Publications

Authors:

DIMITRI VALENTE, Giorgia; Giacco, Domenico; Bauer, Michael; Bird, Victoria Jane; Greenberg, Lauren; Lasalvia, Antonio; Lorant, Vincent; Moskalewicz, Jacek; Nicaise, Pablo; Pfennig, Andrea; Ruggeri, Mirella; Welbel, Marta; Priebe, Stefan

Title:

Predictors of length of stay in psychiatric inpatient units: Does their effect vary across countries?

Year:

2018

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

A Stampa

Referee:

Sì

Name of journal:

European Psychiatry

ISSN of journal:

0924-9338

N° Volume:

48

Page numbers:

6-12

Keyword:

Europe; hospital care; length of stay; mental illness

Short description of contents:

BACKGROUND: Previous studies in individual countries have identified inconsistent predictors of length of stay (LoS) in psychiatric inpatient units. This may reflect methodological inconsistencies across studies or true differences of predictors. In this study we assessed predictors of LoS in five European countries and explored whether their effect varies across countries. METHODS: Prospective cohort study. All patients admitted over 14 months to 57 psychiatric inpatient units in Belgium, Germany, Italy, Poland and United Kingdom were screened. Putative predictors were collected from medical records and in face-to-face interviews and tested for their association with LoS. RESULTS: Average LoS varied from 17.9days in Italy to 55.1days in Belgium. In the overall sample being homeless, receiving benefits, social isolation, diagnosis of psychosis, greater symptom severity, substance use, history of previous admission and being involuntarily admitted predicted longer LoS. Several predictors showed significant interaction effects with countries in predicting LoS. One variable, homelessness, predicted a different LoS even in opposite directions, whilst for other predictors the direction of the association was the same, but the strength of the association with LoS varied across countries. CONCLUSIONS: The same patient characteristics have a different impact on LoS in different contexts. Thus, although some predictor variables related to clinical severity and social dysfunction appear of generalisable relevance, national studies on LoS are required to understand the complex influence of different patient characteristics on clinical practice in the given contexts.

Web page:

https://doi.org/10.1016/j.eurpsy.2017.11.001

Product ID:

100084

Handle IRIS:

11562/972237

Last Modified:

November 27, 2022

Bibliographic citation:

DIMITRI VALENTE, Giorgia; Giacco, Domenico; Bauer, Michael; Bird, Victoria Jane; Greenberg, Lauren; Lasalvia, Antonio; Lorant, Vincent; Moskalewicz, Jacek; Nicaise, Pablo; Pfennig, Andrea; Ruggeri, Mirella; Welbel, Marta; Priebe, Stefan, Predictors of length of stay in psychiatric inpatient units: Does their effect vary across countries? «European Psychiatry» , vol. 48 , 2018 , pp. 6-12

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