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Croatian medical journal, Vol.50 No.6 December 2009. -

Aim To study social, demographic, clinical, and forensic

profiles of frequently re-hospitalized revolving-door psychiatric

patients.

Methods The study included all patients n = 183 who

were admitted to our hospital 3 or more times during a 2-

year period from 1999 through 2000. We compared these

patients to 2 control groups of patients who were admitted

to our hospital in the same period. For comparison

of forensic data, we compared them with all non revolving-

door patients n = 1056 registered in the computerized

hospital database and for comparison of medical and

clinical data we compared them with a random sample of

non revolving-door patients n = 98. The sample was sufficiently

large to yield high statistical power above 98%. We

collected data on the legal status of the hospitalizations

voluntary or involuntary and social, demographic, clinical,

and forensic information from the forensic and medical records

of revolving-door and non revolving-door patients.

Results In the period 1999-2000, 183 revolving-door patients

accounted for 771 37.8%, 4.2 admissions per patient

and 1056 non revolving-door patients accounted for

1264 62.5%, 1.2 admissions per patient of the 2035 admissions

to our hospital. Involuntary hospitalizations accounted

for 23.9% of revolving-door and 76.0% of non revolvingdoor

admissions. Revolving-door patients had significantly

shorter mean interval between hospitalizations, showed

less violence, and were usually discharged contrary to

medical advice. We found no differences in sex, marital status,

age, ethnicity, diagnoses, illegal drug and alcohol use,

or previous suicide-attempts between the groups.

Conclusions Revolving-door patients are not necessarily

hospitalized for longer time periods and do not have more

involuntarily admissions. The main difference between revolving-

door and non revolving-door patients is greater

self-management of the hospitalization process by shortening

the time between voluntary re-admission and discharge

against medical advice.

hospitalization; patient readmission; patient discharge; length of stay; hospitalphilia; inpatients



Autor: Igor Oyffe - ; Lev Hasharon Mental Health Center, Netanya, Israel Rena Kurs - ; Lev Hasharon Mental Health Center, Netanya, Israe

Fuente: http://hrcak.srce.hr/



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