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Risk factors for psychiatric readmission among inpatients with major depressive disorder: A patient-chart based study

Published online by Cambridge University Press:  19 July 2023

H. Al-Haboobi ,
M. Ioannou ,
M. Ben Saleh ,
A. E. Bakken Wold ,
S. Berg ,
S. Patraskovic ,
Z. Szabó  and
S. Steingrímsson
H. Al-Haboobi
Affiliation:
Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy
M. Ioannou*
Affiliation:
Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy Psykiatri Affektiva, Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden
M. Ben Saleh
Affiliation:
Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy
A. E. Bakken Wold
Affiliation:
Psykiatri Affektiva, Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden
S. Berg
Affiliation:
Psykiatri Affektiva, Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden
S. Patraskovic
Affiliation:
Psykiatri Affektiva, Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden
Z. Szabó
Affiliation:
Psykiatri Affektiva, Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden
S. Steingrímsson
Affiliation:
Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy Psykiatri Affektiva, Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden
*
*Corresponding author.

Abstract

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Introduction

Major depressive disorder (MDD) is a common and severe mental disorder. Although inpatient care may be needed in some cases, little is known on which factors are associated with risk for readmission.

Objectives

To identify risk factors associated with an increased risk of readmission within 90 days, after being discharged from psychiatric inpatient care for depression.

Methods

A medical record review is ongoing based on consecutive inpatients admitted in 2019-2021 at Sahlgrenska University Hospital, in Sweden. Inclusion criteria are MDD-diagnosis, admission > 7 days, no admission during the past half-year. Exclusion criteria are blocked medical record, patients who expired within 90 days after discharge. Time to first readmission for discharged patients was examined within 90 days. Clinical and sociodemographic characteristics were compared between readmitted and no-readmitted patients.

Results

To date, 446 cases have been included with a readmission rate of 19.5%. In a subgroup of 182 patients (admitted between April 2020 and March 2021), psychotic subtype of depression seems to be protective to re-admission (p < .003) while comorbid eating (p < .017) and neurodevelopmental disorder (p < .029) seem to be associated with high risk. At the congress, results from the whole cohort will be presented.

Conclusions

Medical record reviews can give good clinically relevant data for prediction of readmission. Comorbidities and depression subtypes may affect the risk for readmission.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S838 - S839
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), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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