PMID- 8829246
OWN - NLM
STAT- MEDLINE
DCOM- 19970116
LR  - 20220316
IS  - 0033-2720 (Print)
IS  - 0033-2720 (Linking)
VI  - 67
IP  - 3
DP  - 1996 Fall
TI  - High risk factors for rehospitalization within six months.
PG  - 235-43
AB  - OBJECTIVE: 1. To identify risk factors associated with psychiatric 
      rehospitalization within six months, using global clinical assessments and 
      demographic information and; 2. To determine if risk factors for a hospital in a 
      rural region are similar to those reported for urban hospitals. METHOD: The 
      setting was a psychiatric unit within a general hospital. All adult admissions 
      for one year were assigned scores on the North Carolina Functional Assessment 
      Scale (NCFAS) and the Global Assessment of Functioning (GAF) scale. Patients were 
      interviewed six months after discharge to determine if they had been 
      rehospitalized and to assign new NCFAS and GAF scores. RESULTS: Significant risk 
      of rehospitalization was predicted by: 1. NCFAS score > 90; 2. history of prior 
      hospitalization; 3. nursing home residence; 4. referral from a small community 
      hospital and; 5. non-compliance with outpatient appointments. CONCLUSIONS: Global 
      assessments and demographic information collected during an index admission can 
      generate factors to identify patients at risk for rehospitalization within six 
      months. History of prior admissions and non-compliance with outpatient treatment, 
      reported as risk factors in urban settings, were found also to be risk factors in 
      a rural region.
FAU - Walker, R
AU  - Walker R
AD  - Department of Psychiatric Medicine, East Carolina University School of Medicine, 
      Greenville 27858-4354, USA.
FAU - Minor-Schork, D
AU  - Minor-Schork D
FAU - Bloch, R
AU  - Bloch R
FAU - Esinhart, J
AU  - Esinhart J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Psychiatr Q
JT  - The Psychiatric quarterly
JID - 0376465
SB  - IM
MH  - Adult
MH  - Confidence Intervals
MH  - Female
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Mental Disorders/*epidemiology
MH  - Middle Aged
MH  - North Carolina/epidemiology
MH  - Patient Compliance
MH  - Patient Readmission/*statistics & numerical data
MH  - Proportional Hazards Models
MH  - Risk
MH  - Risk Factors
MH  - Rural Health/statistics & numerical data
MH  - Sampling Studies
MH  - Severity of Illness Index
EDAT- 1996/01/01 00:00
MHDA- 1996/01/01 00:01
CRDT- 1996/01/01 00:00
PHST- 1996/01/01 00:00 [pubmed]
PHST- 1996/01/01 00:01 [medline]
PHST- 1996/01/01 00:00 [entrez]
AID - 10.1007/BF02238954 [doi]
PST - ppublish
SO  - Psychiatr Q. 1996 Fall;67(3):235-43. doi: 10.1007/BF02238954.