Long-term hospitalizations for schizophrenia in the Czech Republic 1998-2012
Jazyk angličtina Země Nizozemsko Médium print-electronic
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
27094718
DOI
10.1016/j.schres.2016.04.008
PII: S0920-9964(16)30157-8
Knihovny.cz E-zdroje
- Klíčová slova
- Deinstitutionalization, Epidemiology, Health service, Hospitalization, Psychiatric hospital, Schizophrenia,
- MeSH
- deinstitucionalizace MeSH
- délka pobytu * MeSH
- dospělí MeSH
- Kaplanův-Meierův odhad MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- multivariační analýza MeSH
- regresní analýza MeSH
- schizofrenie mortalita terapie MeSH
- senioři MeSH
- ústavy pro duševně nemocné MeSH
- znovupřijetí pacienta MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
Deinstitutionalization has not been pursued in the post-communist Europe until recently. The population of psychiatric patients institutionalized in the regional mental hospitals is, however, largely understudied. The aim of this study is to assess discharges of long-term inpatients with schizophrenia from Czech psychiatric hospitals and to analyse re-hospitalizations within this group. The nationwide register of all-cause inpatient hospitalizations was merged with the nationwide register of all-cause deaths on an individual level basis. Descriptive statistics, survival analysis and logistic regression were performed. 3601 patients with schizophrenia previously hospitalized for more than a year were discharged from Czech mental hospitals between 1998 and 2012. This included 260 patients hospitalized for >20years. Nearly one fifth (n=707) of the long-term patients died during the hospitalization; and discharges of 19.36% (n=697) were only administrative in their nature. Out of 2197 truly discharged patients, 14.88% (n=327) were re-hospitalized within 2weeks after the discharge. The highest odds of rehospitalization were associated with being discharged against medical advice (OR 5.27, CI: 3.77-7.35, p<0.001). These data are important for the ongoing mental health care reforms in the Czech Republic and other countries in the Central and Eastern Europe.
Cambridgeshire and Peterborough NHS Foundation Trust Cambridge United Kingdom
Department of Psychiatry Clare College University of Cambridge United Kingdom
Citace poskytuje Crossref.org
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