Document Detail

The new revolving-door patients: results from a national cohort of first admissions.
MedLine Citation:
PMID:  2239356     Owner:  NLM     Status:  MEDLINE    
A cohort of all first admissions to New Zealand psychiatric hospitals and psychiatric wards of general hospitals in 1980 and 1981 was followed up for 5 years. The cohort consisted of 3875 males and 3965 females aged from 15 to 64 years. Of these subjects, 59.4% had only one admission; 14.6% met our criteria for a revolving-door patient, as they had 4 or more admissions within the 5-year follow-up period. Based on first-admission information, patients who were younger and had a psychotic diagnosis had an increased likelihood of becoming a revolving-door patient. Stepwise logistic regression showed that younger age and psychotic diagnosis independently and in interaction were associated with a high probability of becoming a revolving-door patient. Although patients with a first-admission diagnosis of schizophrenia constitute a large group of the new revolving-door patients for both males and females, for women those with affective disorders and for men those with substance abuse comprise the largest proportion of the new revolving-door patients. This is because affective disorders in women and substance abuse in men are the most common diagnoses on first admission, rather than because the disorders themselves are associated with a high probability of the patients having multiple admissions.
T Lewis; P R Joyce
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta psychiatrica Scandinavica     Volume:  82     ISSN:  0001-690X     ISO Abbreviation:  Acta Psychiatr Scand     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-12-21     Completed Date:  1990-12-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370364     Medline TA:  Acta Psychiatr Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  130-5     Citation Subset:  IM    
University Department of Psychological Medicine, Christchurch School of Medicine, New Zealand.
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MeSH Terms
Cohort Studies
Cross-Cultural Comparison*
Cross-Sectional Studies
Deinstitutionalization / trends*
Follow-Up Studies
Mental Disorders / epidemiology,  rehabilitation*
Middle Aged
New Zealand / epidemiology
Patient Readmission / trends*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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