In-patient service use before and after a mental health in-patient rehabilitation admission.

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2025-04-01 DOI:10.1192/bjo.2025.31
Christian Dalton-Locke, Louise Marston, Justin Yang, David Osborn, Helen Killaspy
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引用次数: 0

Abstract

Background: In-patient mental health rehabilitation services provide specialist treatment to people with complex psychosis. On average, rehabilitation admissions last around a year and usually follow several years of recurrent and often lengthy psychiatric hospital admissions.

Aims: To compare in-patient service use before and after an in-patient rehabilitation admission, using electronic patient healthcare records in one National Health Service Trust in London.

Method: We carried out a retrospective cohort study comprised of individuals with an in-patient rehabilitation admission lasting ≥84 days between 1 January 2010 and 30 April 2019, with at least ≥365 days of records available before and after their rehabilitation admission. We used negative binomial regression models to compare the number of in-patient days before and after the rehabilitation admission.

Results: A total of 172 individuals met our eligibility criteria. The median percentage of days spent as an in-patient before the rehabilitation admission was 29% (interquartile range 18-52%), and 8% (interquartile range 0-31%) after the admission. The regression model adjusted for potential confounder variables produced an incidence rate ratio of 0.520 (95% CI 0.367-0.737).

Conclusions: The rate of in-patient service use was halved in the period after an in-patient rehabilitation admission compared with the period before. This suggests that in-patient rehabilitation is a clinical and cost-effective intervention in the treatment and support of people with complex psychosis.

心理健康住院康复患者入院前后的住院服务使用情况。
背景:住院心理健康康复服务为复杂精神病患者提供专科治疗。平均而言,康复住院持续一年左右,通常是在几年的反复和经常长期的精神病院住院之后。目的:比较住院康复入院前后的住院服务使用情况,使用电子患者医疗记录在伦敦的一个国家卫生服务信托。方法:我们进行了一项回顾性队列研究,纳入了2010年1月1日至2019年4月30日期间住院康复时间≥84天的患者,入院前后至少有≥365天的记录。我们采用负二项回归模型比较康复入院前后的住院天数。结果:共有172人符合我们的资格标准。入院前住院天数中位数百分比为29%(四分位数范围为18-52%),入院后住院天数中位数百分比为8%(四分位数范围为0-31%)。校正了潜在混杂变量的回归模型得出的发病率比为0.520 (95% CI 0.367-0.737)。结论:与入院前相比,住院康复入院后住院服务使用率降低了一半。这表明,住院康复是治疗和支持复杂精神病患者的临床和经济有效的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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