title: The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study.
abstract: BACKGROUND
  The rehospitalization of patients with mental disorders is common, with rehospitalization rates of up to 80% observed in these patients. This phenomenon negatively impacts families, patients, and the health care system. Several factors have been associated with an increased likelihood of rehospitalization. This study was aimed at determining the frequency and the factors associated with rehospitalization in a psychiatric clinic.
  
  
  METHODS
  We performed a prospective cohort study with 361 patients who were hospitalized at the Clinic of Our Lady of Peace in Bogota, Colombia from August-December 2009. We calculated the incidence rates of rehospitalization and the risk factors using Cox regression.
  
  
  RESULTS
  Overall, 60% of the patients in this cohort were rehospitalized during the year that followed the index event. The variables associated with rehospitalization were separated, divorced, or single status; higher socio-economic strata; a longer duration of index hospitalization; and a diagnosis of substance abuse, schizophrenia, bipolar disorder, or depression.
  
  
  CONCLUSIONS
  The rehospitalization rate in our study was as high as reported in other studies. The associated factors with it in this group, may contribute to the design of programs that will reduce the frequency of rehospitalization among patients with mental disorders, in countries like Colombia. Additionally, these results may be useful in interventions, such as coping skills training, psycho-education, and community care strategies, which have been demonstrated to reduce the frequency of rehospitalization.
authors.affiliation: Department of Psychiatry, National University of Colombia, Faculty of Medicine, Office 202, Bogotá, Colombia. lejaramillog@unal.edu.co.
authors.forename: Luis Eduardo
authors.initials: LE
authors.lastname: Jaramillo-Gonzalez
authors.forename: Ricardo
authors.initials: R
authors.lastname: Sanchez-Pedraza
authors.forename: Maria Isabel
authors.initials: MI
authors.lastname: Herazo
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000453:epidemiology; D003105:Colombia / Q000453:epidemiology; D003866:Depressive Disorder / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012307:Risk Factors; D012559:Schizophrenia / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D013997:Time Factors