The variables predicting the length of hospital stay and within one year recurrent admission in psychiatric disorders with psychotic symptoms: A retrospective study (tur)

Abstract

INTRODUCTION: In this study, we aimed to investigate the variables that predict the length of hospital stay and recurrent admission within one year after discharge in psychiatric disorders with psychotic symptoms. METHODS: The study was conducted with the data of patients who were treated in the inpatient department of the psychiatry department of XXX University between 2005-2016. Psychiatric disorders with psychotic symptoms were included in the study. ICD-10 was used as the basis for diagnosis. A total of 1670 data of patients were included in the analysis, including 1301 single admission and 369 recurrent admission. Only the initial admission record data of the patients were used in the analysis. RESULTS: Significant variables that prolong the duration of hospital stay are schizophrenia diagnosis (β=0.186), female gender (β=-0.129), depression diagnosis (β=0.106), recurrent admission (β=0.099), diagnosis of schizoaffective disorder (β=0.055), and advanced age (β=0.053). 33.9% of patients with recurrent admission were readmitted within the first year. Variables predicting recurrent admission in the first year after first admission in patients with psychotic symptoms are, in order of importance; The absence of a diagnosis of schizophrenia (OR=0,368, p=0,002), a short hospital stay (OR=0,981, p=0,007) and no diagnosis of schizoaffective disorder (OR=0,333, p=0,011). DISCUSSION AND CONCLUSION: Although the diagnosis of schizophrenia and schizoaffective disorder are predictors that prolong hospital stay, they are significant predictors that reduce recurrent admission. Although the presence of these disorders may seem contradictory at first glance, the prolonged hospital stay may prevent the re-hospitalization of these disorders in the first year. Although this is a prediction, the decrease in recurrent admission as the length of hospitalization supports this prediction. The relationship between the length of stay and recurrent hospitalization in psychiatric disorders accompanied by psychotic symptoms, especially schizophrenia and schizoaffective disorder, should be considered in further studies.

Keywords

• length of stay
• schizophrenia
• depression
• recurrent admission
• mental disorders