Early liaison psychiatry consultations and general hospital readmission: A retrospective cohort study - Sorbonne Université
Journal Articles General Hospital Psychiatry Year : 2022

Early liaison psychiatry consultations and general hospital readmission: A retrospective cohort study

Abstract

Background: Readmission rates are under growing scrutiny as an indicator of quality of care as much as a potential source of savings. Patients with comorbid psychiatric conditions are more likely to be readmitted, so Consultation-Liaison Psychiatry (CLP) may play a role in lowering readmission rates. Method: In this retrospective cohort study conducted in a general hospital in Paris, France, all consecutive adult inpatients referred for the first time to CLP from January 2008 to December 2016, were included. The main outcomes were 30-day and 7-day readmissions in the same hospital, excluding iterative and planned stays. The objective of this study is to determine whether the timing of psychiatric consultations is associated with 30-day and 7-day readmission rates. Results: A total of 4498 inpatients (2298(51·1%) women, age = 59·8(±19·3) years) were referred to CLP. Adjusting for age, sex, place of residence, year of admission, type of ward, psychiatric diagnosis and disease severity, later consultation was associated with higher 30-day and 7-day readmission rates (adjusted Odds Ratio [95% confidence interval]:1.21[1·10-1·33] and 1·26[1·11-3·13], respectively). Further adjusting for length of stay, the association remained significant for 7-day readmission (1.28[1·05-1·57]). After stratification on the length of stay, for stays in the highest tercile (i.e., >21 days) an intervention after day 3 (versus before) was associated with 30-day and 7-day readmission rates of 15·8% versus 8·6%(1·81 [1·11-3·13]) and 4·9% versus 1·8%(2·98[1·16-9·88]), respectively. Conclusion: Earlier psychiatric consultation was associated with fewer 30-day and 7-day readmissions. Interventional studies are needed to show that proactive CLP teams could help general hospitals to improve quality of care and make significant economic savings.
Fichier principal
Vignette du fichier
1-s2.0-S0163834322000391-am.pdf (491.79 Ko) Télécharger le fichier
Origin Files produced by the author(s)

Dates and versions

hal-04575709 , version 1 (15-05-2024)

Identifiers

Cite

Victoria Lanvin, Hélène Vulser, Victoire Vinant, Gilles Chatellier, Guillaume Airagnes, et al.. Early liaison psychiatry consultations and general hospital readmission: A retrospective cohort study. General Hospital Psychiatry, 2022, 77, pp.29-36. ⟨10.1016/j.genhosppsych.2022.03.007⟩. ⟨hal-04575709⟩
38 View
17 Download

Altmetric

Share

More