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The Nordic comparative study on sectorised psychiatry: repeated emergency admissions to inpatient care during a 1-year follow-up

Published online by Cambridge University Press:  16 April 2020

O Saarento ,
L Christiansen ,
G Göstas ,
H Hakko ,
O Lönnerberg ,
S Muus ,
M Sandlund ,
T Öiesvold  and
L Hansson
O Saarento
Affiliation:
Department of Psychiatry, University of Oulu, FIN-90210Oulu, Finland
L Christiansen
Affiliation:
Department of Psychiatry, Copenhagen County Hospital, Glusrrup, Denmark
G Göstas
Affiliation:
Orsa und Älvdalen Primary Health Care Center
H Hakko
Affiliation:
Department of Psychiatry, University of Oulu, FIN-90210Oulu, Finland
O Lönnerberg
Affiliation:
Department of Psychiatry, Danderyd, Stockholm, Sweden
S Muus
Affiliation:
Roskilde County Hospital, Fjorden, Roskilde, Denmark
M Sandlund
Affiliation:
Deparrment of Psychiatry, University of Umeå, sweden
T Öiesvold
Affiliation:
Salten Psychiatric Center, Nordland Psychiatric Hospital, Badö, Norway
L Hansson*
Affiliation:
Departmenr of Clinical Neuroscience, Division of Psychiatry, University of Lund, Sweden
*
*In addition to the authors the following persons are participating in the research group: Denmark: Copenhagen, HR Vinding and M Kastrup; Roskilde, A Lindhardt; Finland: Oulu, E Väisänen; Sweden: Stockholm, T Zandrén.
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Summary

The emergency admissions to hospital care in six psychiatric services in four Nordic countries were explored as a part of a Nordic comparative study on sectorised psychiatry. One year treated incidence cohorts were used, with the total cohort comprising 2,454 patients. Of the 803 patients who were admitted to inpatient care during a 1-year follow-up, 82% had at least one emergency admission and 23% repeated emergency admissions. The definition for the repeated emergency admissions was at least two admissions during the follow-up. The mean length of stay in emergency inpatient care per treatment episode for this patient subgroup was 28 days. Their emergency inpatient episodes constituted 30% of all inpatient days during the follow-up. However, the variations between the services and diagnostic subgroups were large. The results of a logistic regression analysis indicated that the following variables predicted repeated emergency admissions: inpatient care at index contact, emergency outpatient contacts or no planned hospital admissions during the follow-up, psychiatric service, age under 45 years, and a diagnosis of psychosis, personality disorder or dependency. The repeated emergency admissions were related to the existence of a special service unit for abusers but not to the rates of outpatient staff or acute beds in the services, to geographical distances, referral practice or existence of emergency services.

Keywords

emergency services, psychiatricfollow-up studiesmental health services
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 8 , December 1998 , pp. 385 - 391
Copyright
Copyright © Elsevier, Paris 1998

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