Factores Asociados con los Reinternamientos Psiquiátricos: Una Revisión Sistemática

Zanardo, Gabriela Lemos de Pinho; Moro, Larissa Moraes; Ferreira, Guilherme Severo; Rocha, Kátia Bones

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Psychology of Health • Paidéia (Ribeirão Preto) 28 • 2018 • https://doi.org/10.1590/1982-4327e2814 copiar

Factores Asociados con los Reinternamientos Psiquiátricos: Una Revisión Sistemática

Autoría SCIMAGO INSTITUTIONS RANKINGS

Resumen

Los Reinternamientos Psiquiátricos Frecuentes (RPF) (fenómeno de la puerta giratoria) son repetidos y frecuentes internamientos que ocurren poco tiempo después de acontecida el alta. Este estudio tuvo como objetivo analizar los criterios que definen los RPF y los factores asociados, tales como los datos sociodemográficos, clínicos y de la red de atención. Se efectuó una revisión sistemática en las bases de datos PubMed, BVS, PsycINFO, utilizando “readmisión” y “desorden mental”. Fueron seleccionados estudios empíricos realizados con población adulta, publicados entre 2010 y 2014, en inglés, portugués y español. Se analizaron 26 artículos a través del protocolo PRISMA. Además, fueron apreciadas altas prevalencias de RPF, variando entre el 9% (un mes) y el 84% (dos años). En cambio, los diferentes criterios utilizados pueden haber influido en resultados contradictorios. Los resultados más consistentes indican que las personas jóvenes, solteras, con menor apoyo social y con internamientos involuntarios, son más propensas a presentar RPF. Es importante establecer un consenso sobre el criterio de RPF para el desarrollo de futuros estudios e intervenciones.

Palabras clave:
hospitalización psiquiátrica; trastornos mentales; revisión sistemática; salud mental

Time	Results - readmission rates (%)
1 month	9.5% (Byrne et al., 2010Byrne, S. L., Hooke, G. R., & Page, A.C. (2010). Readmission: A useful indicator of the quality of inpatient psychiatric care. Journal of Affective Disorders, 126(1-2), 206-213. doi:10.1016./j.jad.2010.02.135 https://doi.org/10.1016./j.jad.2010.02.1... ); 11.2% (Kroken et al.,2012Kroken, R. A., Mellesdal, L. S., Wentzel-Larsen, T., Jørgensen, H. A., & Johnsen, E. (2012). Time-dependent effect analysis of antipsychotic treatment in a naturalistic cohort study of patients with schizophrenia.European Psychiatry, 27(7), 489-495. doi:10.1016/j.eurpsy.2011.04.002 https://doi.org/10.1016/j.eurpsy.2011.04... ); 13% (Zilber et al., 2011Zilber, N., Hornik-Lurie, T., & Lerner, Y. (2011). Predictors of early psychiatric rehospitalization: A national case register study. TheIsraelJournal of PsychiatryandRelatedSciences, 48(1), 49-53. Retrieved fromhttps://doctorsonly.co.il/wp-content/uploads/2011/12/2011_1.1_9.pdf https://doctorsonly.co.il/wp-content/upl... ); 23% (Boaz et al., 2013Boaz, T. L., Becker, M. A., Andel, R., Van Dorn, R. A., Choi, J., & Sikirica, M. (2013). Risk factors for early readmissionto acute care for persons with schizophrenia taking antipsychotic medications. Psychiatric Services, 64(12), 1225-1229.doi:10.1176/appi.ps.003382012 https://doi.org/10.1176/appi.ps.00338201... ); 31% (Sánchez et al., 2013Sánchez, R., Jaramillo, L.E., & Herazo, M.I. (2013). Factoresasociados a rehospitalización temprana en psiquiatría [Factors associated with early psychiatric rehospitalization. Biomedica, 33(2),276-282. doi:10.7705/biomedica.v33i2.705 https://doi.org/10.7705/biomedica.v33i2.... )
3 months	49.5% (Sánchez et al., 2013Sánchez, R., Jaramillo, L.E., & Herazo, M.I. (2013). Factoresasociados a rehospitalización temprana en psiquiatría [Factors associated with early psychiatric rehospitalization. Biomedica, 33(2),276-282. doi:10.7705/biomedica.v33i2.705 https://doi.org/10.7705/biomedica.v33i2.... )
6 months	15.3% (Byrne et al., 2010Byrne, S. L., Hooke, G. R., & Page, A.C. (2010). Readmission: A useful indicator of the quality of inpatient psychiatric care. Journal of Affective Disorders, 126(1-2), 206-213. doi:10.1016./j.jad.2010.02.135 https://doi.org/10.1016./j.jad.2010.02.1... ); 21% (Moss et al., 2014Moss, J., Li, A., Tobin, J., Weinstein, I.S., Harimoto, T., & Lanctôt, K.L. (2014). Predictors of readmissionto a psychiatry inpatient unit. Comprehensive Psychiatry, 55(3), 426-430. doi:10.1016/j.comppsych.2013.11.019 https://doi.org/10.1016/j.comppsych.2013... ); 31.2% (Kroken et al., 2012Kroken, R. A., Mellesdal, L. S., Wentzel-Larsen, T., Jørgensen, H. A., & Johnsen, E. (2012). Time-dependent effect analysis of antipsychotic treatment in a naturalistic cohort study of patients with schizophrenia.European Psychiatry, 27(7), 489-495. doi:10.1016/j.eurpsy.2011.04.002 https://doi.org/10.1016/j.eurpsy.2011.04... )
1 year	10% (Martínez-Ortega et al., 2012Martínez-Ortega, J. M., Gutiérrez-Rojas, L., Jurado, D., Higueras, A., Diaz, F. J., & Gurpegui, M. (2012). Factors associated with frequent psychiatric admissions in a general hospital in Spain. International Journal of Social Psychiatry, 58(5), 532-535. doi:10.1177/0020764011413061 https://doi.org/10.1177/0020764011413061... ); 20.5% (Kikuchi et al., 2013Kikuchi, H., Abo, M., Kumakura, E., Kubota, N., & Nagano, M. (2013). Efficacy of continuous follow-up for preventing the involuntary readmission of psychiatric patients in Japan: A retrospective cohort study. International Journal of Social Psychiatry, 59(3), 288-295. doi:10.1177/0020764011433631 https://doi.org/10.1177/0020764011433631... ); 30% (Schmutte et al., 2010Schmutte, T., Dunn, C. L., & Sledge, W. H. (2010). Predicting time to readmission in patients with recent histories of recurrent psychiatric hospitalization: A matched-control survival analysis. The Journal of Nervous and Mental Disease, 198(12), 860-863. doi:10.1097/NMD.0b013e3181fe726b https://doi.org/10.1097/NMD.0b013e3181fe... ); 34% (Castro et al., 2010Castro, S. A., Furegato, A. R. F., & Santos, J. L. F. (2010). Sociodemographic and clinical characteristics of psychiatric re-hospitalizations. Revista Latino-Americana de Enfermagem, 18(4), 800-808. doi:10.1590/S0104-11692010000400020 https://doi.org/10.1590/S0104-1169201000... ); 42.6% (Loch, 2012Loch, A. A. (2012). Stigma and higher rates of psychiatric re-hospitalization: São Paulo public mental health system. Revista Brasileira de Psiquiatria, 34(2), 185-192. doi:10.1590/S1516-44462012000200011 https://doi.org/10.1590/S1516-4446201200... ); 44.8% (Kroken et al., 2012Kroken, R. A., Mellesdal, L. S., Wentzel-Larsen, T., Jørgensen, H. A., & Johnsen, E. (2012). Time-dependent effect analysis of antipsychotic treatment in a naturalistic cohort study of patients with schizophrenia.European Psychiatry, 27(7), 489-495. doi:10.1016/j.eurpsy.2011.04.002 https://doi.org/10.1016/j.eurpsy.2011.04... ); 46% (Zhang et al., 2011Zhang, J., Harvey, C., & Andrew, C. (2011). Factors associated with length of stay and the risk of readmission in an acute psychiatric inpatient facility: A retrospective study. Australian and New Zealand Journal of Psychiatry, 45(7), 578-585. doi:10.3109/00048674.2011.585452 https://doi.org/10.3109/00048674.2011.58... ); 60% (Jaramillo-Gonzalez et al., 2014Jaramillo-Gonzalez, L.E., Sanchez-Pedraza, R., & Herazo, M.I. (2014). The frequency of rehospitalization and associated factors in Colombian psychiatric patients: A cohort study. BMC Psychiatry, 14, 161. doi:10.1186/1471-244X-14-161 https://doi.org/10.1186/1471-244X-14-161... ); 72% (Boaz et al., 2013Boaz, T. L., Becker, M. A., Andel, R., Van Dorn, R. A., Choi, J., & Sikirica, M. (2013). Risk factors for early readmissionto acute care for persons with schizophrenia taking antipsychotic medications. Psychiatric Services, 64(12), 1225-1229.doi:10.1176/appi.ps.003382012 https://doi.org/10.1176/appi.ps.00338201... )
2 years	79.8% (Bowersox et al., 2012Bowersox, N. W., Saunders, S. M., & Berger, B. D. (2012). Predictors of rehospitalization in high-utilizing patients in the VA psychiatric medical system.Psychiatric Quarterly, 83(1), 53-64. doi:10.1007/s11126-011-9182-2 https://doi.org/10.1007/s11126-011-9182-... ); 84% (Boaz et al. 2013Boaz, T. L., Becker, M. A., Andel, R., Van Dorn, R. A., Choi, J., & Sikirica, M. (2013). Risk factors for early readmissionto acute care for persons with schizophrenia taking antipsychotic medications. Psychiatric Services, 64(12), 1225-1229.doi:10.1176/appi.ps.003382012 https://doi.org/10.1176/appi.ps.00338201... )
3 years	55.6% (Kroken et al., 2012Kroken, R. A., Mellesdal, L. S., Wentzel-Larsen, T., Jørgensen, H. A., & Johnsen, E. (2012). Time-dependent effect analysis of antipsychotic treatment in a naturalistic cohort study of patients with schizophrenia.European Psychiatry, 27(7), 489-495. doi:10.1016/j.eurpsy.2011.04.002 https://doi.org/10.1016/j.eurpsy.2011.04... )
7 years	27.6% (Batalla et al., 2013Batalla, A., Garcia-Rizo, C., Castellví, P., Fernandez-Egea, E., Yücel, M., Parellada, E.,... Bernardo, M. (2013). Screening for substance use disorders in first-episode psychosis: Implications forreadmission. Schizophrenia Research, 146(1-3), 125-131.doi:10.1016/j.schres.2013.02.031 https://doi.org/10.1016/j.schres.2013.02... ).

Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia Av.Bandeirantes 3900 - Monte Alegre, 14040-901 Ribeirão Preto - São Paulo - Brasil, Tel.: (55 16) 3315-3829 - Ribeirão Preto - SP - Brazil
E-mail: paideia@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] * Correspondence address: Pontifícia Universidade Católica do Rio Grande do Sul. Programa de Pós-Graduação em Psicologia. Avenida Ipiranga, nº 6681, Prédio 11, Sala 931, Partenon, Porto Alegre-RS, Brazil. CEP 90.619-900. E-mail: katia.rocha@pucrs.br