PMID- 16763767
OWN - NLM
STAT- MEDLINE
DCOM- 20070104
LR  - 20181113
IS  - 0033-2720 (Print)
IS  - 0033-2720 (Linking)
VI  - 77
IP  - 2
DP  - 2006 Summer
TI  - Determinants of inpatient psychiatric length of stay in an urban county hospital.
PG  - 173-88
AB  - This study investigated predictors of length of stay (LOS) for two inpatient 
      psychiatric units (a crisis stabilization unit and a longer-stay milieu unit) in 
      a large, urban, university-affiliated, county hospital. It was hypothesized that 
      three variables would be independently associated with shorter LOS: (1) higher 
      Global Assessment of Functioning (GAF) scale scores, (2) not requiring the use of 
      seclusion or restraints, and (3) the presence of a comorbid substance use 
      disorder. Data were collected on consecutive discharges (n=234) from the two 
      inpatient units. Bivariate tests were conducted, and multiple linear regression 
      models assessed the independent effects of potential determinants of LOS. The 
      presence of a comorbid personality disorder or substance use disorder was 
      predictive of shorter LOS on the crisis stabilization unit (n=88). Several 
      variables were found to be predictive of shorter LOS on the longer-stay milieu 
      unit (n=146), including: involuntary legal status on discharge, not requiring 
      seclusion or restraints, higher admission GAF scale score, female gender, and the 
      presence of a comorbid substance use disorder. Findings indicate that a 
      substantial portion of the variance in LOS in this setting can be predicted from 
      basic sociodemographic and clinical factors available in hospital medical charts.
FAU - Compton, Michael T
AU  - Compton MT
AD  - Emory University School of Medicine, Department of Psychiatry and Behavioral 
      Sciences, Atlanta, GA, USA. mcompto@emory.edu
FAU - Craw, Jason
AU  - Craw J
FAU - Rudisch, Bruce E
AU  - Rudisch BE
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Psychiatr Q
JT  - The Psychiatric quarterly
JID - 0376465
SB  - IM
MH  - Adult
MH  - Female
MH  - Georgia
MH  - Hospital Units
MH  - Hospitals, County/*statistics & numerical data
MH  - Hospitals, University
MH  - Hospitals, Urban/*statistics & numerical data
MH  - Humans
MH  - *Length of Stay
MH  - Male
MH  - Medical Records
MH  - Mental Disorders/classification/*psychology/*therapy
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Socioeconomic Factors
EDAT- 2006/06/10 09:00
MHDA- 2007/01/05 09:00
CRDT- 2006/06/10 09:00
PHST- 2006/06/10 09:00 [pubmed]
PHST- 2007/01/05 09:00 [medline]
PHST- 2006/06/10 09:00 [entrez]
AID - 10.1007/s11126-006-9005-z [doi]
PST - ppublish
SO  - Psychiatr Q. 2006 Summer;77(2):173-88. doi: 10.1007/s11126-006-9005-z.