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Determinants of hospital length of stay for patients with schizophrenia

Published online by Cambridge University Press:  27 August 2024

M. Turki
Affiliation:
Psychiatrie B, CHU Hedi Chaker, Sfax, Tunisia
M. Barkallah*
Affiliation:
Psychiatrie B, CHU Hedi Chaker, Sfax, Tunisia
N. Boussaid
Affiliation:
Psychiatrie B, CHU Hedi Chaker, Sfax, Tunisia
A. labyadh
Affiliation:
Psychiatrie B, CHU Hedi Chaker, Sfax, Tunisia
S. Ellouze
Affiliation:
Psychiatrie B, CHU Hedi Chaker, Sfax, Tunisia
N. Halouani
Affiliation:
Psychiatrie B, CHU Hedi Chaker, Sfax, Tunisia
J. Aloulou
Affiliation:
Psychiatrie B, CHU Hedi Chaker, Sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

relapse and frequent rehospitalizations. The length of stay (LOS) of these patients has been a concern of researchers. The ability to identify determinants of LOS at admission – and, thus, identify patients who are likely to need a longer stay early on – may help treatment planning.

Objectives

We aimed to investigate socio-demographic and clinical profile of inpatients with schizophrenia, and to identify factors associated with LOS.

Methods

It was a retrospective study carried out among 90 inpatients with schizophrenia admitted to the psychiatry “B” department, Hedi Chaker university hospital (Sfax, Tunisia), during the period between January 2015 and December 2019. Data collection was performed through the patients’ medical records. Statistical analysis was performed using SPSS v.25.

Results

The mean age of our patients was 32 years. Among them, 57.78% were women. The mean LOS was 28 days. Factors found to be significantly associated with LOS were: the number of admissions (p<0.001, r=0.404), involuntary hospitalization (p=0.001), violence and disturbance of public order as a reason of admission (p < 0001) and the lack of social support (p=0.039). As for the clinical symptoms, hallucinations were significantly associated with a longer LOS (p=0.001).

Conclusions

Our findings highlighted several factors associated with a longer LOS. This may be helpful to the management of hospitalization and ensuring that any periods of liberty deprivation do not last longer than necessary to provide appropriate treatment.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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