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Community Mental Health Journal

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01.02.2015 | Original Paper

Hospital Readmission Rates and Emergency Department Visits for Mental Health and Substance Abuse Conditions

verfasst von: Mark W. Smith, Carol Stocks, Patricia B. Santora

Erschienen in: Community Mental Health Journal | Ausgabe 2/2015

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Abstract

Community hospital stays in 12 states during 2008–2009 were analyzed to determine predictors of 12-month hospital readmission and emergency department (EDs) revisits among persons with a mental health or substance abuse diagnosis. Probabilities of hospital readmission and of ED revisits were modeled as functions of patient demographics, insurance type, number of prior-year hospital stays, diagnoses and other characteristics of the initial stay, and hospital characteristics. Alcohol or drug dependence, dementias, psychotic disorders, autism, impulse control disorders, and personality disorders were most strongly associated with future inpatient admission or ED revisits within 12 months of initial encounter. Insurance type, including uninsured status, were highly significant (p < .01) predictors of both readmission and ED revisits.

Cherpitel, C. J., & Ye, Y. (2008). Trends in alcohol- and drug-related ED and primary care visits: Data from three US national surveys (1995–2005). The American Journal of Drug and Alcohol Abuse, 34, 576–583.PubMedCentralPubMedCrossRef

Coleman, E. A., Parry, C., Chalmers, S., et al. (2006). The care transitions intervention: Results of a randomized controlled trial. Archives of Internal Medicine, 166, 1822–1828.PubMedCrossRef

Crane, S., Collins, L., Hall, J., et al. (2012). Reducing utilization by uninsured frequent users of the emergency department: Combining case management and drop-in group medical appointments. Journal of the American Board of Family Medicine, 25(2), 184–191.PubMedCrossRef

Doupe, M. B., Palatnick, W., Day, S., et al. (2012). Frequent users of emergency departments: Developing standard definitions and defining prominent risk factors. Annals of Emergency Medicine, 60(1), 24–32.PubMedCrossRef

Elixhauser, A., Steiner, C., Harris, D. R., et al. (1998). Comorbidity measures for use with administrative data. Medical Care, 36, 8–27.PubMedCrossRef

Hart, A., & Stegman, M. (Eds.). (2007). ICD-9-CM Expert for hospitals (6th ed., Vol. 1, 2 & 3). New York: Ingenix.

HCUP Central Distributor (2008). SID description of data elements—all states. healthcare cost and utilization project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality. http://www.hcup-us.ahrq.gov/db/vars/siddistnote.jsp?var=visitlink. Accessed July 3, 2014.

Ilgen, M. A., Unger Hu, K., Moos, R. H., et al. (2008). Continuing care after inpatient psychiatric treatment for patients with psychiatric and substance use disorders. Psychiatric Services, 59(9), 982–988.PubMedCrossRef

Jack, B. W., Chetty, V. K., Anthony, D., et al. (2009). A re-engineered hospital discharge program to decrease re-hospitalization: A randomized trial. Annals of Internal Medicine, 150, 178–187.PubMedCentralPubMedCrossRef

Jencks, S. F., Williams, M. V., & Coleman, E. A. (2009). Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine, 360, 1418–1428.PubMedCrossRef

Kaiser Commission on Medicaid and the Uninsured. Medicaid Health Homes for Beneficiaries with Chronic Conditions, Publication No. 8340, August 2012. http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8340.pdf.

Klinkenberg, W. D., & Calsyn, R. J. (1998). Predictors of psychiatric hospitalization: A multivariate analysis. Administration and Policy in Mental Health, 25(4), 403–410.PubMedCrossRef

Larkin, G. L., Classen, C. A., Emond, J. A., et al. (2005). Trends in US emergency department visits for mental health conditions, 1992–2001. Psychiatric Services, 56(6), 671–677.PubMedCrossRef

Mark, T. L., & Tomic, K. (2012). Hospital readmission among Medicaid patients with a mental health and substance abuse hospitalization. Presented at the Academy Health Annual Research Meeting, June.

Naylor, M. D., Brooten, D. A., Campbell, R. L., et al. (2004). Transitional care of older adults hospitalized with heart failure: A randomized, controlled trial. Journal of the American Geriatrics Society, 52, 675–684.PubMedCrossRef

Owens, P.L., Mutter, R., & Stocks, C., (2012). Mental health and substance abuse-related emergency department visits among adults, 2007. HCUP Statistical Brief No. 92. July 2010. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb92.pdf. Accessed May 4, 2012.

Pines, J. M., Asplin, B. R., Kaji, A. H., et al. (2011). Frequent users of emergency department services: Gaps in knowledge and a proposed research agenda. Academic Emergency Medicine, 18, e64–e69.PubMedCrossRef

Raven, M. C., Carrier, E. R., Lee, J., et al. (2010). Substance use treatment barriers for patients with frequent hospital admissions. Journal of Substance Abuse Treatment, 38(1), 22–30.PubMedCrossRef

SAMHSA (Substance Abuse and Mental Health Services Administration). (2012a). Mental Health, United States, 2010 (DHHS Publication No. (SMA) 12-4681). Washington, DC: Government Printing Office.

SAMHSA (Substance Abuse and Mental Health Services Administration). (2012b). Results from the 2011 National Survey on Drug Use and Health: Mental Health Findings (NSDUH Series H-45, HHS Publication No. SMA 12-4725). Washington, DC: Government Printing Office.

SAMHSA (Substance Abuse and Mental Health Services Administration). (2013). National Expenditures for Mental Health Services and Substance Abuse Treatment, 1986-2009 (HHS Publication No. 13-4740). Washington, DC: Government Printing Office.

Stranges, E., Levit, K., Stocks, C., & Santora, P., (2011). State variation in inpatient hospitalizations for mental health and substance abuse conditions, 2002-2008. HCUP Statistical Brief, no. 117. Retrieved from http://www.hcup-us.ahrq.gov/reports/statbriefs/sb117.pdf.

Tulloch, A. D., Fearon, P., & David, A. S. (2011). Length of stay of general psychiatric inpatients in the United States: Systematic review. Administration and Policy In Mental Health, 38, 155–168.PubMedCrossRef

UCLA, Academic Technology Services, Statistical Consulting Group. (2011). What are pseudo R-squareds? Retrieved from http://www.ats.ucla.edu/stat/mult_pkg/faq/general/Psuedo_RSquareds.htm.

Vashi, A. A., Fox, J. P., Carr, B. G., et al. (2013). Use of hospital-based acute care among patients recently discharged from the hospital. JAMA, 309(4), 364–371.PubMedCentralPubMedCrossRef

Wagner, T. H., Sinnott, P., & Siroka, A. M. (2011). Mental health and substance use disorder spending in the Department of Veterans Affairs, fiscal years 2000–2007. Psychiatric Services, 62(4), 389–395.PubMed

Titel: Hospital Readmission Rates and Emergency Department Visits for Mental Health and Substance Abuse Conditions
verfasst von: Mark W. Smith
Carol Stocks
Patricia B. Santora
Publikationsdatum: 01.02.2015
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 2/2015
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-014-9784-x

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