Frequency and determinants of the re-entry in patients with serious mental disorder

Abstract

Introduction: It is estimated that at least 50% of patients who are regular users of psychiatric hospitalization services have been re-hospitalized during the first year of hospital discharge. To reduce the impact derived from the attention in health events, the SGGC of Colombia recommends that health institutions optimize care resources, evaluate and improve the quality of care in the population that requires hospitalization.
Objective: To identify the determinants related to hospital readmission in patients with a diagnosis compatible with Serious Mental Disorder in a specialized IPS of Cali - Colombia 2017.
Methods: A case-control study was conducted in an IPS specialized in Mental health in the city of Cali, 105 cases and 315 controls were included. For a sample of 420 patients. A bivariate analysis and multivariate analysis were performed. All calculations and statistical tests were performed at a 95% confidence level in the Stata 12 statistical program.
Results: 14.2% of the patients presented at least one reentry. Bipolar affective disorder occurred more frequently in readmissions with 41%, but did not present a statistically significant association with an adjusted OR of 0.94 (CI 95%: 0.53-1.67. The final model showed statistical significance in adherence to treatment as a protective factor to prevent hospital readmission in patients with TMG with an adjusted OR of 0.35 (CI 95%: 0.21-0.58).
Conclusions: The total patients, contributed with 153 hospitalizations (20.7%). For this reason, it is important to follow up the event to establish the causes of re-entry and establish actions that allow reducing their frequency.