Journals / Klinik Psikiyatri Dergisi / 2013 / Cilt: 16 - Sayı: 4

Frequency and Predictors of Recurrent Hospitalizations of Schizophrenic Patients

Şizofreni Hastalarında Tekrarlayan Yatış Sıklığı ve Öngörücüleri

Pages
225–231
DOI
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⚡ TL;DR(Too Long; Didn't Read)

None of the patients who had been hospitalizedfor the first time were re-hospitalized during this period.Mean duration of re-hospitalization is 85.6±52.1 days.While re-hospitalization risk was 2.3 fold greater amongthe patients who had the family history of psychosis, itwas seen to decrease as the age of onset got smaller,increase as the number of hospitalizations and PANSSscores on hospitalization and discharge increased.Conclusion: Family history of psychosis, age of onset ofthe disease, number of previous hospitalizations and disease severity are the factors which affect re-hospitalization in follow up of schizophrenic patients who are hospitalized

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: In this study, it was aimed to investigate thefrequency of re-hospitalizations within 6 months afterdischarge and sociodemographic and clinical variablesaffecting it in schizophrenic patients who were treatedat the hospital.
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Key Findings & Data:Method: For this purpose, 292 schizophrenic patients who were hospitalized, treated at ourhospital and discharged from the hospital between April10th 2011 and September 30th 2011 were included inthe study.
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Conclusion & Impact:None of the patients who had been hospitalizedfor the first time were re-hospitalized during this period.Mean duration of re-hospitalization is 85.6±52.1 days.While re-hospitalization risk was 2.3 fold greater amongthe patients who had the family history of psychosis, itwas seen to decrease as the age of onset got smaller,increase as the number of hospitalizations and PANSSscores on hospitalization and discharge increased.Conclusion: Family history of psychosis, age of onset ofthe disease, number of previous hospitalizations and disease severity are the factors which affect re-hospitalization in follow up of schizophrenic patients who are hospitalized
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: In this study, it was aimed to investigate thefrequency of re-hospitalizations within 6 months afterdischarge and sociodemographic and clinical variablesaffecting it in schizophrenic patients who were treatedat the hospital. Method: For this purpose, 292 schizophrenic patients who were hospitalized, treated at ourhospital and discharged from the hospital between April10th 2011 and September 30th 2011 were included inthe study. Sociodemographic and clinical data (positiveand negative syndrome scale: PANSS) were obtainedfrom medical records. Results: Fifty (17.1%) of 292patients were re-hospitalized within 6 months after discharge. None of the patients who had been hospitalizedfor the first time were re-hospitalized during this period.Mean duration of re-hospitalization is 85.6±52.1 days.While re-hospitalization risk was 2.3 fold greater amongthe patients who had the family history of psychosis, itwas seen to decrease as the age of onset got smaller,increase as the number of hospitalizations and PANSSscores on hospitalization and discharge increased.Conclusion: Family history of psychosis, age of onset ofthe disease, number of previous hospitalizations and disease severity are the factors which affect re-hospitalization in follow up of schizophrenic patients who are hospitalized

Özet

Amaç: Bu çalışmada, yatarak tedavi gören şizofreni tanılıhastalarda, taburculuk sonrasy 6 ay içerisinde yenidenyatış sıklığının ve bunu etkileyen sosyodemografik ve klinik değişkenlerin incelenmesi amaçlandı. Yöntem: Buamaçla, 01 Nisan 2011- 30 Eylül 2011 tarihleri arasında,hastanemizde yatarak tedavi görmüş ve taburcu edilmiş,şizofreni tanılı 292 hasta çalışmaya dahil edildi.Bulgular: Taburculuk sonrasındaki 6 aylık süre içinde 292hastanın 50'si (%17.1) yeniden hastaneye yatmıştır. ilkkez hastane yatışı olan hastaların hiç biri bu süreiçerisinde yeniden hastaneye yatmamıştır. Tekrarlayanyatışı olan hastaların ortalama yeniden yatış zamanı85.6±52.1 gündür. Tekrarlayan yatış riski ailede psikozöyküsü olanlarda 2.3 kat daha fazla görülürkenhastalığın başlangıç yaşının küçülmesiyle arttığı, yatış sayısının artışıyla birlikte arttığı, yatış ve taburculukPANSS puanlarının artışıyla birlikte arttığı görüldü.Sonuç: Yatarak tedavi gören şizofren hastaların izleminde, ailede psikoz öyküsü, hastalığın başlangıç yaşı,önceki yatış sayısı ve hastalığın şiddeti yeniden yatışı etkileyen etkenlerdir

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Cite This Article

GÜLTEKİN, B. K., GÜLER, J., KESEBİR, S., GÜLÜCÜ, A., ERGELEN, M. (2013). Frequency and Predictors of Recurrent Hospitalizations of Schizophrenic Patients. Klinik Psikiyatri Dergisi, Cilt: 16 - Sayı: 4, 225–231. https://ajindex.com/articles/205523

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References (13)

  1. Botha UA, Koen L, Joska JA ve ark. (2010) The revolving door phenomenon in psychiatry:comparing low-frequency and high- frequency users of psychiatric inpatient services in a developing country. Soc Psychiat Epidemiol, 45:461-468.
  2. Gastal FL, Andreoli SB, Quintana MI ve ark. (2000) Predicting the revolving door phenomenon among patients with schizo- phrenic, affective disorders and non-organic psychoses. Rev Saude Publica, 34:280-285.
  3. Gultekin BK (2010) Ruhsal bozukluklaryn önlenmesi: Kavramsal çerçeve ve synyflandyrma. Psikiyatride Güncel Yakla?ymlar, 2:583-594.
  4. Haro JM, Eaton WW, Bilker WB ve ark. (1994) Predictability of rehospitalization for schizophrenia. Eur Arch Psychiatry Clin Neurosci, 244:241-246.
  5. Harris M, Bergman HC, Bachrach LL (1986) Psychiatric and nonpsychiatric indicators for rehospitalization in a chronic patient population. Hosp Community Psychiatry, 37:630-631
  6. Haywood TW, Kravitz HM, Grossman LS ve ark. (1995) Predicting the "revolving door" phenomenon among patients with schizophrenic, schizoaffective, and affective disorders. Am J Psychiatry, 152:856-861
  7. Herceg M, Jukic V, Vidovic D ve ark. (2008) Two year rehospi- talization rates of patients with newly diagnosed or chronic schizophrenia on atypical or typical antipsychotic drugs:retro- spective cohort study. Croat Med J, 49:215-223.
  8. Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull, 13:261-275. Kostako?lu AE, Batur S, Tiryaki A (1999) Pozitif ve negatif sendrom ölçe?inin (PANSS) Türkçe uyarlamasynyn geçerlilik ve güvenilirli?i. Türk Psikoloji Dergisi, 14:23-32.
  9. Lay B, Lauber C, Rössler W (2006) Prediction of in-patient use in first-admitted patients with psychosis. Eur Psychiatry, 21:401- 409. Lewiss DA, Shadish WR, Lurigio AJ (1989) Policies of inclusion and the mentally ill: Long-term care in a new environment. Journal of Social Issues, 45:173-186.
  10. Morlino M, Calento A, Schiavone V ve ark. (2011) Use of psy- chiatric inpatient services by heavy users: findings from a nation- al survey in Italy. Eur Psychiatry, 26:252-259.
  11. Olfson M, Mechanic D, Boyer CA ve ark. (1999) Assessing clin- ical predictions of early rehospitalization in schizophrenia. J Nerv Ment Dis, 187:721-729.
  12. Postrado LT, Lehman AF (1995) Quality of life and clinical pre- dictors of rehospitalization of persons with severe mental illness. Psychiatr Serv, 46:1161-1165.
  13. Roick C, Heider D, Kilian R ve ark. (2004) Factors contributing to frequent use of