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Predictors of length of stay in a psychiatric hospital.

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Title: Predictors of length of stay in a psychiatric hospital.
Authors: Gopalakrishna, Ganesh (AUTHOR), Ithman, Muaid (AUTHOR), Malwitz, Kari (AUTHOR)
Source: International Journal of Psychiatry in Clinical Practice. Oct2015, Vol. 19 Issue 4, p238-244. 7p.
Subjects: Affective disorders, Age distribution, Cognition disorders, Critical care medicine, Diagnosis related groups, Electroconvulsive therapy, Employment, Hospital utilization, Length of stay in hospitals, Marital status, MEDLINE, People with intellectual disabilities, Psychiatric hospitals, Psychological tests, Psychoses, Psychotherapy patients, Race, Restraint of patients, Sex distribution, Substance abuse, Systematic reviews, Comorbidity, Educational attainment, Involuntary hospitalization, Discharge planning, Treatment effectiveness, Patient readmissions
Abstract: Objective. This article reviews the available evidence for predicting length of stay in a psychiatric hospital based on several patient characteristics.Methods.An OVID Medline search was done for studies in this area with terms: length of stay, acute psychiatric hospital and predictors. Indexed articles were searched for additional references and subsequently cross referenced. The variables described in various studies were classified into demographic, diagnostic, treatment related and system-based variables (Table 1).Results. Substance abuse has been consistently shown to be associated with a shorter length of stay. Mood and psychotic disorders have shown to lengthen the stay in an acute psychiatric hospital. Women tend to stay longer in an acute psychiatric hospital. Other demographic variables like age and education have had equivocal results, while a married marital status and employment are consistently related to a shorter length of stay. Use of restraints and ECT during hospitalization has shown to lengthen the stay in the hospital.Conclusions.Many studies have explored the relationship between the demographics, diagnosis and treatment variables on length of stay in an acute psychiatric hospital. These studies have been able to account for about 10–37% of the variance in the length of stay. The relevant findings impacting the length of stay are shown in Table 2. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Predictors of length of stay in a psychiatric hospital.
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  Data: <searchLink fieldCode="AR" term="%22Gopalakrishna%2C+Ganesh%22">Gopalakrishna, Ganesh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ithman%2C+Muaid%22">Ithman, Muaid</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Malwitz%2C+Kari%22">Malwitz, Kari</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Psychiatry+in+Clinical+Practice%22">International Journal of Psychiatry in Clinical Practice</searchLink>. Oct2015, Vol. 19 Issue 4, p238-244. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Critical+care+medicine%22">Critical care medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+related+groups%22">Diagnosis related groups</searchLink><br /><searchLink fieldCode="DE" term="%22Electroconvulsive+therapy%22">Electroconvulsive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Employment%22">Employment</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+utilization%22">Hospital utilization</searchLink><br /><searchLink fieldCode="DE" term="%22Length+of+stay+in+hospitals%22">Length of stay in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Marital+status%22">Marital status</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+intellectual+disabilities%22">People with intellectual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+hospitals%22">Psychiatric hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy+patients%22">Psychotherapy patients</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Restraint+of+patients%22">Restraint of patients</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Involuntary+hospitalization%22">Involuntary hospitalization</searchLink><br /><searchLink fieldCode="DE" term="%22Discharge+planning%22">Discharge planning</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+readmissions%22">Patient readmissions</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective. This article reviews the available evidence for predicting length of stay in a psychiatric hospital based on several patient characteristics.Methods.An OVID Medline search was done for studies in this area with terms: length of stay, acute psychiatric hospital and predictors. Indexed articles were searched for additional references and subsequently cross referenced. The variables described in various studies were classified into demographic, diagnostic, treatment related and system-based variables (Table 1).Results. Substance abuse has been consistently shown to be associated with a shorter length of stay. Mood and psychotic disorders have shown to lengthen the stay in an acute psychiatric hospital. Women tend to stay longer in an acute psychiatric hospital. Other demographic variables like age and education have had equivocal results, while a married marital status and employment are consistently related to a shorter length of stay. Use of restraints and ECT during hospitalization has shown to lengthen the stay in the hospital.Conclusions.Many studies have explored the relationship between the demographics, diagnosis and treatment variables on length of stay in an acute psychiatric hospital. These studies have been able to account for about 10–37% of the variance in the length of stay. The relevant findings impacting the length of stay are shown in Table 2. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.3109/13651501.2015.1062522
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 238
    Subjects:
      – SubjectFull: Affective disorders
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Cognition disorders
        Type: general
      – SubjectFull: Critical care medicine
        Type: general
      – SubjectFull: Diagnosis related groups
        Type: general
      – SubjectFull: Electroconvulsive therapy
        Type: general
      – SubjectFull: Employment
        Type: general
      – SubjectFull: Hospital utilization
        Type: general
      – SubjectFull: Length of stay in hospitals
        Type: general
      – SubjectFull: Marital status
        Type: general
      – SubjectFull: MEDLINE
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      – SubjectFull: People with intellectual disabilities
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      – SubjectFull: Psychiatric hospitals
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      – SubjectFull: Psychological tests
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      – SubjectFull: Psychoses
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      – SubjectFull: Race
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      – SubjectFull: Restraint of patients
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      – SubjectFull: Substance abuse
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      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Involuntary hospitalization
        Type: general
      – SubjectFull: Discharge planning
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      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Patient readmissions
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      – TitleFull: Predictors of length of stay in a psychiatric hospital.
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              Text: Oct2015
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