Identifying factors associated with the hospital readmission rate among patients with major depressive disorder

Abstract Background Major depressive disorder (MDD) is a common recurrent mental disorder and one of the leading causes of disability in the world. The recurrence of MDD is associated with increased psychological and social burden, limitations for the patient, family, and society; therefore, action...

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Autores principales:	Sharareh Parami, Leili Tapak, Jalal Poorolajal, Abbas Moghimbeigi, Ali Ghaleiha
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Count model Generalized Poisson Zero-inflated Hospitalization Major depressive disorder Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/11250b49d39242e9b1b174458a063b99
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spelling	oai:doaj.org-article:11250b49d39242e9b1b174458a063b992021-11-07T12:08:36ZIdentifying factors associated with the hospital readmission rate among patients with major depressive disorder10.1186/s12888-021-03559-71471-244Xhttps://doaj.org/article/11250b49d39242e9b1b174458a063b992021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03559-7https://doaj.org/toc/1471-244XAbstract Background Major depressive disorder (MDD) is a common recurrent mental disorder and one of the leading causes of disability in the world. The recurrence of MDD is associated with increased psychological and social burden, limitations for the patient, family, and society; therefore, action to reduce and prevent the recurrence of this disorder or hospital readmissions for depression among the patients is essential. Methods The data of this retrospective cohort study were extracted from records of 1005 patients with MDD hospitalized in Farshchian hospital in Hamadan city, Iran (2011–2018). The hospital readmissions rate due to depression episodes was modeled using generalized Poisson regression (GPR). Demographic and clinical characteristics of the patients were considered as explanatory variables. SAS v9.4 was used (P < 0.05). Results A majority of the patients were male (66.37%). The mean (standard deviation) of age at onset of MDD and the average number of hospital readmissions were 32.39 (13.03) years and 0.53 (1.84), respectively (most patients (74.3%) did not experience hospital readmissions). According to the results of the GPR, the lower age at the onset of the disease (IRR = 1.02;P = 0.008), illiteracy (IRR = 2.06;P = 0.003), living in urban areas (IRR = 1.56;P = 0.015), history of psychiatric illnesses in the family (IRR = 1.75;P = 0.004), history of emotional problems (IRR = 1.42;P = 0.028) and having medical disorders (IRR = 1.44;P = 0.035) were positively associated with the number of hospitalizations. Conclusion According to our findings, urbanization, early onset of the disease, illiteracy, family history of mental illness, emotional problems, and medical disorders are among major risk factors associated with an increased number of hospital readmissions of MDD.Sharareh ParamiLeili TapakJalal PoorolajalAbbas MoghimbeigiAli GhaleihaBMCarticleCount modelGeneralized PoissonZero-inflatedHospitalizationMajor depressive disorderPsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Count model Generalized Poisson Zero-inflated Hospitalization Major depressive disorder Psychiatry RC435-571
spellingShingle	Count model Generalized Poisson Zero-inflated Hospitalization Major depressive disorder Psychiatry RC435-571 Sharareh Parami Leili Tapak Jalal Poorolajal Abbas Moghimbeigi Ali Ghaleiha Identifying factors associated with the hospital readmission rate among patients with major depressive disorder
description	Abstract Background Major depressive disorder (MDD) is a common recurrent mental disorder and one of the leading causes of disability in the world. The recurrence of MDD is associated with increased psychological and social burden, limitations for the patient, family, and society; therefore, action to reduce and prevent the recurrence of this disorder or hospital readmissions for depression among the patients is essential. Methods The data of this retrospective cohort study were extracted from records of 1005 patients with MDD hospitalized in Farshchian hospital in Hamadan city, Iran (2011–2018). The hospital readmissions rate due to depression episodes was modeled using generalized Poisson regression (GPR). Demographic and clinical characteristics of the patients were considered as explanatory variables. SAS v9.4 was used (P < 0.05). Results A majority of the patients were male (66.37%). The mean (standard deviation) of age at onset of MDD and the average number of hospital readmissions were 32.39 (13.03) years and 0.53 (1.84), respectively (most patients (74.3%) did not experience hospital readmissions). According to the results of the GPR, the lower age at the onset of the disease (IRR = 1.02;P = 0.008), illiteracy (IRR = 2.06;P = 0.003), living in urban areas (IRR = 1.56;P = 0.015), history of psychiatric illnesses in the family (IRR = 1.75;P = 0.004), history of emotional problems (IRR = 1.42;P = 0.028) and having medical disorders (IRR = 1.44;P = 0.035) were positively associated with the number of hospitalizations. Conclusion According to our findings, urbanization, early onset of the disease, illiteracy, family history of mental illness, emotional problems, and medical disorders are among major risk factors associated with an increased number of hospital readmissions of MDD.
format	article
author	Sharareh Parami Leili Tapak Jalal Poorolajal Abbas Moghimbeigi Ali Ghaleiha
author_facet	Sharareh Parami Leili Tapak Jalal Poorolajal Abbas Moghimbeigi Ali Ghaleiha
author_sort	Sharareh Parami
title	Identifying factors associated with the hospital readmission rate among patients with major depressive disorder
title_short	Identifying factors associated with the hospital readmission rate among patients with major depressive disorder
title_full	Identifying factors associated with the hospital readmission rate among patients with major depressive disorder
title_fullStr	Identifying factors associated with the hospital readmission rate among patients with major depressive disorder
title_full_unstemmed	Identifying factors associated with the hospital readmission rate among patients with major depressive disorder
title_sort	identifying factors associated with the hospital readmission rate among patients with major depressive disorder
publisher	BMC
publishDate	2021
url	https://doaj.org/article/11250b49d39242e9b1b174458a063b99
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Identifying factors associated with the hospital readmission rate among patients with major depressive disorder

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