Background
Aims of the study
Methods
Current setting
Study design
Data analysis
Results
Sample
n (%) | |
---|---|
Gender | |
Male | 65 (67) |
Female | 32 (33) |
Age | |
16–24 | 13 (13) |
25–34 | 42 (43) |
35–44 | 17 (18) |
45–54 | 15 (16) |
55–64 | 8 (8) |
65+ | 2 (2) |
Diagnosis at discharge | |
Depression | 6 (6) |
Psychosis | 31 (32) |
Bipolar Affective Disorder | 8 (8) |
Personality Disorder | 20 (21) |
Substance Misuse Disorders | 11 (11) |
Anxiety Disorder | 3 (3) |
Other | 8 (8) |
Unknown (not documented) | 10 (10) |
Medication | |
No medication | 6 (6) |
One medication | 28 (29) |
Polypharmacy | 53 (55) |
Unknown | 10 (10) |
Descriptive and bivariate statistics
Length of Stay (days) | p value | |||||||
---|---|---|---|---|---|---|---|---|
Items | n | Mean | Median | IQR | Min | Max | ||
Length of Stay | 97 | 36.10 | 22 | 40 | 0 | 226 | ||
Gender | M | 65 | 35.43 | 17 | 38 | 0 | 226 | 0.326 |
F | 32 | 37.44 | 28 | 47 | 1 | 147 | ||
Accomodation | Independent | 78 | 33.71 | 19 | 41 | 0 | 147 | 0.449 |
Hotel | 2 | 22.00 | 22 | – | 3 | 41 | ||
Supported | 3 | 36.67 | 28 | – | 28 | 54 | ||
NFA | 10 | 61.60 | 27 | 91 | 2 | 226 | ||
Family | 2 | 3.50 | 3.50 | – | 2 | 5 | ||
Prison | 1 | 40 | – | – | – | – | ||
Nursing | 1 | 55 | – | – | – | – | ||
Previous admission | Y | 9 | 35.67 | 16 | 54 | 1 | 140 | 0.852 |
N | 88 | 36.14 | 22 | 42 | 0 | 226 | ||
Previous A + E Presentation | Y | 28 | 36.89 | 21 | 56 | 0 | 147 | 0.946 |
N | 69 | 35.77 | 22 | 33 | 1 | 226 | ||
Previous MHA Assessment | Y | 7 | 60.57 | 55 | 74 | 1 | 147 | 0.120 |
N | 90 | 34.19 | 18 | 36 | 0 | 226 | ||
HTT Referral | Y | 34 | 36.91 | 23.50 | 51 | 1 | 147 | 0.889 |
N | 63 | 35.65 | 19 | 40 | 0 | 226 | ||
Under HTT | Y | 35 | 36.06 | 22 | 48 | 1 | 147 | 0.723 |
N | 60 | 36.82 | 20.50 | 40 | 0 | 226 | ||
HTT Location | A | 10 | 28.10 | 6.50 | 45 | 1 | 123 | 0.364 |
B | 17 | 36.06 | 27 | 42 | 4 | 140 | ||
C | 10 | 41.20 | 20 | 79 | 1 | 147 | ||
HTT Medical Review | Y | 11 | 22.55 | 7 | 21 | 1 | 140 | 0.077 |
N | 86 | 37.83 | 23 | 48 | 0 | 226 | ||
Under CMHT | Y | 30 | 44.87 | 27.50 | 59 | 1 | 147 | 0.092 |
N | 67 | 32.16 | 16 | 35 | 0 | 226 | ||
CMHT Location | A | 1 | 61 | – | – | – | – | 0.664 |
B | 7 | 49.43 | 35 | 82 | 2 | 124 | ||
C | 6 | 24.00 | 27.50 | 34 | 3 | 41 | ||
D | 9 | 59.33 | 28 | 93 | 14 | 140 | ||
E | 1 | 25 | – | – | – | – | ||
F | 6 | 39.33 | 16 | 77 | 1 | 147 | ||
Allocated CC | Y | 27 | 48.44 | 28 | 69 | 1 | 147 | 0.033 |
N | 70 | 31.33 | 16 | 24 | 0 | 226 | ||
Under RC | Y | 56 | 43.70 | 27.50 | 54 | 1 | 226 | 0.034 |
N | 41 | 25.71 | 15 | 26 | 0 | 212 | ||
Under other community team | Y | 33 | 38.45 | 22 | 36 | 1 | 226 | 0.973 |
N | 64 | 34.88 | 21.50 | 46 | 0 | 147 | ||
Day of Admission | Mon | 13 | 17.62 | 8 | 18 | 1 | 80 | 0.115 |
Tue | 15 | 28.53 | 16 | 21 | 1 | 226 | ||
Wed | 16 | 36.00 | 19 | 47 | 1 | 131 | ||
Thu | 18 | 51.06 | 40.50 | 65 | 2 | 147 | ||
Fri | 14 | 37.14 | 29.50 | 21 | 0 | 124 | ||
Sat | 9 | 32.33 | 25 | 41 | 2 | 88 | ||
Sun | 12 | 44.83 | 16.50 | 88 | 1 | 212 | ||
OOH | Y | 63 | 38.52 | 22 | 47 | 0 | 212 | 0.391 |
N | 34 | 31.59 | 16 | 36 | 1 | 226 | ||
MHA Assessment | Y | 56 | 43.04 | 28.50 | 47 | 0 | 212 | 0.005 |
N | 41 | 26.61 | 14 | 23 | 1 | 226 | ||
Route of admission | Community | 20 | 36.50 | 19.50 | 31 | 1 | 226 | 0.286 |
A + E | 62 | 40.44 | 27 | 47 | 0 | 212 | ||
Liaison | 11 | 15.91 | 6 | 14 | 2 | 57 | ||
Criminal Justice System | 3 | 21.33 | 16 | – | 8 | 40 | ||
HTT | 1 | 25 | – | – | – | – | ||
Legal Status | Inf | 53 | 19.85 | 10 | 22 | 0 | 147 | ≤0.001 |
S2 | 40 | 49.43 | 38.50 | 44 | 2 | 121 | ||
S3 | 3 | 82.00 | 83 | – | 39 | 124 | ||
CTO recall | 1 | |||||||
Ax ward admission | Y | 56 | 24.86 | 7.50 | 30 | 0 | 212 | ≤0.001 |
N | 41 | 51.44 | 31 | 55 | 5 | 226 | ||
Ax ward discharge | Y | 31 | 5.81 | 4 | 4 | 1 | 48 | ≤0.001 |
N | 66 | 50.32 | 32 | 43 | 0 | 226 | ||
Acute Ward | A | 6 | 33.33 | 32 | 15 | 17 | 56 | 0.301 |
B | 4 | 23.25 | 24.50 | 9 | 16 | 28 | ||
C | 3 | 95.00 | 31 | – | 28 | 226 | ||
D | 7 | 53.14 | 40 | 61 | 16 | 123 | ||
E | 3 | 96.33 | 110 | – | 55 | 124 | ||
F (PICU) | 7 | 42.14 | 19 | 39 | 8 | 140 | ||
G (PICU) | 2 | 67.50 | 67.50 | – | 39 | 96 | ||
H | 3 | 77.33 | 80 | – | 5 | 147 | ||
Out of area admission | Y | 31 | 46.16 | 37 | 47 | 0 | 131 | 0.002 |
N | 66 | 31.36 | 16 | 30 | 1 | 226 | ||
Locum Consultant | Y | 28 | 49.68 | 34 | 38 | 8 | 140 | ≤0.001 |
N | 69 | 30.58 | 14 | 32 | 0 | 226 | ||
Increased obs level | Y | 24 | 68.08 | 47.50 | 67 | 8 | 226 | ≤0.001 |
N | 73 | 25.58 | 16 | 31 | 0 | 131 | ||
Discharge Diagnosis | Depression | 8 | 22.88 | 6 | 17 | 2 | 131 | ≤0.001 |
Psychosis | 29 | 62.62 | 40 | 66 | 7 | 226 | ||
Bipolar | 8 | 53.88 | 44.50 | 54 | 25 | 96 | ||
Personality disorder | 20 | 20.50 | 6 | 23 | 1 | 147 | ||
Substance misuse | 11 | 20.09 | 16 | 35 | 2 | 57 | ||
Other | 21 | 20.95 | 10 | 29 | 0 | 111 | ||
Medication | Nil | 6 | 23.17 | 20 | 41 | 2 | 57 | 0.031 |
Monotherapy | 28 | 20.64 | 9 | 22 | 2 | 124 | ||
Polypharmacy | 53 | 48.68 | 29 | 61 | 1 | 226 | ||
Identified DTOC | Y | 2 | 127.00 | 127.00 | – | 28 | 226 | 0.144 |
N | 95 | 34.18 | 19 | 40 | 0 | 212 | ||
Discharge destination | Home | 75 | 30.53 | 17 | 33 | 0 | 131 | 0.04 |
Supported | 2 | 28.00 | 28.00 | 0 | 28 | 28 | ||
Family | 5 | 26.40 | 16 | 51 | 2 | 63 | ||
NFA | 6 | 16.50 | 8 | 36 | 2 | 40 | ||
Rehab | 2 | 183.00 | 183.00 | – | 140 | 226 | ||
Other | 7 | 79.71 | 55 | 114 | 2 | 212 | ||
Discharge Team | CMHT | 26 | 45.27 | 28 | 62 | 1 | 131 | 0.069 |
HTT | 44 | 25.30 | 16 | 30 | 1 | 111 | 0.106 | |
Other | 17 | 29.24 | 17 | 34 | 1 | 110 | 0.917 | |
Referral to accommodation | Y | 2 | 183.00 | 183 | – | – | – | 0.018 |
N | 95 | 33.00 | 19 | 40 | 0 | 212 |
r | p value | |
---|---|---|
Age | 0.084 | 0.414 |
HTT Contacts | −0.116 | 0.495 |
CMHT Contacts | 0.095 | 0.617 |
Ward Transfers | 0.523 | ≤0.01 |
Consultant Changes | 0.592 | ≤0.01 |
Multiple regression analysis
b | SE b | β | |
---|---|---|---|
(Constant) | 19.80 | 17.87 | |
Allocated care coordinator (6/52 prior to admission) | 4.81 | 9.21 | .048 |
Under RC (6/52 prior to admission) | 7.73 | 8.66 | .083 |
Admitted under MHA | 9.85 | 7.37 | .106 |
Admitted to Ax Ward | 17.07 | 9.41 | −.180 |
Elevated observation levels | 18.34 | 8.90 | .179* |
Referral to accommodation on discharge | 72.75 | 28.42 | .238* |
Out of area admission | 20.19 | 10.34 | .189 |
Locum RC | −19.21 | 10.20 | −.196 |
Diagnosis at discharge | −6.70 | 2.33 | −.236** |
Medication regime | 8.16 | 6.12 | .111 |
Discharge destination | 7.91 | 2.60 | .254** |
Consultant changes | 9.16 | 6.50 | .204 |
Ward transfers | 2.56 | 7.74 | .046 |