IngentaConnect Patterns of psychiatric hospitalizations in schizophrenic psychos...

Authors: Miettunen, Jouko¹; Lauronen, Erika¹; Veijola, Juha¹; Koponen, Hannu¹; Saarento, Outi²; Isohanni, Matti³

Source: Nordic Journal of Psychiatry, Volume 60, Number 4, August 2006 , pp. 286-293(8)

Abstract:

We report patterns of hospitalization in schizophrenic psychoses by age 34 in a longitudinal population-based cohort. We test the predictive ability of various demographic and illness-related variables on patterns of hospitalization, with a special focus on the length of the first psychiatric hospitalization. All living subjects of the Northern Finland 1966 Birth Cohort with DSM-III-R schizophrenia ( n =88) and other schizophrenia spectrum cases ( n =27) by the year 1997 in the Finnish Hospital Discharge Register were followed for an average of 10.5 years. Measures of psychiatric hospitalization included time to re-hospitalization (as continuous and as re-hospitalization within 2 years) and the number of hospital episodes. Length of the first hospitalization, other illness-related and various socio-demographic predictors were used to predict hospitalization patterns. After adjusting for gender, age at first admission and number of hospital days a short (1-14 days) first hospitalization (reference >30 days; adjusted odds ratio 6.39; 95% CI 2.00-20.41) and familial risk of psychosis (OR 3.36; 1.09-10.39) predicted re-hospitalization within 2 years. A short first hospitalization also predicted frequent psychiatric admissions defined as the first three admissions within 3 years (OR 13.77; 3.92-48.36). A short first hospitalization was linked to increased risk of re-hospitalizations. Although short hospitalization is recommended by several guidelines, there may be a group of patients with schizophrenic psychoses in which too short a hospitalization may lead to inadequate treatment response.

Keywords: Hospitalization; Psychotic disorders; Re-hospitalization; Relapse; Schizophrenia

Document Type: Research article

DOI: 10.1080/08039480600790168

Affiliations: 1: Department of Psychiatry, University of Oulu, PO Box 5000, FIN-90014, Finland 2: Department of Psychiatry, Oulu University Hospital, PO Box 26, FIN-90029, Finland 3: Department of Psychiatry and Department of Public Health and General Practice, Department of Psychiatry, University of Oulu, PO Box 5000, FIN-90014, Finland

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Patterns of psychiatric hospitalizations in schizophrenic psychoses within the Northern Finland 1966 Birth Cohort