Department of Neurosciences, Faculty of Medicine and Psychology, Suicide Prevention Centre, Mental Health and Sensory Organs, Sant'Andrea Hospital, Sapienza University of Rome, Via Di Grottarossa, 1035, 00189, Rome, Italy.
Department of Human Neurosciences, Sapienza University of Rome, Viale Dell'Università, 30, 00185, Rome, Italy.
BMC Psychiatry. 2022 Dec 22;22(1):821. doi: 10.1186/s12888-022-04472-3.
The reduction of multiple psychiatric hospitalizations is an important clinical challenge in mental health care. In fact, psychiatric re-hospitalization negatively affects the quality of life and the life expectancy of patients with psychiatric disorders. For these reasons, identifying predictors of re-hospitalization is important for better managing psychiatric patients. The first purpose of the present study was to examine the readmission rate in a large sample of inpatients with a psychiatric disorder. Second, we investigated the role of several demographical and clinical features impacting re-hospitalization. METHOD: This retrospective study enrolled 1001 adult inpatients (510 men and 491 women) consecutively admitted to the University Psychiatric Clinic, Sant'Andrea Hospital, Sapienza University of Rome between January 2018 and January 2022. To identify risk factors for psychiatric re-hospitalization, we divided the sample into 3 subgroups: the Zero-Re group which had no readmission after the index hospitalization, the One-Re group with patients re-admitted only once, and the Two-Re with at least two re-admissions. RESULTS: The groups differed according to previous hospitalizations, a history of suicide attempts, age at onset, and length of stay. Furthermore, the results of the regression model demonstrated that the Two-Re group was more likely to have a history of suicide attempts and previous hospitalizations.
These results indicate the importance of assessing risk factors in psychiatric hospitalized patients and implementing ad hoc prevention strategies for reducing subsequent re-hospitalizations.
减少多次住院是精神卫生保健中的一个重要临床挑战。事实上，精神科再住院会对精神障碍患者的生活质量和预期寿命产生负面影响。出于这些原因，确定再住院的预测因素对于更好地管理精神科患者非常重要。本研究的首要目的是在大量精神科住院患者中检查再入院率。其次，我们调查了影响再入院的几个人口统计学和临床特征的作用。
本回顾性研究纳入了 2018 年 1 月至 2022 年 1 月期间连续入住罗马萨皮恩扎大学圣安德烈亚医院大学精神病诊所的 1001 名成年住院患者（510 名男性和 491 名女性）。为了确定精神科再入院的危险因素，我们将样本分为 3 个亚组：零再入院组（指数住院后无再入院）、一再入院组（仅再入院一次）和两再入院组（至少两次再入院）。
这些组在既往住院情况、自杀未遂史、发病年龄和住院时间方面存在差异。此外，回归模型的结果表明，两再入院组更有可能有自杀未遂史和既往住院史。
这些结果表明评估精神科住院患者的危险因素并实施专门的预防策略以减少随后的再入院非常重要。
