title: Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital.
abstract: This case-control study identified patient-specific factors associated with the longest psychiatric inpatient lengths of stay (LOS) at a large urban county hospital. Subjects with LOS ≥ 60 days comprised the extended LOS (ELOS) case cohort. An equally-sized control cohort consisted of a random sample of inpatients with LOS ≤ 30 days. Chi square tests and t tests were conducted to determine differences between groups. Factors associated with ELOS included older age, cognitive impairment, higher number of medical conditions requiring medication, and violence during hospital stay. Initiatives focused on community placement of patients with these characteristics may reduce prolonged LOS at safety-net hospitals.
authors.affiliation: ICL, 2384 Atlantic Ave, Brooklyn, NY, 11233, USA. jecheng@gmail.com.
authors.forename: Jason E
authors.initials: JE
authors.lastname: Cheng
authors.affiliation: Department of Psychiatry, University of California, San Francisco/San Francisco General Hospital, 1001 Potrero Ave, Box 0852, San Francisco, CA, 94110, USA.
authors.forename: Martha
authors.initials: M
authors.lastname: Shumway
authors.affiliation: Department of Psychiatry, University of California, San Francisco/San Francisco General Hospital, 1001 Potrero Ave, Box 0852, San Francisco, CA, 94110, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Leary
authors.affiliation: Department of Psychiatry, University of California, San Francisco/San Francisco General Hospital, 1001 Potrero Ave, Box 0852, San Francisco, CA, 94110, USA.
authors.forename: Christina V
authors.initials: CV
authors.lastname: Mangurian
mesh_terms: D000328:Adult; D000367:Age Factors; D016022:Case-Control Studies; D060825:Cognitive Dysfunction / Q000523:psychology; D005260:Female; D006766:Hospitals, County / Q000706:statistics & numerical data*; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy / Q000628:therapy*; D008875:Middle Aged; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data*; D011619:Psychotropic Drugs / Q000627:therapeutic use; D014754:Violence / Q000523:psychology
chemical_list: D011619:Psychotropic Drugs
keywords: Hospital; Inpatients; Length of stay; Mental health services; Psychiatric