Data Entry: Please note that the research database will be replaced by UNIverse by the end of October 2023. Please enter your data into the system https://universe-intern.unibas.ch. Thanks

Login for users with Unibas email account...

Login for registered users without Unibas email account...

 
Time to Readmission in Psychiatric Inpatients with a Therapeutic Leave
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4635660
Author(s) Ziltener, Tiziana; Möller, Julian; Imfeld, Lukas; Lieb, Roselind; Lang, Undine E; Huber, Christian G
Author(s) at UniBasel Lieb, Roselind
Möller, Julian
Year 2021
Title Time to Readmission in Psychiatric Inpatients with a Therapeutic Leave
Journal Journal of Psychiatric Research
Volume 144
Pages / Article-Number 102-109
Keywords Inpatients; Prevention; Psychiatry; Readmission; Risk factor; Therapeutic leave
Abstract

Interventions to decrease readmissions in psychiatric patients are urgently needed. In Switzerland therapeutic leave (TL) composes a cornerstone of inpatient treatment. TL is a planned time-limited absence from the inpatient ward giving patients the opportunity to test their resilience in their usual environment. Evidence of its applicability as an intervention reducing readmissions is lacking. Therefore, our objective was to examine the association between TL and readmission risk.; Using the Kaplan-Meier curve we compared the time to readmission of 3'302 inpatients at the UPK Basel with and without TL. Cox regression was applied, integrating other covariates associated with readmission.; The Kaplan-Meier curve indicated longer cumulative survival in patients with TL. The log-rank test implied statistical significance (χ; 2; (1) = 18.8, p < .05). The Cox regression showed a reduced hazard for patients with TL (HR = 0.735, CI 95% = [0.639, 0.846], p < .001) and for involuntarily hospitalized patients (HR = 0.760, CI 95% = [0.618, 0.934], p < .01). A higher readmission risk was found for a history of psychiatric admissions (HR = 1.005, CI 95% = [1.004, 1.005], p < .001), higher severity of symptoms at admission (HR = 1.029, CI 95% = [1.018, 1.040], p < .001), comorbidity (HR = 1.178, CI 95% [1.024, 1.355], p = .022), and a diagnosis with schizophrenia-spectrum disorders (HR = 1.401, CI 95% [1.164, 1.687], p = .001).; Linking TL with readmission risk, our results imply an easy way to improve quality of care, with possible implications for practice, policies and quality interventions. TL might be suitable to enhance recovery, reduce readmissions and health care costs. RCTs are needed for validation.

ISSN/ISBN 1879-1379
Full Text on edoc
Digital Object Identifier DOI 10.1016/j.jpsychires.2021.09.050
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/34610513
   

MCSS v5.8 PRO. 0.354 sec, queries - 0.000 sec ©Universität Basel  |  Impressum   |    
03/05/2024