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Predictors of Length of Hospitalization and Impact on Early Readmission for Mental Disorders

Author

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  • Lia Gentil

    (Department of Psychiatry, McGill University, 1033, Pine Avenue West, Montreal, QC H3A 1A1, Canada
    Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada)

  • Guy Grenier

    (Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada)

  • Helen-Maria Vasiliadis

    (Département Des Sciences de la Santé Communautaire, Université de Sherbrooke, Longueuil, QC J4K 0A8, Canada
    Centre de Recherche Charles-Le Moyne-Saguenay-Lac-Saint-Jean sur les Innovations en Santé (CR-CSIS), Campus de Longueuil-Université de Sherbrooke, 150 Place Charles-Lemoyne, Longueuil, QC J4K 0A8, Canada)

  • Marie-Josée Fleury

    (Department of Psychiatry, McGill University, 1033, Pine Avenue West, Montreal, QC H3A 1A1, Canada
    Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada)

Abstract

Length of hospitalization, if inappropriate to patient needs, may be associated with early readmission, reflecting sub-optimal hospital treatment, and translating difficulties to access outpatient care after discharge. This study identified predictors of brief-stay (1–6 days), mid-stay (7–30 days) or long-stay (≥31 days) hospitalization, and evaluated how lengths of hospital stay impacted on early readmission (within 30 days) among 3729 patients with mental disorders (MD) or substance-related disorders (SRD). This five-year cohort study used medical administrative databases and multinomial logistic regression. Compared to patients with brief-stay or mid-stay hospitalization, more long-stay patients were 65+ years old, had serious MD, and had a usual psychiatrist rather than a general practitioner (GP). Predictors of early readmission were brief-stay hospitalization, residence in more materially deprived areas, more diagnoses of MD/SRD or chronic physical illnesses, and having a usual psychiatrist with or without a GP. Patients with long-stay hospitalization (≥31 days) and early readmission had more complex conditions, especially more co-occurring chronic physical illnesses, and more serious MD, while they tended to have a usual psychiatrist with or without a GP. For patients with more complex conditions, programs such as assertive community treatment, intensive case management or home treatment would be advisable, particularly for those living in materially deprived areas.

Suggested Citation

  • Lia Gentil & Guy Grenier & Helen-Maria Vasiliadis & Marie-Josée Fleury, 2022. "Predictors of Length of Hospitalization and Impact on Early Readmission for Mental Disorders," IJERPH, MDPI, vol. 19(22), pages 1-19, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15127-:d:974746
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    References listed on IDEAS

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    1. Hyunyoung Baek & Minsu Cho & Seok Kim & Hee Hwang & Minseok Song & Sooyoung Yoo, 2018. "Analysis of length of hospital stay using electronic health records: A statistical and data mining approach," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-16, April.
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    Cited by:

    1. Marie-Josée Fleury & Zhirong Cao & Guy Grenier, 2024. "Emergency Department Use among Patients with Mental Health Problems: Profiles, Correlates, and Outcomes," IJERPH, MDPI, vol. 21(7), pages 1-18, June.

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