Sociodemographic and clinical profiles comparison in an acute hospital unit after a decade (2006-2007 vs 2017-2018)
Introduction It has been recently proposed that diagnoses traditionally framed in axis II of the DSM and diseases related to the elderly are progressively replacing serious mental illness in acute inpatient wards. Objectives To study the clinical and sociodemographic characteristics of the patie...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821009913/type/journal_article |
| _version_ | 1797616356059774976 |
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| author | M. Peraire C. Guinot M. Villar |
| author_facet | M. Peraire C. Guinot M. Villar |
| author_sort | M. Peraire |
| collection | DOAJ |
| description |
Introduction
It has been recently proposed that diagnoses traditionally framed in axis II of the DSM and diseases related to the elderly are progressively replacing serious mental illness in acute inpatient wards.
Objectives
To study the clinical and sociodemographic characteristics of the patients in an acute psychiatric unit, and to compare them between a ten-year period.
Methods
Observational, descriptive, and retrospective study that analyzes the data recorded in the discharge reports from the acute ward of the Hospital Provincial de Castellón.
Results
Among the studied patients, we found statistically significant differences regarding gender, age, readmission rate, and stay duration between the two periods. In the most recent one (2017-18), more women and elderly have entered, with shorter stays and fewer readmissions. In both periods, the most prevalent psychiatric diagnoses are by far serious mental illness (bipolar disorder, schizophrenia). By grouping the diagnoses into five broad categories (serious mental illness, dementias, personality disorders, drug misuse, and others), we found significant differences in their distribution. Lately, more personality disorders and dementias were admitted as the main diagnosis, while serious mental illness and substance use disorders increased their prevalence as accessory diagnoses.
Conclusions
The research carried out allows us to conclude that the clinical and sociodemographic profile of patients admitted to an acute unit is changing. It would be advisable to investigate the causes that motivate it and modify the devices to adapt to this new reality.
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| first_indexed | 2024-03-11T07:39:49Z |
| format | Article |
| id | doaj.art-2727c306e3d347bf94d5e6312eaaf34f |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:39:49Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-2727c306e3d347bf94d5e6312eaaf34f2023-11-17T05:08:49ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S370S37010.1192/j.eurpsy.2021.991Sociodemographic and clinical profiles comparison in an acute hospital unit after a decade (2006-2007 vs 2017-2018)M. Peraire0C. Guinot1M. Villar2Castelló, Consorcio Hospitalario Provincial de Castellón, Castelló de la Plana, SpainCastelló, Consorcio Hospitalario Provincial de Castellón, Castelló de la Plana, SpainCastelló, Consorcio Hospitalario Provincial de Castellón, Castelló de la Plana, Spain Introduction It has been recently proposed that diagnoses traditionally framed in axis II of the DSM and diseases related to the elderly are progressively replacing serious mental illness in acute inpatient wards. Objectives To study the clinical and sociodemographic characteristics of the patients in an acute psychiatric unit, and to compare them between a ten-year period. Methods Observational, descriptive, and retrospective study that analyzes the data recorded in the discharge reports from the acute ward of the Hospital Provincial de Castellón. Results Among the studied patients, we found statistically significant differences regarding gender, age, readmission rate, and stay duration between the two periods. In the most recent one (2017-18), more women and elderly have entered, with shorter stays and fewer readmissions. In both periods, the most prevalent psychiatric diagnoses are by far serious mental illness (bipolar disorder, schizophrenia). By grouping the diagnoses into five broad categories (serious mental illness, dementias, personality disorders, drug misuse, and others), we found significant differences in their distribution. Lately, more personality disorders and dementias were admitted as the main diagnosis, while serious mental illness and substance use disorders increased their prevalence as accessory diagnoses. Conclusions The research carried out allows us to conclude that the clinical and sociodemographic profile of patients admitted to an acute unit is changing. It would be advisable to investigate the causes that motivate it and modify the devices to adapt to this new reality. https://www.cambridge.org/core/product/identifier/S0924933821009913/type/journal_articlePsychiatric diagnosisepidemiologyacute unitsociodemographic and clinical changes |
| spellingShingle | M. Peraire C. Guinot M. Villar Sociodemographic and clinical profiles comparison in an acute hospital unit after a decade (2006-2007 vs 2017-2018) European Psychiatry Psychiatric diagnosis epidemiology acute unit sociodemographic and clinical changes |
| title | Sociodemographic and clinical profiles comparison in an acute hospital unit after a decade (2006-2007 vs 2017-2018) |
| title_full | Sociodemographic and clinical profiles comparison in an acute hospital unit after a decade (2006-2007 vs 2017-2018) |
| title_fullStr | Sociodemographic and clinical profiles comparison in an acute hospital unit after a decade (2006-2007 vs 2017-2018) |
| title_full_unstemmed | Sociodemographic and clinical profiles comparison in an acute hospital unit after a decade (2006-2007 vs 2017-2018) |
| title_short | Sociodemographic and clinical profiles comparison in an acute hospital unit after a decade (2006-2007 vs 2017-2018) |
| title_sort | sociodemographic and clinical profiles comparison in an acute hospital unit after a decade 2006 2007 vs 2017 2018 |
| topic | Psychiatric diagnosis epidemiology acute unit sociodemographic and clinical changes |
| url | https://www.cambridge.org/core/product/identifier/S0924933821009913/type/journal_article |
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