Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Jun 2;14:161.
doi: 10.1186/1471-244X-14-161.

The Frequency of Rehospitalization and Associated Factors in Colombian Psychiatric Patients: A Cohort Study

Affiliations
Free PMC article

The Frequency of Rehospitalization and Associated Factors in Colombian Psychiatric Patients: A Cohort Study

Luis Eduardo Jaramillo-Gonzalez et al. BMC Psychiatry. .
Free PMC article

Abstract

Background: The rehospitalization of patients with mental disorders is common, with rehospitalization rates of up to 80% observed in these patients. This phenomenon negatively impacts families, patients, and the health care system. Several factors have been associated with an increased likelihood of rehospitalization. This study was aimed at determining the frequency and the factors associated with rehospitalization in a psychiatric clinic.

Methods: We performed a prospective cohort study with 361 patients who were hospitalized at the Clinic of Our Lady of Peace in Bogota, Colombia from August-December 2009. We calculated the incidence rates of rehospitalization and the risk factors using Cox regression.

Results: Overall, 60% of the patients in this cohort were rehospitalized during the year that followed the index event. The variables associated with rehospitalization were separated, divorced, or single status; higher socio-economic strata; a longer duration of index hospitalization; and a diagnosis of substance abuse, schizophrenia, bipolar disorder, or depression.

Conclusions: The rehospitalization rate in our study was as high as reported in other studies. The associated factors with it in this group, may contribute to the design of programs that will reduce the frequency of rehospitalization among patients with mental disorders, in countries like Colombia. Additionally, these results may be useful in interventions, such as coping skills training, psycho-education, and community care strategies, which have been demonstrated to reduce the frequency of rehospitalization.

Figures

Figure 1
Figure 1
Kaplan-Meier survival function for rehospitalization.
Figure 2
Figure 2
The risk of rehospitalization function (softened with triangular kernel).

Similar articles

See all similar articles

Cited by 3 articles

References

    1. Appleby L, Desai PN, Luchins DJ, Gibbons RD, Hedeker DR. Length of stay and recidivism in schizophrenia: a study of public psychiatric hospital patients. Am J Psychiatr. 1993;150(1):72–76. - PubMed
    1. Bowersox NW, Saunders SM, Berger BD. Predictors of rehospitalization in high-utilizing patients in the VA psychiatric medical system. Psychiatr Q. 2012;83(1):53–64. doi: 10.1007/s11126-011-9182-2. - DOI - PubMed
    1. Priebe S, Katsakou C, Amos T, Leese M, Morriss R, Rose D, Wykes T, Yeeles K. Patients' views and readmissions 1 year after involuntary hospitalisation. Br J Psychiatr. 2009;194(1):49–54. doi: 10.1192/bjp.bp.108.052266. - DOI - PubMed
    1. Yussuf AD, Kuranga SA, Balogun OR, Ajiboye PO, Issa BA, Adegunloye O, Parakoyi MT. Predictors of psychiatric readmissions to the psychiatric unit of a tertiary health facility in a Nigerian city - a 5-year study. Afr J Psychiatr (Johannesbg) 2008;11(3):187–190. - PubMed
    1. Durbin J, Lin E, Layne C, Teed M. Is readmission a valid indicator of the quality of inpatient psychiatric care? J Behav Health Serv Res. 2007;34(2):137–150. doi: 10.1007/s11414-007-9055-5. - DOI - PubMed

Publication types

Feedback