PMID- 31977720
OWN - NLM
STAT- MEDLINE
DCOM- 20210325
LR  - 20210325
IS  - 1539-736X (Electronic)
IS  - 0022-3018 (Linking)
VI  - 208
IP  - 5
DP  - 2020 May
TI  - Predicting Patients' Readmission: Do Clinicians Outperform a Statistical Model? 
      An Exploratory Study on Clinical Risk Judgment in Mental Health.
PG  - 353-361
LID - 10.1097/NMD.0000000000001140 [doi]
AB  - This study explores whether clinicians or a statistical model can better identify 
      patients at risk of early readmission and investigates variables potentially 
      associated with clinicians' risk judgment. We focus on a total of 142 patients 
      discharged from acute psychiatric wards in the Verona Mental Health Department 
      (Italy). Psychiatrists assessed patients' risk of readmission at 30 and 90 days 
      postdischarge, predicted their postdischarge compliance, and assessed their 
      Global Assessment of Functioning (GAF) score at admission and discharge. 
      Clinicians' judgment outperformed the statistical model, with the difference 
      reaching statistical significance for 30-day readmission. Clinicians' readmission 
      risk judgment, both for 30 and 90 days, was found to be statistically associated 
      with predicted compliance with community treatment and GAF score at discharge. 
      Clinicians' superior performance might be explained by their risk judgment 
      depending on nonmeasurable factors, such as experience and intuition. Patients 
      with a poorer GAF score at discharge and poor assumed compliance were predicted 
      to have a higher risk of readmission.
FAU - Zanovello, Sofia
AU  - Zanovello S
FAU - Donisi, Valeria
AU  - Donisi V
AD  - Department of Neurosciences, Biomedicine, and Movement, University of Verona, 
      Policlinico G.B. Rossi, Verona.
FAU - Tedeschi, Federico
AU  - Tedeschi F
AD  - Department of Neurosciences, Biomedicine, and Movement, University of Verona, 
      Policlinico G.B. Rossi, Verona.
FAU - Ruggeri, Mirella
AU  - Ruggeri M
AD  - Department of Neurosciences, Biomedicine, and Movement, University of Verona, 
      Policlinico G.B. Rossi, Verona.
FAU - Moretti, Francesca
AU  - Moretti F
AD  - Department of Diagnostic and Public Health, University of Verona, Policlinico 
      G.B. Rossi, Verona, Italy.
FAU - Rimondini, Michela
AU  - Rimondini M
AD  - Department of Neurosciences, Biomedicine, and Movement, University of Verona, 
      Policlinico G.B. Rossi, Verona.
FAU - Amaddeo, Francesco
AU  - Amaddeo F
AD  - Department of Neurosciences, Biomedicine, and Movement, University of Verona, 
      Policlinico G.B. Rossi, Verona.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Nerv Ment Dis
JT  - The Journal of nervous and mental disease
JID - 0375402
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aftercare/*statistics & numerical data
MH  - Aged
MH  - Female
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Italy
MH  - Male
MH  - Mental Disorders/*therapy
MH  - Middle Aged
MH  - Models, Statistical
MH  - Patient Discharge/*statistics & numerical data
MH  - Patient Readmission/*statistics & numerical data
MH  - Prognosis
MH  - Psychiatric Department, Hospital
MH  - Risk Adjustment
MH  - Time Factors
MH  - Young Adult
EDAT- 2020/01/25 06:00
MHDA- 2021/03/26 06:00
CRDT- 2020/01/25 06:00
PHST- 2020/01/25 06:00 [pubmed]
PHST- 2021/03/26 06:00 [medline]
PHST- 2020/01/25 06:00 [entrez]
AID - 00005053-202005000-00001 [pii]
AID - 10.1097/NMD.0000000000001140 [doi]
PST - ppublish
SO  - J Nerv Ment Dis. 2020 May;208(5):353-361. doi: 10.1097/NMD.0000000000001140.