Associations between BMI and other factors with readmission in a psychiatric hospital

Diplôme Master Associations between BMI and other factors with readmission in a psychiatric hospital eng 2020-12-25 author Ho Ngoc Trâm 837824 director Eap Chin Bin 648560 Objective: To determine independent predictors of readmission to a psychiatric hospital in Switzerland. Method: Data on 16,727 hospitalizations of 7,786 patients admitted between January 1, 2007 and December 31, 2019 were collected. Univariate correlates of readmission were identified and logistic regression was used to determine independent indicators of readmission. Results: 2,935 (37.7%) patients were readmitted out of 7,786. The observed population was of 47.5% men and had a median age of 44. Substance use disorders (34.2%) were the most common diagnosis followed by psychotic disorders (31.2%), depressive disorders (29.2%), bipolar disorders (12.2%), and schizoaffective disorders (9.8%). Logistic regression revealed novel independent predictors of readmission including a university or college education (OR = 1.63; 95% CI = 1.08 – 2.48), a BMI ≥ 25 kg.m-2 (25 kg.m-2 ≤ BMI < 30 kg.m-2: OR = 1.43; 95% CI = 1.25 – 1.63; BMI ≥ 30 kg.m-2: OR = 1.84; 95% CI = 1.57 – 2.15), metabolic syndrome (MetS) (OR = 1.57, 95% CI = 1.05 – 2.33), central obesity (OR = 1.81, 95% CI = 1.33 – 2.46), hypertriglyceridemia (OR = 1.59; 95% CI = 1.38 – 1.83), HDL hypocholesterolemia (OR = 1.22; 95% CI = 1.06 – 1.40), and hyperglycemia (OR = 1.58; 95% CI = 1.35 – 1.85). Conclusions: Metabolic syndrome, central obesity, hypertriglyceridemia, HDL hypocholesterolemia, and hyperglycemia were identified as independent predictors of psychiatric rehospitalization for the first time. A conscious awareness of these risk factors especially in psychiatric prescriptions among clinicians and a regular monitoring of metabolic parameters are of critical importance to reduce psychiatric rehospitalization. Dewey 615 Master en Pharmacie 31 Section des sciences pharmaceutiques 17 false 41dbd2a2-4444-4dc1-9c44-6011343b4868 Master thesis Restricted 201210204750_ho3__TPR.pdf 614104 application/pdf restrictedAccess Faculté des sciences / Section des sciences pharmaceutiques

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Associations between BMI and other factors with readmission in a psychiatric hospital				2020	54	2

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Ho, Ngoc Trâm