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  4. Clinical characteristics and outcomes associated with weekend admissions to psychiatric wards in Taiwan
 
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Clinical characteristics and outcomes associated with weekend admissions to psychiatric wards in Taiwan

Journal
General Hospital Psychiatry
Journal Volume
60
Pages
20-26
Date Issued
2019
Author(s)
Liu T.-Y.
CHI-SHIN WU  
MING-HSIEN HSIEH  
DOI
10.1016/j.genhosppsych.2019.07.001
URI
https://scholars.lib.ntu.edu.tw/handle/123456789/476367
Abstract
Objective: This study aimed to investigate whether weekend admissions to psychiatric wards in Taiwan were associated with different patient characteristics or worse clinical outcomes. Method: Patients with acute psychiatric admissions between 1996 and 2012 were included based on the National Health Insurance Research Database. The patients' baseline characteristics were recorded. The study outcomes included inpatient mortality, length of stay, and readmission within 30 days. Multivariable linear regression and multivariable logistic regression with adjustment for age, sex, diagnosis, and compulsory hospitalization status were performed. Results: Among 661,709 acute psychiatric admissions, there were 82,450 weekend admissions. The patients with weekend admissions tended to be younger and the proportion of patients with schizophrenia, bipolar affective disorder, substance use disorder, and compulsory hospitalization were higher. Weekend admissions were associated with a shorter length of stay (30.3 days vs. 33.3 days, p < 0.001), lower inpatient morality rate (0.07% vs. 0.11%, p = 0.007), but higher readmission rate (26.8% vs. 25.3%, p < 0.001). Conclusion: The impact of weekend admission on clinical outcomes was relatively small compared to the differences in demographic and clinical characteristics. Despite the small influence of weekend admission, evaluation of the quality of care provided at weekends requires further attention and research to improve mental health care. ? 2019 Elsevier Inc.
SDGs

[SDGs]SDG3

Other Subjects
adolescent; adult; age distribution; aged; Article; bipolar disorder; clinical outcome; controlled study; demography; drug dependence; female; health care quality; hospital admission; hospital mortality; hospital patient; hospital readmission; human; involuntary commitment; length of stay; major clinical study; male; medical record; mental health care; mortality rate; national health insurance; population research; psychiatric department; schizophrenia; sex difference; Taiwan; acute disease; hospital admission; mental disease; middle aged; time factor; young adult; Acute Disease; Adolescent; Adult; Female; Humans; Length of Stay; Male; Mental Disorders; Middle Aged; Patient Admission; Patient Readmission; Psychiatric Department, Hospital; Taiwan; Time Factors; Young Adult
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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