PMID- 29194005
OWN - NLM
STAT- MEDLINE
DCOM- 20180709
LR  - 20191210
IS  - 1497-0015 (Electronic)
IS  - 0706-7437 (Print)
IS  - 0706-7437 (Linking)
VI  - 62
IP  - 12
DP  - 2017 Dec
TI  - Patient Characteristics, Length of Stay, and Functional Improvement for 
      Schizophrenia Spectrum Disorders: A Population Study of Inpatient Care in Ontario 
      2005 to 2015.
PG  - 854-863
LID - 10.1177/0706743716680167 [doi]
AB  - OBJECTIVES: Schizophrenia and associated illnesses account for a large proportion 
      of mental illness burden and health care expenditures, with the majority of 
      expense involving inpatient care. To date, the literature exploring factors 
      associated with length of stay (LOS) and functional improvement during inpatient 
      care is underdeveloped. In response, this study examined the association between 
      patient characteristics, LOS, and functional improvement using Ontario Mental 
      Health Reporting System (OMHRS) data from 2005 to 2015. METHODS: The associations 
      of patient characteristics (including key demographics, psychosocial variables, 
      reasons for admission, and service use history) and 2 outcome measures (LOS and 
      Global Assessment of Functioning [GAF]) were analysed with generalised linear 
      mixed modelling (GLMM). From 2005 to 2015, a total of 48,498 episodes for 
      distinct patients from 18 psychiatric hospitals and 57 general hospitals in 
      Ontario were included. RESULTS: For psychiatric and general hospitals, mean LOS 
      was 96.6 and 20.5 days, and mean GAF improvement was 14.8 and 16.1, respectively. 
      The majority of associations probed demonstrated a high degree of significance 
      with similar patterns across general and tertiary facility contexts. Older age 
      and more recent readmission following a psychiatric discharge were associated 
      with longer LOS and less GAF improvement. Recent experience of adverse life 
      events and substance misuse were associated with shorter LOS. CONCLUSIONS: While 
      the findings of this exploratory cross-sectional analysis will require further 
      inquiry with respect to validity and reliability, they suggest that a different 
      service pathway is likely required for individuals with greater psychosocial 
      challenge and extensive service use histories.
FAU - Chen, Sheng
AU  - Chen S
AD  - 1 Centre for Addiction and Mental Health, Toronto, Ontario.
FAU - Collins, April
AU  - Collins A
AD  - 1 Centre for Addiction and Mental Health, Toronto, Ontario.
FAU - Anderson, Kelly
AU  - Anderson K
AD  - 2 Department of Epidemiology & Biostatistics, Schulich School of Medicine & 
      Dentistry, Western University, London, Ontario.
AD  - 3 Department of Psychiatry, Schulich School of Medicine & Dentistry, Western 
      University, London, Ontario.
FAU - McKenzie, Kwame
AU  - McKenzie K
AD  - 1 Centre for Addiction and Mental Health, Toronto, Ontario.
AD  - 4 Department of Psychiatry, University of Toronto, Toronto, Ontario.
FAU - Kidd, Sean
AU  - Kidd S
AD  - 1 Centre for Addiction and Mental Health, Toronto, Ontario.
AD  - 4 Department of Psychiatry, University of Toronto, Toronto, Ontario.
LA  - eng
PT  - Journal Article
DEP - 20161214
PL  - United States
TA  - Can J Psychiatry
JT  - Canadian journal of psychiatry. Revue canadienne de psychiatrie
JID - 7904187
SB  - IM
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Databases, Factual/statistics & numerical data
MH  - Female
MH  - Hospitals, General/*statistics & numerical data
MH  - Hospitals, Psychiatric/*statistics & numerical data
MH  - Humans
MH  - Inpatients/*statistics & numerical data
MH  - Length of Stay/*statistics & numerical data
MH  - *Life Change Events
MH  - Male
MH  - Middle Aged
MH  - Ontario/epidemiology
MH  - Outcome Assessment, Health Care/*statistics & numerical data
MH  - Schizophrenia/epidemiology/*therapy
MH  - *Socioeconomic Factors
PMC - PMC5714115
OTO - NOTNLM
OT  - functioning
OT  - inpatient
OT  - length of stay
OT  - schizophrenia
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2017/12/02 06:00
MHDA- 2018/07/10 06:00
PMCR- 2018/06/01
CRDT- 2017/12/02 06:00
PHST- 2017/12/02 06:00 [entrez]
PHST- 2017/12/02 06:00 [pubmed]
PHST- 2018/07/10 06:00 [medline]
PHST- 2018/06/01 00:00 [pmc-release]
AID - 10.1177_0706743716680167 [pii]
AID - 10.1177/0706743716680167 [doi]
PST - ppublish
SO  - Can J Psychiatry. 2017 Dec;62(12):854-863. doi: 10.1177/0706743716680167. Epub 
      2016 Dec 14.