title: Individual and organizational predictors of pediatric psychiatric inpatient admission in connecticut hospitals: a 6 month secondary analysis.
abstract: The objective of this study is to test the hypotheses that bipolar disorders or depressive disorders, minority status, and the presence of pediatric inpatient psychiatric unit will be individual predictors of pediatric psychiatric inpatient admission, and to provide a model that will evaluate which individual and organizational characteristics predict pediatric psychiatric inpatient. For this purpose, a secondary analysis of the medical records of 1,520 pediatric patient visits between January 1, 2008 and June 30, 2008, was conducted using univariate and multivariate logistic regression. Independent predictors of pediatric psychiatric inpatient admission were presence of bipolar and depressive disorders, greater average daily census, and increasing operating margin. Minority status was a significant predictor of not being admitted, as was presence of an anxiety disorder, greater total margin and older age. The results indicate that both individual and organizational factors impact disposition outcomes in particular subsets of pediatric patients who present to emergency departments for psychiatric reasons.
authors.affiliation: LMSW, 13603 White Tail Trail, Austin, TX, 78736, USA.
authors.forename: Nicole C
authors.initials: NC
authors.lastname: Hunter
authors.forename: Mark
authors.initials: M
authors.lastname: Schaefer
authors.forename: Brenda
authors.initials: B
authors.lastname: Kurz
authors.forename: Marcos O
authors.initials: MO
authors.lastname: Prates
authors.forename: Arijit
authors.initials: A
authors.lastname: Sinha
mesh_terms: D000275:Adjustment Disorders / Q000453:epidemiology; D000293:Adolescent; D001008:Anxiety Disorders / Q000453:epidemiology; D001714:Bipolar Disorder / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D019955:Conduct Disorder / Q000453:epidemiology; D003237:Connecticut / Q000453:epidemiology; D003866:Depressive Disorder / Q000453:epidemiology; D004636:Emergency Service, Hospital; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008913:Minority Groups / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D010372:Pediatrics; D011567:Psychiatric Department, Hospital; D012307:Risk Factors