Short stay vs long stay postpartum psychiatric admissions: a population-based study
About 1–2/1000 of postpartum women require psychiatric admission. Length of stay is variable, and little is known about short postpartum admission. From all women in Ontario, Canada, with a psychiatric admission within 1 year postpartum (2007–2012) ( n = 1702), we compared women with admissions...
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| Veröffentlicht in: | Archives of women's mental health 2017-08, Vol.20 (4), p.505-513 |
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| creator | Shlomi-Polachek, Inbal Fung, Kinwah Meltzer-Brody, Samantha Vigod, Simone N. |
| description | About 1–2/1000 of postpartum women require psychiatric admission. Length of stay is variable, and little is known about short postpartum admission. From all women in Ontario, Canada, with a psychiatric admission within 1 year postpartum (2007–2012) (
n
= 1702), we compared women with admissions |
| doi_str_mv | 10.1007/s00737-017-0733-x |
| format | Article |
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n
= 1702), we compared women with admissions <72 h to women with longer admissions on sociodemographics, clinical characteristics and post-discharge mental health service use. About 37% of admissions were <72 h. These women were more likely to be adolescents (11.7 vs 7.3%), less likely to be employed (16.6 vs 25.9%) compared to women with longer admissions, and fewer had a prior history of psychiatric admission (16.7 vs 59.0%). Index diagnoses of alcohol or substance use (12.5 vs 7.8%) and adjustment disorders (15.8 vs 6.3%) were more common in the short vs longer stay group; psychotic (5.8 vs 19.5%) and bipolar disorders (2.1 vs 14.2%) were less common. Women with short admission were at higher crude risk for ED revisit 7 days post-discharge (11.4 vs 4.9% OR2.52, 95% CI1.74–3.66) and at lower adjusted risk for readmission at 365 days post-discharge (19.5 vs 28.8%, aOR 0.63, 95% CI 0.46–0.85). Women with short stay postpartum admissions are a clinically distinct group that may benefit from targeted intervention.</description><identifier>ISSN: 1434-1816</identifier><identifier>EISSN: 1435-1102</identifier><identifier>DOI: 10.1007/s00737-017-0733-x</identifier><identifier>PMID: 28550446</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Adult ; Age ; Alcohol use ; Canada ; Care and treatment ; Cohort Studies ; Comorbidity ; Demographic aspects ; Demographics ; Drug abuse ; Female ; Health care ; Hospitalization ; Humans ; Length of Stay - statistics & numerical data ; Maternal Age ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental health care ; Mental Health Services - statistics & numerical data ; Mental Health Services - utilization ; Ontario - epidemiology ; Original Article ; Patient Admission - statistics & numerical data ; Patient admissions ; Population studies ; Population Surveillance ; Population-based studies ; Postpartum ; Postpartum depression ; Postpartum period ; Postpartum Period - psychology ; Pregnant women ; Psychiatry ; Psychological aspects ; Psychosis ; Psychotherapy ; Quantitative analysis ; Residence Characteristics ; Risk factors ; Socioeconomic factors ; Substance use ; Teenagers ; Womens health ; Young Adult</subject><ispartof>Archives of women's mental health, 2017-08, Vol.20 (4), p.505-513</ispartof><rights>Springer-Verlag Wien 2017</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Archives of Women's Mental Health is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-564de64f6d7622dcb00b68d9213c36326a6d4e91fd08acedb48ac30f4521c4903</citedby><cites>FETCH-LOGICAL-c504t-564de64f6d7622dcb00b68d9213c36326a6d4e91fd08acedb48ac30f4521c4903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00737-017-0733-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00737-017-0733-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28550446$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shlomi-Polachek, Inbal</creatorcontrib><creatorcontrib>Fung, Kinwah</creatorcontrib><creatorcontrib>Meltzer-Brody, Samantha</creatorcontrib><creatorcontrib>Vigod, Simone N.</creatorcontrib><title>Short stay vs long stay postpartum psychiatric admissions: a population-based study</title><title>Archives of women's mental health</title><addtitle>Arch Womens Ment Health</addtitle><addtitle>Arch Womens Ment Health</addtitle><description>About 1–2/1000 of postpartum women require psychiatric admission. Length of stay is variable, and little is known about short postpartum admission. From all women in Ontario, Canada, with a psychiatric admission within 1 year postpartum (2007–2012) (
n
= 1702), we compared women with admissions <72 h to women with longer admissions on sociodemographics, clinical characteristics and post-discharge mental health service use. About 37% of admissions were <72 h. These women were more likely to be adolescents (11.7 vs 7.3%), less likely to be employed (16.6 vs 25.9%) compared to women with longer admissions, and fewer had a prior history of psychiatric admission (16.7 vs 59.0%). Index diagnoses of alcohol or substance use (12.5 vs 7.8%) and adjustment disorders (15.8 vs 6.3%) were more common in the short vs longer stay group; psychotic (5.8 vs 19.5%) and bipolar disorders (2.1 vs 14.2%) were less common. Women with short admission were at higher crude risk for ED revisit 7 days post-discharge (11.4 vs 4.9% OR2.52, 95% CI1.74–3.66) and at lower adjusted risk for readmission at 365 days post-discharge (19.5 vs 28.8%, aOR 0.63, 95% CI 0.46–0.85). Women with short stay postpartum admissions are a clinically distinct group that may benefit from targeted intervention.</description><subject>Adult</subject><subject>Age</subject><subject>Alcohol use</subject><subject>Canada</subject><subject>Care and treatment</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Demographic aspects</subject><subject>Demographics</subject><subject>Drug abuse</subject><subject>Female</subject><subject>Health care</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Maternal Age</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental health care</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Mental Health Services - utilization</subject><subject>Ontario - epidemiology</subject><subject>Original Article</subject><subject>Patient Admission - statistics & numerical data</subject><subject>Patient admissions</subject><subject>Population studies</subject><subject>Population Surveillance</subject><subject>Population-based studies</subject><subject>Postpartum</subject><subject>Postpartum depression</subject><subject>Postpartum period</subject><subject>Postpartum Period - psychology</subject><subject>Pregnant women</subject><subject>Psychiatry</subject><subject>Psychological aspects</subject><subject>Psychosis</subject><subject>Psychotherapy</subject><subject>Quantitative analysis</subject><subject>Residence Characteristics</subject><subject>Risk factors</subject><subject>Socioeconomic factors</subject><subject>Substance use</subject><subject>Teenagers</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1434-1816</issn><issn>1435-1102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp1km-L1DAQxoso3nn6AXwjBUH0Rc9MkqbtvTsO_xwcCK6-DmmS7vboNjWTyu63d9aeeitKSCaT_J5JGJ4sew7sHBir3iItoioY0KyEKHYPslOQoiwAGH_4cy8LqEGdZE8QbxljZdPIx9kJr8uSSalOs9VqE2LKMZl9_h3zIYzrJZkCpsnENG_zCfd205sUe5sbt-0R-zDiRW4ImubBJEqL1qB3JJ3d_mn2qDMD-md38Sz7-v7dl6uPxc2nD9dXlzeFpcdTUSrpvJKdcpXi3NmWsVbVruEgrFCCK6Oc9A10jtXGetdKCoJ1suRgZcPEWfZ6qTvF8G32mDT9zfphMKMPM2ogBhTwmhP68i_0NsxxpN8RBXXVKFGWf6i1Gbzuxy6kaOyhqL6UTV0Ch6oh6vwfFA3nt70No-96Oj8SvDkSEJP8Lq3NjKivV5-P2Vf32I03Q9pgGOZDj_EYhAW0MSBG3-kp9lsT9xqYPrhDL-7Q5A59cIfekebFXRfmduvdb8UvOxDAFwDpalz7eK9N_636A9yrwh4</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Shlomi-Polachek, Inbal</creator><creator>Fung, Kinwah</creator><creator>Meltzer-Brody, Samantha</creator><creator>Vigod, Simone N.</creator><general>Springer Vienna</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7R6</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>7X8</scope></search><sort><creationdate>20170801</creationdate><title>Short stay vs long stay postpartum psychiatric admissions: a population-based study</title><author>Shlomi-Polachek, Inbal ; Fung, Kinwah ; Meltzer-Brody, Samantha ; Vigod, Simone N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-564de64f6d7622dcb00b68d9213c36326a6d4e91fd08acedb48ac30f4521c4903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Age</topic><topic>Alcohol use</topic><topic>Canada</topic><topic>Care and treatment</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Demographic aspects</topic><topic>Demographics</topic><topic>Drug abuse</topic><topic>Female</topic><topic>Health care</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Maternal Age</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Mental health care</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Mental Health Services - utilization</topic><topic>Ontario - epidemiology</topic><topic>Original Article</topic><topic>Patient Admission - statistics & numerical data</topic><topic>Patient admissions</topic><topic>Population studies</topic><topic>Population Surveillance</topic><topic>Population-based studies</topic><topic>Postpartum</topic><topic>Postpartum depression</topic><topic>Postpartum period</topic><topic>Postpartum Period - psychology</topic><topic>Pregnant women</topic><topic>Psychiatry</topic><topic>Psychological aspects</topic><topic>Psychosis</topic><topic>Psychotherapy</topic><topic>Quantitative analysis</topic><topic>Residence Characteristics</topic><topic>Risk factors</topic><topic>Socioeconomic factors</topic><topic>Substance use</topic><topic>Teenagers</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shlomi-Polachek, Inbal</creatorcontrib><creatorcontrib>Fung, Kinwah</creatorcontrib><creatorcontrib>Meltzer-Brody, Samantha</creatorcontrib><creatorcontrib>Vigod, Simone N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of women's mental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shlomi-Polachek, Inbal</au><au>Fung, Kinwah</au><au>Meltzer-Brody, Samantha</au><au>Vigod, Simone N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short stay vs long stay postpartum psychiatric admissions: a population-based study</atitle><jtitle>Archives of women's mental health</jtitle><stitle>Arch Womens Ment Health</stitle><addtitle>Arch Womens Ment Health</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>20</volume><issue>4</issue><spage>505</spage><epage>513</epage><pages>505-513</pages><issn>1434-1816</issn><eissn>1435-1102</eissn><abstract>About 1–2/1000 of postpartum women require psychiatric admission. Length of stay is variable, and little is known about short postpartum admission. From all women in Ontario, Canada, with a psychiatric admission within 1 year postpartum (2007–2012) (
n
= 1702), we compared women with admissions <72 h to women with longer admissions on sociodemographics, clinical characteristics and post-discharge mental health service use. About 37% of admissions were <72 h. These women were more likely to be adolescents (11.7 vs 7.3%), less likely to be employed (16.6 vs 25.9%) compared to women with longer admissions, and fewer had a prior history of psychiatric admission (16.7 vs 59.0%). Index diagnoses of alcohol or substance use (12.5 vs 7.8%) and adjustment disorders (15.8 vs 6.3%) were more common in the short vs longer stay group; psychotic (5.8 vs 19.5%) and bipolar disorders (2.1 vs 14.2%) were less common. Women with short admission were at higher crude risk for ED revisit 7 days post-discharge (11.4 vs 4.9% OR2.52, 95% CI1.74–3.66) and at lower adjusted risk for readmission at 365 days post-discharge (19.5 vs 28.8%, aOR 0.63, 95% CI 0.46–0.85). Women with short stay postpartum admissions are a clinically distinct group that may benefit from targeted intervention.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>28550446</pmid><doi>10.1007/s00737-017-0733-x</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Age Alcohol use Canada Care and treatment Cohort Studies Comorbidity Demographic aspects Demographics Drug abuse Female Health care Hospitalization Humans Length of Stay - statistics & numerical data Maternal Age Medicine Medicine & Public Health Mental disorders Mental Disorders - diagnosis Mental Disorders - epidemiology Mental Disorders - psychology Mental health care Mental Health Services - statistics & numerical data Mental Health Services - utilization Ontario - epidemiology Original Article Patient Admission - statistics & numerical data Patient admissions Population studies Population Surveillance Population-based studies Postpartum Postpartum depression Postpartum period Postpartum Period - psychology Pregnant women Psychiatry Psychological aspects Psychosis Psychotherapy Quantitative analysis Residence Characteristics Risk factors Socioeconomic factors Substance use Teenagers Womens health Young Adult |
| title | Short stay vs long stay postpartum psychiatric admissions: a population-based study |
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