title: Risk of readmission in compulsorily and voluntarily admitted patients.
abstract: OBJECTIVE
  The aim of this study is to examine relationships between hospital admission legal status (voluntary, psychiatrist-ordered, and court ordered), length of stay and risk of hospital readmission.
  
  
  METHODS
  The records (1994-2005) of all consecutive admissions (n = 16,016) to one inpatient mental health facility were reviewed. Patients (n = 6,656) were classified into 3 groups at first admission: voluntary (n = 5,442), psychiatrist-ordered (n = 1,067) and court ordered (n = 147).
  
  
  RESULTS
  The probability of readmission of the court-ordered and psychiatrist-ordered groups were significantly lower than that of voluntarily admitted patients (P < 0.05). The length of stay at first admission was significantly longer for the court-ordered group than for the others (P < 0.001). As compared with the other groups, court ordered-patients were significantly younger (P < 0.001), had attained fewer years of education (P < 0.001) and included a lower percentage of immigrants (P < 0.05). Significant differences were found in the mean morality age of the three groups (P < 0.005).
  
  
  CONCLUSIONS
  As compared with psychiatrist-ordered and voluntarily admitted patients, court ordered patients have a lower probability for hospital readmission, possibly related to longer length of stay.
authors: Geha Psychiatric Hospital and Felsenstein Medical Research Center, Beilinson Campus, Petah Tiqva, Israel. valevski@post.tau.ac.il
authors: Avi
authors: A
authors: Valevski
authors: Mark
authors: M
authors: Olfson
authors: Abraham
authors: A
authors: Weizman
authors: Roni
authors: R
authors: Shiloh
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D003134:Commitment of Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D005260:Female; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D007557:Israel; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D016347:Medical Records Systems, Computerized; D028642:Persons with Psychiatric Disorders / Q000145:classification / Q000331:legislation & jurisprudence*; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012044:Regression Analysis; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D014600:Utilization Review
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