Rehospitalization of Older Psychiatric Inpatients: An Investigation of Predictors

The purpose of this study was to identify a combination of variables that could predict rehospitalization among a sample of 150 geropsychiatric inpatients. Logistic regression analyses testing a modified model identified risk factors for geropsychiatric rehospitalization and correctly classified app...

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Bibliographic Details
Published in:The Gerontologist 1999-10, Vol.39 (5), p.591-598
Main Authors: Mercer, Gina Touch, Molinari, Victor, Kunik, Mark E., Orengo, Claudia A., Snow, Lynn, Rezabek, Pam
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Alzheimer Disease - diagnosis
Alzheimer Disease - epidemiology
Geriatric Assessment - statistics & numerical data
Geriatrics
Hospitalization
Humans
Inpatients
Male
Middle Aged
Older adults
Patient Readmission - statistics & numerical data
Predictors
Psychiatry
Rehospitalization
Retrospective Studies
Risk Factors
Veterans - psychology
Veterans - statistics & numerical data
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Description
Summary:The purpose of this study was to identify a combination of variables that could predict rehospitalization among a sample of 150 geropsychiatric inpatients. Logistic regression analyses testing a modified model identified risk factors for geropsychiatric rehospitalization and correctly classified approximately 80% of inpatients who were rehospitalized for subsequent treatment. Patients' psychiatric diagnosis (mood or schizophrenic disorder), poor general psychiatric functioning, depressive and agitated behavior at discharge, little or no supervision in living arrangements following discharge, limited social support, change in the social support system preceding hospitalization, and maladaptive family functioning could significantly predict geropsychiatric rehospitalization. The strongest independent predictor was maladaptive family functioning.
ISSN:0016-9013
1758-5341
DOI:10.1093/geront/39.5.591