015); 6-82763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/909/720Copyright (c) 2015 Bruno Bertolucci Ortiz, Ana Beatris Miniolli Nardy, Cássia Fiaschi Fogaça, Isabela Moscatel Domingues de Oliveira, Mariana Rauwey Vong, Stephanie Berriel Croccohttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessOrtiz, Bruno BertolucciNardy, Ana Beatris MiniolliFogaça, Cássia FiaschiOliveira, Isabela Moscatel Domingues deVong, Mariana RauweyCrocco, Stephanie Berriel2023-07-06T17:47:35Zoai:ojs.emnuvens.com.br:article/909Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2023-07-06T17:47:35Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Predictors of readmission to psychiatric wards
Indicadores de reinternação em enfermaria de psiquiatria
title Predictors of readmission to psychiatric wards
spellingShingle Predictors of readmission to psychiatric wards
Ortiz, Bruno Bertolucci
Indicadores
reinternação psiquiátrica
recaídas psiquiátricas
Indicators
psychiatric readmission
psychiatric relapse
title_short Predictors of readmission to psychiatric wards
title_full Predictors of readmission to psychiatric wards
title_fullStr Predictors of readmission to psychiatric wards
title_full_unstemmed Predictors of readmission to psychiatric wards
title_sort Predictors of readmission to psychiatric wards
author Ortiz, Bruno Bertolucci
author_facet Ortiz, Bruno Bertolucci
Nardy, Ana Beatris Miniolli
Fogaça, Cássia Fiaschi
Oliveira, Isabela Moscatel Domingues de
Vong, Mariana Rauwey
Crocco, Stephanie Berriel
author_role author
author2 Nardy, Ana Beatris Miniolli
Fogaça, Cássia Fiaschi
Oliveira, Isabela Moscatel Domingues de
Vong, Mariana Rauwey
Crocco, Stephanie Berriel
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Ortiz, Bruno Bertolucci
Nardy, Ana Beatris Miniolli
Fogaça, Cássia Fiaschi
Oliveira, Isabela Moscatel Domingues de
Vong, Mariana Rauwey
Crocco, Stephanie Berriel
dc.subject.por.fl_str_mv Indicadores
reinternação psiquiátrica
recaídas psiquiátricas
Indicators
psychiatric readmission
psychiatric relapse
topic Indicadores
reinternação psiquiátrica
recaídas psiquiátricas
Indicators
psychiatric readmission
psychiatric relapse
description 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.
publishDate 2015
dc.date.none.fl_str_mv 2015-06-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-Reviewed
Revisado por Pares
Avaliado Pelos Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistardp.org.br/revista/article/view/909
10.25118/2236-918x-5-3-1
url https://revistardp.org.br/revista/article/view/909
identifier_str_mv 10.25118/2236-918x-5-3-1
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistardp.org.br/revista/article/view/909/720
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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 Debates in Psychiatry; Vol. 5 No. 3 (2015); 6-8
Debates em Psiquiatria; Vol. 5 Núm. 3 (2015); 6-8
Debates em Psiquiatria; v. 5 n. 3 (2015); 6-8
2763-9037
2236-918X
reponame:Debates em Psiquiatria (Online)
instname:Associação Brasileira de Psiquiatria (ABP)
instacron:ABP
instname_str Associação Brasileira de Psiquiatria (ABP)
instacron_str ABP
institution ABP
reponame_str Debates em Psiquiatria (Online)
collection Debates em Psiquiatria (Online)
repository.name.fl_str_mv Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv rdp@abp.org.br
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