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Predictors of rehospitalization in Psychotic Patients after their first hospitalization

Published online by Cambridge University Press:  01 September 2022

P. Álvarez ,
A. Palau ,
C. Russo  and
E. Nieto
P. Álvarez*
Affiliation:
Fundació Althaia Xarxa Assistencial of Manresa, Psychiatry, Manresa, Spain Fundaciò Althaia Xarxa Assistencial of Manresa, Psychiatry, Manresa (Barcelona), Spain
A. Palau
Affiliation:
Fundació Althaia Xarxa Assistencial of Manresa, Psychiatry, Manresa, Spain
C. Russo
Affiliation:
Fundació Althaia Xarxa Assistencial of Manresa, Psychiatry, Manresa, Spain
E. Nieto
Affiliation:
Fundació Althaia Xarxa Assistencial of Manresa, Psychiatry, Manresa, Spain
*
*Corresponding author.

Abstract

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Introduction

It is important to determine those clinical factors that imply a greater risk of rehospitalization in psychotic patients

Objectives

To determine the rate and predictors of rehospitalization in psychotic patients after their first hospitalization

Methods

We include all Psychotic patients admitted for first time in their life in our Psychiatric Unit between 2009 and 2019 (N=359) , including all diagnosed according DSM-IV of Schizophrenia or other Psychotic disorders -Multiple clinical, sociodemographic and biological variables of the basal hospitalization were recorded With the SPSS program we compared the variables between patients who needed any hospitalization in the follow-up until 31th December 2019 and those who do not. We use the Chi square ( qualitative variables) and the Student T ( quantitative variables)

Results

109 psychotic inpatients had at least one rehospitalizations (30,4%). The qualitative variables significantly associated with rehospitalization were : cannabis in urine at admission (P<0.03), and treatment with risperidone (P<0.014). Instead treatment with long acting paliperidone was associated with absence of rehospitalization (P<0.005) .The quantitative variables relationed significantly with multiple rehospitalization were : lower age (P<0,015) lower HDL cholesterol levels (P<0.02) and higher years of follow-up after discharge (P<0.000)

Conclusions

1-More of 30% of psychotic patients need rehospitalization after their first hospitalization in a mean of follow up of 5,8 years 2-Lower age, longer follow-up period and treatment with risperidone are significantly associated with rehospitalization , instead treatment with long acting paliperidone are significantly associated with absence of rehospitalization

Disclosure

No significant relationships.

Keywords

hospitalizationpaliperidonepsychoticspredictors
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S676
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 (http://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), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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