ISSN 2146-8346
 

Original Research 


Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo..

Cited by (1)

Abstract
Aim: This aim of this study was to assess the hospital length of stay (LOS) among patients admitted and disharged from the acute wards of a psychiatric hospital in Nigeria and to determine its relationship with demographic, illness-related and physician related variables, specifically the frequency of review.
Methods: This was a retrospective cross sectional study involving case note review of patients discharged from the acute psychiatric ward of the hospital during a one year period. A questionnaire was used in collecting data about the socio-demographic variables (e.g. age, gender, distance of place of abode from hospital), clinical characteristics (diagnosis, co-morbid physical illness etc.) and clinical practice or treatment related factors (e.g. frequency of review by consultant psychiatrists, administration of electroconvulsive therapy etc.).
Results: A total of 93 patients’ case notes were analysed, comprising 87.7% of the total number of discharges during the study period. The hospital length of stay was 55 days. Using the median LOS as the cut-off, 49.5% had short LOS (LOS <55days), while 50.5% had prolonged LOS (LOS ≥ 55 days). LOS was significantly associated with employment status (χ2= 3.871, p=0.049), distance of patients’ residence from the hospital (χ2= 4.300, p=0.038), reported medication side effects while on admission (χ2=3.986, p=0.046), previous psychiatric hospitalizations (χ2= 4.748, p=0.029) and duration of current illness before admission (z= -4.020, p<0.001). The result of the binary logistic regression analysis showed that only previous psychiatric hospitalizations made a unique statistically significant contribution to the model (Beta = 1.021, Wald = 4.433, p = 0.035, Odds Ratio = 2.775, 95% Confidence Interval = 1.073 – 7.174).
Conclusion: Despite their significant association with hospital LOS, sociodemographic, illness and treatment related fctors explained only a minimal variation in hospital LOS. It is possible that variables “external” to either patients’ characteristics or physicians’ practice style, are more significant predictors of long hospital LOS. These findings may help guide policy makers and psychiatric hospital managements in Nigeria in improving the efficiency mental health service delivery.

Key words: Length of stay, correlates, psychiatry, Nigeria


 
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1
 
How to Cite this Article
Pubmed Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo.. Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.. J Behav Health. 2014; 3(2): 117-121. doi:10.5455/jbh.20140106021749


Web Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo.. Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.. http://www.jbehavioralhealth.com/?mno=47822 [Access: August 19, 2019]. doi:10.5455/jbh.20140106021749


AMA (American Medical Association) Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo.. Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.. J Behav Health. 2014; 3(2): 117-121. doi:10.5455/jbh.20140106021749



Vancouver/ICMJE Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo.. Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.. J Behav Health. (2014), [cited August 19, 2019]; 3(2): 117-121. doi:10.5455/jbh.20140106021749



Harvard Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo. (2014) Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.. J Behav Health, 3 (2), 117-121. doi:10.5455/jbh.20140106021749



Turabian Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo.. 2014. Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.. Journal of Behavioral Health, 3 (2), 117-121. doi:10.5455/jbh.20140106021749



Chicago Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo.. "Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.." Journal of Behavioral Health 3 (2014), 117-121. doi:10.5455/jbh.20140106021749



MLA (The Modern Language Association) Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo.. "Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.." Journal of Behavioral Health 3.2 (2014), 117-121. Print. doi:10.5455/jbh.20140106021749



APA (American Psychological Association) Style

Adegoke Oloruntoba Adelufosi, Kehinde Fakorede, Ayodeji Obasan, Ibrahim Olajide Opeewe, Tunde Masseyferguson Ojo. (2014) Patient and treatment related variables as predictors of length of stay in a Nigerian Neuropsychiatric hospital.. Journal of Behavioral Health, 3 (2), 117-121. doi:10.5455/jbh.20140106021749





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