Level of Function at Discharge as a Predictor of Readmission Among Inpatients With Schizophrenia.

OBJECTIVE. We retrospectively assessed the effect of social-, cognitive-, and task-oriented functioninglevels at hospital discharge on the readmission rate of patients with schizophrenia. METHOD. We assessed the functional capability of 71 inpatients (37 men and 34 women), mean age 41.3 (standard de...

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Publicado en:American Journal of Occupational Therapy Vol. 65; no. 3; pp. 314 - 320
Autores principales: Odes, Hodayah, Katz, Nachum, Noter, Ester, Shamir, Yosefa, Weizman, Abraham, Valevski, Avi
Formato: research tables/charts Journal Article
Publicado: American Occupational Therapy Association May/Jun2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2011
      vid: 65
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2011.001362
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        atl: Level of Function at Discharge as a Predictor of Readmission Among Inpatients With Schizophrenia.
      aug:
        au:
          Odes, Hodayah
          Katz, Nachum
          Noter, Ester
          Shamir, Yosefa
          Weizman, Abraham
          Valevski, Avi
        affil: Ward Supervisor, Student Training Coordinator, Geha Mental Health Center, Petah Tikva, Israel.
      sug:
        subj:
          Schizophrenia
          Interpersonal Relations
          Task Performance and Analysis
          Readmission
          Questionnaires
          Human
          DSM
          P-Value
          Male
          Female
          Chi Square Test
          Paired T-Tests
          Kaplan-Meier Estimator
          Cox Proportional Hazards Model
          Confidence Intervals
          Sample Size
          Survival Analysis
          Data Analysis Software
          Scales
          Adult
          Adult: 19-44 years
          Male
          Female
      ab: OBJECTIVE. We retrospectively assessed the effect of social-, cognitive-, and task-oriented functioninglevels at hospital discharge on the readmission rate of patients with schizophrenia. METHOD. We assessed the functional capability of 71 inpatients (37 men and 34 women), mean age 41.3 (standard deviation 5 11.9 yr), who underwent daily occupational therapy interventions, at admission and at discharge using a comprehensive function score. We examined readmission rates up to 6.8 yr after discharge. RESULTS. Function scores improved significantly during the hospital stay (p < .001). Patients with a higher comprehensive function score (75th percentile) at the end of the index admission had a significantly lower readmission rate (p < .05). A higher comprehensive function score (75th percentile) atdischarge was a better predictor for readmission than the Brief Psychiatric Rating Score (25th percentile).CONCLUSION. These findings demonstrate the predictive value of occupational therapy functional monitoring at discharge for risk of readmission and the importance of cognitive/functional interventions for longlasting remission.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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