Using daily monitoring of psychiatric symptoms to evaluate hospital length of stay
| Autor: | Geoffrey R. Hooke, Andrew Page, Nadia K. Cunningham |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Paper
050103 clinical psychology medicine.medical_specialty Treatment response business.industry 05 social sciences Declaration Length of hospitalization Creative commons Symptom monitoring 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health Distress 0302 clinical medicine Neurotic Disorders medicine Psychiatric hospital 0501 psychology and cognitive sciences Psychiatry business |
| Zdroj: | BJPsych Open |
| ISSN: | 2056-4724 |
| Popis: | BackgroundRoutine symptom monitoring and feedback improves out-patient outcomes, but the feasibility of its use to inform decisions about discharge from in-patient care has not been explored.AimsTo examine the potential value to clinical decision-making of monitoring symptoms during psychiatric in-patient hospitalisation.MethodA total of 1102 in-patients in a private psychiatric hospital, primarily with affective and neurotic disorders, rated daily distress levels throughout their hospital stay. The trajectories of patients who had, and had not, met a criterion of clinically significant improvement were examined.ResultsTwo-thirds of patients (n=604) met the clinically significant improvement criterion at discharge, and three-quarters (n=867) met the criterion earlier during their hospital stay. After meeting the criterion, the majority (73.2%) showed stable symptoms across the remainder of their hospital stay, and both classes showed substantially lower symptoms than at admission.ConclusionsMonitoring of progress towards this criterion provides additional information regarding significant treatment response that could inform clinical decisions around discharge readiness. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|