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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Non-psychiatric hospitalization length-of-stay for patients with psychotic disorders: A mixed methods study
GENERAL HOSPITAL PSYCHIATRY, v 67
Nov 2020
PMID: 32866772
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Patients with psychotic disorders experience higher rates of chronic and acute non-psychotic diseases and have frequent non-psychiatric hospitalizations which result in both longer and more varied length-of-stay (LoS) than other patients. This study seeks to use a patient-centered perspective to examine LoS. Methods: This article reports Phase Two of a mixed methods, exploratory sequential study on non-psychiatric hospitalizations for individuals with psychotic disorders. Patients' experiences were used to guide a quantitative analysis of LoS using a general linear model. Results: Medical comorbidities were the patient characteristics which had the largest effect on LoS. Certain processes of care highlighted by patients from Phase One were also associated with longer LoS, including: physical restraints (105%), psychiatric consults (20%) and continuous observation (133%). Only recent insystem outpatient appointments were associated with shorter LoS. Data integration highlighted that factors which were important to patients such as partner support, were not always quantitatively significant, while others like medical comorbidities and use of physical restraints were points of congruence. Conclusions: Medical comorbidities were highly associated with LoS but processes relating to longer LoS are those that are used to manage symptoms of acute psychosis. Clinicians should develop policies and procedures that address psychosis symptoms effectively during non-psychiatric hospitalizations. Further research is needed to understand which patients with psychotic disorders are at highest risk of extended length-of-stay.
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Details
- Title
- Non-psychiatric hospitalization length-of-stay for patients with psychotic disorders: A mixed methods study
- Publication Details
- GENERAL HOSPITAL PSYCHIATRY, v 67
- Publisher
- ELSEVIER SCIENCE INC; NEW YORK
- Number of pages
- 0
- Grant note
- Support to the first author was provided by the NINR T-32 Grant on Vulnerable Women, Children and Families (NR007100-20), the University of Pennsylvania Office of Nursing Research and the Rita and Alex Hillman Foundation. The other authors report no funding that supported this work.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000596333300001
- Scopus ID
- 2-s2.0-85089854823
- Other Identifier
- 991021860673904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry