title: Time to rehospitalization in patients with major depression vs. those with schizophrenia or bipolar I disorder in a public psychiatric hospital.
abstract: Compared rehospitalization rates in patients with schizophrenia or bipolar I disorder to patients with major depressive disorder remains unclear. This study aimed to compare the time to rehospitalization of the three groups. Other clinical variables were also examined. Rehospitalization status was monitored for all admitted inpatients with schizophrenia (n=637), bipolar I disorder (n=197), or major depressive disorder (n=191), from January 1, 2006 to December 31, 2006. Time to rehospitalization within 1 year after discharge was measured using the Kaplan-Meier method. Risk factors associated with rehospitalization were examined using the Cox proportional hazards regression model. The three groups were comparable for comorbid alcohol abuse/dependence, family history of severe psychiatric illness, years of education, and number of previous hospitalizations. No significant differences were noted among the three groups for the time to rehospitalization or the time to discontinuation. Age onset and number of previous admission were associated with risks of rehospitalization. This study suggests that the major depressive disorder, schizophrenia, and bipolar I disorder have comparable influences on time to rehospitalization and discontinuation from treatment and that earlier onset of illness and more previous hospitalizations are associated with higher risks of rehospitalization. Further prospective research is warranted.
authors.affiliation: Kai-Suan Psychiatric Hospital, Kaohsiung, Taiwan.
authors.forename: Ching-Hua
authors.initials: CH
authors.lastname: Lin
authors.forename: Ming-Chao
authors.initials: MC
authors.lastname: Chen
authors.forename: Li-Shiu
authors.initials: LS
authors.lastname: Chou
authors.forename: Chieh-Hsin
authors.initials: CH
authors.lastname: Lin
authors.forename: Cheng-Chung
authors.initials: CC
authors.lastname: Chen
authors.forename: Hsien-Yuan
authors.initials: HY
authors.lastname: Lane
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000150:complications / Q000453:epidemiology* / Q000401:mortality; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000401:mortality / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012559:Schizophrenia / Q000150:complications / Q000453:epidemiology* / Q000401:mortality; D018709:Statistics, Nonparametric; D013624:Taiwan / Q000453:epidemiology / Q000208:ethnology; D013997:Time Factors; D016896:Treatment Outcome