Readmission rates and causes within the first six months after discharge in patients with alcohol addiction


Geniş B. , COŞAR B., ARIKAN Z.

Noropsikiyatri Arsivi, vol.58, no.1, pp.57-62, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 58 Issue: 1
  • Publication Date: 2021
  • Doi Number: 10.29399/npa.25077
  • Title of Journal : Noropsikiyatri Arsivi
  • Page Numbers: pp.57-62
  • Keywords: Alcohol addiction, patient readmission, headache, length of stay, substance addiction, anxiety disorders, HOSPITAL READMISSION, SOCIAL-FACTORS, RISK-FACTORS, DEPENDENCE, REHOSPITALIZATION, DETOXIFICATION, PREDICTORS, RELAPSE, STYLES, ABUSE

Abstract

© 2020 by Turkish Association of Neuropsychiatry.Introduction: Readmission rate is an important criterion that evaluates the quality of treatment and care. In this study, it was aimed to determine the rates of readmission and variables predicting readmission in patients with alcohol addiction. Methods: The study sample consisted of 264 alcohol addiction patients with recurrent admissions between 2005–2017 at the Gazi University Hospital Alcohol and Drug Addiction Clinic. In the study, ICD-10 diagnostic classification was used. The differences between the medical comorbidity and psychiatric comorbidity of the patients during the first and second admissions were analyzed. Results: The average age of the study sample was 51.45±12.04 and 89% (n=235) were male. In the second admission, the comorbid headaches (p=0.001), psychotic symptoms (p=0.013), anxiety disorder (p=0.003) and substance addiction (p=0.027) were significantly higher, and the length of hospital stay was shorter. In the first six months, 24.2% (n=64) of the sample was hospitalized again. While the comorbidity of anxiety disorder increased the risk of readmission within six months 2.2-fold (OR=2.240; p=0.031), the short duration of hospitalization (less than 35 days) increased the risk of readmission 2-fold (OR=0.492; p=0.026). Discussion: Patients with a short hospital stay have an increased risk of readmission within the first 6 months after discharge. Policies that reduce the length of hospital stay in health services should be reviewed. However, it is noteworthy that in the second admission of patients with alcohol dependence, the diagnosis of drug addiction is added. To prevent this, issues related to substance abuse prevention should be addressed during the treatment stages of alcohol dependence.