P-24 Factors associated with readmission to the Psychiatric Holding at the Georgetown Public Hospital Corporation in Guyana
Author(s):
E Nickram-Validum, E Williams
Year of Presentation:
2024
Objective: To identify patient related factors associated with readmission to the Psychiatric Holding at the George- town Public Hospital Corporation.
Methods: This was a retrospective study. The sample consisted of patients admitted to the Psychiatric Holding in 2020 and 2021. Data was collected from patients admitted once and those admitted more than once. Statistical analysis was done using a simple log-binomial regression.
Results: The readmission rate was 20%. Within the read- mission group 7.9% were married, 21% were employed, 15% had social support, 14% had no history of substance use, 65% had a history of violence, 21% had a diagnosis of a substance use disorder, and compliance with medica- tion and clinic follow up were 5% and 10% respectively. Within the group with single admissions 9.6% were married (p-value , 0.001), 88% employed (RR 1.71 p-value=0.049), 85% had social support (RR 2.15 p-value= 0.001), 86% had a history of no substance use (RR 1.77 p-value=0.008), 41% had no history of violence (RR 2.17 p-value=0.001), 65 had a substance use disorder (RR 2.66 p-value=0.001), and compliance with medication and clinic follow up were 95% (RR 5.75) and 90% respectively (p-value=0.001).
Conclusion: The readmission rate was 20%. Patients readmitted were less likely to be married and more likely to be unemployed, lack social support, have a history of substance use and violence, have a diagnosis of a substance use disorder, and be non-compliant with medication and clinic visits.