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KMID : 1007420110090020126
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Mood and Emotion
2011 Volume.9 No. 2 p.126 ~ p.132
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Predictors of Continuity of Care after Inpatient Discharge of Patients with Bipolar Disorder: A Retrospective Chart Review Study in a University Hospital
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Wang Hee-Ryung
Jung Young-Eun
Song Hoo-Rim
Jun Tae-Youn
Kim Kwang-Soo
Bahk Won-Myong
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Abstract
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Background and Objectives : This study aims to identify sociodemographic and disease-related variables which predicts continuity of outpatient treatment after discharge among bipolar patients.
Materials and Method : The medical records of patients who discharged with the diagnosis of bipolar disorder from Department of Psychiatry, St. Mary’s hospital from 2005 to 2009 were reviewed. Data on sociodemographic and disease-related variables were analyzed.
Results : It showed older age, higher rate of male and higher rate of being married in 1-year follow-up group than in non-follow-up group. And it showed longer duration of index hospitalization, higher rate of previous psychiatric outpatient treatment within 3 months before index hospitalization, higher rate of involuntary admission in 1-year follow-up group than in non-follow-up group. The univariate logistic regression analysis revealed that older age, being male, previous psychiatric treatment and longer duration of index hospitalization were significantly related to an increased likelihood of 1-year follow-up visits.
Conclusion : Age, sex, history of previous psychiatric treatment, and duration of hospitalization seems to have influence on continuity of outpatient treatment after discharge.(
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KEYWORD
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Bipolar disorder, Continuity of care, Outpatient treatment, Predictors
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