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Revista de Salud Pública
Print version ISSN 0124-0064
Abstract
CASAS-LOPEZ, Andrea C. et al. Factors related with hospital readmission in patients with bipolar disorder in Valle del Cauca, Colombia. Rev. salud pública [online]. 2022, vol.24, n.3, pp.1-. Epub Oct 22, 2022. ISSN 0124-0064. https://doi.org/10.15446/rsap.v24n3.96915.
Objective
To identify the factors associated with hospital readmission in patients with bipolar disorder between 2011 and 2017 in a psychiatric hospital in order to develop an explanatory model of the risk of rehospitalization.
Method
Retrospective longitudinal observational study based on a secondary database provided by the Hospital Psiquiátrico Departamental Universitario del Valle. Statistics: Survival analysis using a Cox regression model. The risk of readmission was defined as a dependent variable and some sociodemographic and clinical variables were defined as independent variables.
Results
From the multivariate model of Cox Regression, a statistically significant association was obtained between the risk of readmission and the variables: lack of support network due to lack of retentive HR=1.33 [95% CI 1.02-1.72; (p=0.034)] and not having adherence to the treatment HR=2.33 [95% CI 1.87-2.90; (p=0.000)].
Conclusion
In order to reduce hospital readmission due to bipolar disorder, interven-tions should be prioritized in cases where patients do not have a guardian and there is inadequate adherence to the treatment; the latter perceived by the specialist doctor. Focusing on these two factors can influence readmissions.
Keywords : Mental health; bipolar disorder; patient readmission; mental disorders; multivariate analysis (source: MeSH, NLM).