Retrospective review: Factors impacting length of stay in Bipolar Disorder at a tertiary hospital.

IF 1 4区医学 Q4 PSYCHIATRY South African Journal of Psychiatry Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.4102/sajpsychiatry.v30i0.2310

Nomsa C Mkhwebane, Wendy Friedlander

{"title":"Retrospective review: Factors impacting length of stay in Bipolar Disorder at a tertiary hospital.","authors":"Nomsa C Mkhwebane, Wendy Friedlander","doi":"10.4102/sajpsychiatry.v30i0.2310","DOIUrl":null,"url":null,"abstract":"Background: Bipolar disorder (BD) is a chronic, disabling mental illness that may require recurrent hospitalisation. The length of hospital stay (LOS) for BD patients is variable, and literature suggests that this is because of clinical and socio-demographic factors.Aim: To determine the average LOS for patients admitted for BD at a hospital and its relation to clinical and socio-demographic factors.Setting: A public tertiary hospital in South Africa.Methods: Clinical and socio-demographic data were obtained from a retrospective record review of patient admissions at a hospital over 1 year. Length of hospital stay, defined as the duration between admission and discharge date, and other variables were retrieved.Results: A total of 215 patients were admitted during the study period. The mean LOS was 30 days. The mean age of the patients was 35.9 years (standard deviation [s.d.] = 12.4, range 18-72 years). There were similar numbers of males and females admitted. Significantly more patients were not married (p < 0.001), unemployed (p < 0.001), and had a history of substance use (p < 0.001). Employed patients were 2.5 times more likely to have a short stay than those unemployed (p = 0.03). There was a statistically significant association between the number of comorbidities and LOS.Conclusion: The study findings align with the literature's results. The median length of stay was 25 days and was impacted by socio-demographic but not clinical factors.Contribution: The study provided insight into the impact of variable factors in LOS for BD patients.","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"30 ","pages":"2310"},"PeriodicalIF":1.0000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538273/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"South African Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4102/sajpsychiatry.v30i0.2310","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Bipolar disorder (BD) is a chronic, disabling mental illness that may require recurrent hospitalisation. The length of hospital stay (LOS) for BD patients is variable, and literature suggests that this is because of clinical and socio-demographic factors.

Aim: To determine the average LOS for patients admitted for BD at a hospital and its relation to clinical and socio-demographic factors.

Setting: A public tertiary hospital in South Africa.

Methods: Clinical and socio-demographic data were obtained from a retrospective record review of patient admissions at a hospital over 1 year. Length of hospital stay, defined as the duration between admission and discharge date, and other variables were retrieved.

Results: A total of 215 patients were admitted during the study period. The mean LOS was 30 days. The mean age of the patients was 35.9 years (standard deviation [s.d.] = 12.4, range 18-72 years). There were similar numbers of males and females admitted. Significantly more patients were not married (p < 0.001), unemployed (p < 0.001), and had a history of substance use (p < 0.001). Employed patients were 2.5 times more likely to have a short stay than those unemployed (p = 0.03). There was a statistically significant association between the number of comorbidities and LOS.

Conclusion: The study findings align with the literature's results. The median length of stay was 25 days and was impacted by socio-demographic but not clinical factors.

Contribution: The study provided insight into the impact of variable factors in LOS for BD patients.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

回顾性综述：影响一家三级医院躁郁症患者住院时间的因素。

背景：躁郁症（BD）是一种慢性致残性精神疾病，可能需要反复住院治疗。躁郁症患者的住院时间（LOS）长短不一，文献表明这与临床和社会人口因素有关。目的：确定一家医院收治的躁郁症患者的平均住院时间及其与临床和社会人口因素的关系：环境：南非一家公立三级医院：临床和社会人口学数据来自对一家医院一年来收治病人的回顾性记录审查。住院时间（定义为从入院到出院的时间）和其他变量均被检索出来：研究期间共收治了 215 名患者。平均住院时间为 30 天。患者的平均年龄为 35.9 岁（标准差 [s.d.] = 12.4，范围为 18-72 岁）。入院的男性和女性人数相近。未婚（p < 0.001）、失业（p < 0.001）和有药物使用史（p < 0.001）的患者明显较多。有工作的患者短期住院的可能性是失业患者的 2.5 倍（p = 0.03）。合并症数量与住院时间之间存在统计学意义上的显著关联：研究结果与文献结果一致。中位住院时间为 25 天，受社会人口因素影响，但不受临床因素影响：贡献：该研究有助于深入了解各种因素对 BD 患者住院时间的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

South African Journal of Psychiatry 医学-精神病学

CiteScore

1.60

自引率

10.00%

发文量

审稿时长

>12 weeks

期刊介绍： The journal is the leading psychiatric journal of Africa. It provides open-access scholarly reading for psychiatrists, clinical psychologists and all with an interest in mental health. It carries empirical and conceptual research articles, reviews, editorials, and scientific letters related to psychiatry. It publishes work from various places in the world, and makes special provision for the interests of Africa. It seeks to serve its readership and researchers with the most topical content in psychiatry for clinical practice and academic pursuits, including work in the subspecialty areas of psychiatry.