DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20171284

A descriptive analysis of patients admitted in short stay ward at psychiatric centre, Jaipur, Rajasthan, India

Parag Sharma, Chitra Singh, Ram K. Solanki, . Wasim

Abstract


Background: The average length of stay (LOS) at psychiatric centre and the factors determining longer LOS in Psychiatry disorders remains largely unexplored. Longer LOS is associated with social isolation and maladaptive behaviours in patients thus warrants a shorter stay. The observed LOS and predicted LOS among different psychiatry hospitals in future may serve as an index of quality care and efficient management of meagre but available resources in our country. The aim was (1) To study the socio demographic and clinical factors of patients admitted at our hospital and (2) To ascertain the relationship between the socio demographic, clinical factors and LOS.

Methods: A retrospective analysis of psychiatry inpatients admitted at Psychiatric Centre, Jaipur during July 2014 and June 2015. The data was analysed studying the 489 case records. The socio demographic characteristics and clinical factors were correlated with LOS in hospital.

Results: Our study has shown the correlation of socio-demographic factors and clinical factors with LOS. Rural population, marital status, employment status, number of episodes and diagnosis itself has positive correlation with longer LOS.

Conclusions: From present study it was shown the correlation of socio-demographic factors and clinical profile with LOS. Rural population, marital status, premorbid employment status, number of episodes and diagnosis itself has positive correlation with longer LOS. However, gender and substance abuse had no correlation with LOS. Short term and planned admissions along with individualized treatment plans fitting patient’s social background may be more beneficial as compared to long term admissions.


Keywords


Clinical factors, Correlation, Length of stay, Psychiatry in patients, Socio-demographic

Full Text:

PDF

References


Bridge JA, Barb RP. Reducing hospital readmission in depression and Schizophrenia: Current evidence. Curr Opin Psychiatry. 2004;17:505-11.

World Health Organization. The World Health Report 2001. Mental Health: New understanding, new hope. Geneva: WHO; 2001.

Jenkins R, Baingana F, Ahmad R, McDaid D, Atun R. Mental health and the global agenda: core conceptual issues. Mental Health in Family Medicine. 2011;8(2):69-82.

Jiménez RE, Lam RM, Marot M, Delgado A. Observed-predicted length of stay for an acute psychiatric department, as an indicator of inpatient care inefficiencies. Retrospective case-series study. BMC health services research. 2004;4(1):4.

Hirsch SR, Platt S, Knights A, Weyman A. Shortening hospital stay for psychiatric care: effect on patients and their families. Br Med J. 1979;1(6161):442-6.

Jimenez R, López L, Dominguez DA, Fariñas H. Difference between observed and predicted length of stay as an indicator of inpatient care inefficiency. Inter J for Quality Health Care. 1999;11(5):375-84.

Goullieux, E. Loas G. Brief psychiatric hospitalization a possible way, a strategy to evolve? Encephale. 2003;29:223-31.

Lars L. Are readmission rates influenced by how psychiatric services are organized? Nordic J Psychiatry. 2002;56:23-8.

Lieberman PB, Wiitala SA, Elliott B, McCormick S, Goyette SB. Decreasing length of stay: Are there effect on outcomes of psychiatric hospitalization? Am J Psychiatry. 1998;155:905-9.

Lyons JS, O'Mahoney MT, Miller SI, Neme J, Kabat J, Miller F. Predicting readmission to the psychiatric hospital in a managed care environment: Implications for quality indicators. Am J Psychiatry. 1997;154:337-40.

Lyketsos CG, Dunn G, Kaminsky MJ, Breakey WR. Medical comorbidity in psychiatric inpatients: relation to clinical outcomes and hospital length of stay. Psychosomatics. 2002;43(1):24-30.

World Health Organization. The ICD-10 classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. Geneva: WHO; 1992.

IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.

World Health Organization. World Health Report 2005-Make every mother and child count. 2005 [cited 21/11/2006]; Available from:http://www.who.int/whr/2005/en

Monte RC, Goulding SM, Compton MT. Premorbid functioning of patients with first-episode nonaffective psychosis: A comparison of deterioration in academic and social performance, and clinical correlates of Premorbid Adjustment Scale scores. Schizophrenia Research. 2008;104(1-3):206-13.

Dickerson FB, Sommerville J, Origoni AE, Ringel NB, Parente F. Outpatients with schizophrenia and bipolar I disorder: do they differ in their cognitive and social functioning?. Psychiatry research. 2001;102 (1):21-7.

McGlashan TH. Duration of untreated psychosis in first-episode schizophrenia: marker or determinant of course? Biol Psychiatry. 1999;46:899-907.

Addisu F, Wondafrash M, Chemali Z, Dejene T, Tesfaye M. Length of stay of psychiatric admissions in a general hospital in Ethiopia: a retrospective study. Int J mental health systems. 2015;9(1):1.

Moriwaki K, Neuner T, Hübner-Liebermann B, Hausner H, Wittmann M, Horiuchi T, et al. Acute psychiatric inpatient care: a cross-cultural comparison between two hospitals in Germany and Japan. IntJ Social Psychiatry. 2012 Oct 3:0020764012456808.