The Relationship Between Length of Stay and Clinical-Demographic Features: A Child and Adolescent Psychiatric Inpatient Clinic Findings
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Original Article
P: 124-130
July 2021

The Relationship Between Length of Stay and Clinical-Demographic Features: A Child and Adolescent Psychiatric Inpatient Clinic Findings

Turk J Child Adolesc Ment Health 2021;28(2):124-130
1. Malatya Eğitim ve Araştırma Hastanesi, Çocuk ve Ergen Psikiyatrisi Kliniği, Malatya, Türkiye
2. İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Çocuk ve Ergen Psikiyatrisi Anabilim Dalı, İstanbul, Türkiye
3. İnönü Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Psikiyatrisi Anabilim Dalı, Malatya, Türkiye
No information available.
No information available
Received Date: 24.04.2020
Accepted Date: 28.08.2020
Publish Date: 29.07.2021
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ABSTRACT

Conclusion:

Psychiatric diagnoses and treatment modalities can be decisive in the length of stay. In our country, inpatient psychiatric clinics in children and adolescents are very limited. More studies are needed to examine the relationship between the duration of hospitalization and demographic and clinical features.

Results:

The average length of stay was 20.05±19.69 days. The shortest hospital stay was 1 day, while the longest hospital stay was 135 days. The length of stay was significantly longer in adolescents, in those continuing education, in those having schizophrenia spectrum and other psychotic disorders, feeding and eating disorders, trauma and stressor related disorders, and in those taking cognitive behavioral therapy and psychopharmacological treatment (antipsychotic, antidepressant, anxiolytic). The length of stay was shorter in patients with neurodevelopmental disorders and intellectual disability. Children’s Depression Scale, State-Trait Anxiety Inventories And Scores Of Post- Traumatic Stress Reaction Index were found to be positively correlated with length of stay.

Materials and Methods:

The records of the patients who were followed up and treated after being hospitalized at İnönü University Faculty of Medicine, Child and Adolescent Psychiatric Inpatient Clinic were examined. The demographic and clinical features (psychiatric diagnoses, psychotherapy and psychopharmacological treatment, hospitalization features, psychometric scale scores) of 379 patients who were hospitalized and discharged from late 2013 to mid-2017 were recorded. The effects of all variables on the length of stay were evaluated. The Mann-Whitney U test, which is a non-parametric test, was used for the comparison of length of stay. The relationship of the applied psychometric tests with the length of stay was evaluated by the Pearson correlation coefficient.

Objectives:

In psychiatry, the inpatient observational follow-up model is important in the treatment of children and adolescents. The length of stay may vary depending on demographic and clinical features. In this study, it was aimed to share data on the relationship between the duration of hospitalization and clinical and demographic characteristics of a child and adolescent psychiatric inpatient clinic.

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