Early Readmissions and Associated Socio-Demographic, Clinical Factors In a Psychiatric Hospital, Malaysia
- Author:
Wen Jih Lee
;
Lieh Yan Ong
;
Siew Ni Koay
;
Zuan Er Kwan
- Publication Type:Journal Article
- Keywords:
Readmission, Psychiatry, Risk Factors
- From:ASEAN Journal of Psychiatry
2017;18(1):1-9
- CountryMalaysia
- Language:English
-
Abstract:
The main aim of this study is to assess the prevalence of early
readmissions to inpatient care in Hospital Bahagia Ulu Kinta and the associated
socio-demographic and clinical factors. Methods: This is an observational study
for all patients with readmissions within 3 months from the last discharge, dated
from 1 January 2013 to 31 December 2013. Related socio-demographic and
clinical details are obtained from the medical records and compared between the
patients who were readmitted within the first month after discharge to those who
were readmitted later in the second and third month. Results: Total of 149
records of patients who were readmitted within 3 months of last discharge were
analyzed. Majority of them were from the same state of Perak (83.9%), male
(74.5%), single (71.1%), unemployed (85.9%), taken care by family (75.2%),
achieved secondary education level (59.7%) with mean age of 37.89 years (SD
11.53). They were discharged for a mean of 32.52 days (SD 26.48) before
readmission with a mean duration of 72.98 days in the previous admission, and
mean previous admissions of 10.17 times. 69.8% of the patients were treated for
psychotic disorders and the main reason for readmission was relapse (84.6%).
Up to 34.2% of the patients reported to have substance abuse while 25.5% had
medical co-morbidities. Most of the patients (63.8%) were not compliant to the
treatment from the last discharge. Socioeconomic and clinical factors did not
show statistical significance when the readmissions within the first month after
discharge were compared to those who were admitted later at the second and
third month. Conclusions: Due to limitations, further studies need to be done to
identify risk factors associated with readmissions and adequate measures need to
be taken to prevent these readmissions. ASEAN Journal of Psychiatry, Vol. 18 (1):
January – June 2017: XX XX.
- Full text:P020170620361290441593.pdf
