Document Detail


Length of hospitalization for inpatient treatment of depression : Results of a multicentre study on the effects of a new treatment model.
MedLine Citation:
PMID:  23392267     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Patients with depression are treated for a relatively long period as inpatients in Germany. A new treatment model with symptom-orientated release management, post-hospitalization treatment and standardized referral to outpatient therapists could be suitable to specifically shorten the hospital stay of patients who have already profited sufficiently from treatment. MATERIALS AND METHODS: The aim of the present study was to investigate the effects of a new treatment method (intervention group) with hospitalized depressive patients in comparison to a standard protocol (treatment-as-usual control group) on the length of stay as part of a pragmatic randomized, controlled multicentre study. The evaluation was made using covariance analysis. RESULTS: Of the 202 randomized patients 184 could be included in the analysis. The estimated marginal mean of the length of stay (n = 83) was 57.3 days (range 1-305 days, SE = 3.8) in the intervention group and (n = 101) 57.6 days (range: 6-196 days, SE = 3.5) in the control group. There were no significant statistical differences between the groups (p = 0.966). CONCLUSIONS: An effect of the new treatment model on the inpatient length of hospital stay in depressive patients could not be demonstrated.
Authors:
L P Hölzel; I Bermejo; L Kriston; A von Wolff; J Kornacher; C Harter; S Büttig; E Sacher; M Härter
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-9
Journal Detail:
Title:  Der Nervenarzt     Volume:  -     ISSN:  1433-0407     ISO Abbreviation:  Nervenarzt     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400773     Medline TA:  Nervenarzt     Country:  -    
Other Details:
Languages:  GER     Pagination:  -     Citation Subset:  -    
Affiliation:
Abteilung für Psychiatrie und Psychotherapie, AG Klinische Epidemiologie und Versorgungsforschung, Universitätsklinikum Freiburg, Hauptstr. 5, 79104, Freiburg, Deutschland, lars.hoelzel@uniklinik-freiburg.de.
Vernacular Title:
Verweildauer in der stationären Depressionsbehandlung : Ergebnisse einer Multicenterstudie zum Effekt eines neuen Behandlungsmodells.
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