Predictors for readmission risk of new patients: the Nordic Comparative Studyon Sectorized Psychiatry
Article first published online: 24 DEC 2001
Acta Psychiatrica Scandinavica
Volume 101, Issue 5, pages 367–373, May 2000
How to Cite
Øiesvold, T., Saarento, O., Sytema, S., Vinding, H., Göstas, G., Lönnerberg, O., Muus, S., Sandlung, M. and Hansson, L. (2000), Predictors for readmission risk of new patients: the Nordic Comparative Studyon Sectorized Psychiatry. Acta Psychiatrica Scandinavica, 101: 367–373. doi: 10.1034/j.1600-0447.2000.101005367.x
- Issue published online: 24 DEC 2001
- Article first published online: 24 DEC 2001
- Accepted for publication November 8, 1999
- Cited By
- length of stay;
- survival analysis
Objective: Predictors for readmission risk were investigated in this study, which forms part of the Nordic Comparative Study on Sectorized Psychiatry.
Method: Included were a total of 837 consecutive ‘new’ patients (not in contact with the psychiatric services for at least 18 months) admitted to in-patient stay during a period of 1 year to seven psychiatric hospitals in four Nordic countries.
Results: Multivariate survival analyses showed that younger age predicted increased readmission risk. Stratifying on gender, diagnostic group and sector revealed a general pattern concerning age which was the only consistent main effect. Living alone and unemployed increased readmission risk in the non-psychosis group, while receipt of aftercare decreased readmission risk in the psychosis group. A curvilinear relationship was found between availability of psychiatric resources and readmission risk: an intermediate amount of resources was associated with increased risk.
Conclusion: Our findings support a hyphothesis that readmission risk is multifactorially determined and that interactions have to be considered.