Evidence map›Paper›PMID 25780386›Full record

ArticleInternational journal of mental health systems2015

Length of stay of psychiatric admissions in a general hospital in Ethiopia: a retrospective study.

Fikir Addisu, Mekitie Wondafrash, Zeina Chemali, Tariku Dejene, Markos Tesfaye

Abstract read
In one paragraph

Article in International journal of mental health systems, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed.

  1. Substance abuse in first-episode psychosis at Chris Hani Baragwanath Hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
    Article
  2. Examining the length of hospital stay and associated factors in adult patients with schizophrenia.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
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  12. Retrospective review: Factors impacting length of stay in Bipolar Disorder at a tertiary hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
    Article
  13. Schizophrenia and schizoaffective disorder: Length of stay and associated factors.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
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  14. Factors associated with long hospitalisation for psychotic disorder patients in an acute ward: Tertiary care hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
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  17. Factors associated with longer hospital admission in elderly patients with major neurocognitive disorder.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fikir AddisuDepartment of Psychiatry, Jimma University, Jimma, Ethiopia.
Mekitie WondafrashDepartment of Population and Family Health, Jimma University, Jimma, Ethiopia.
Zeina ChemaliDepartment of Psychiatry and Neurology, Massachusetts General Hospital, Boston, MA USA.
Tariku DejeneDepartment of Epidemiology, Jimma University, Jimma, Ethiopia.
Markos TesfayeDepartment of Psychiatry, Jimma University, Jimma, Ethiopia ; Center for International Health, Ludwig Maxmillians University, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn sub-Saharan Africa, the number of psychiatric beds per population is disproportionately low. Moreover, there is a lack of data regarding the patterns of psychiatric admissions and the factors leading to long psychiatric hospitalization in this region. This study aimed to investigate the average length of stay (LOS) and the factors associated with prolonged hospitalizations.

methodsA ten-year retrospective chart review of patients admitted to the psychiatric facility of Jimma University Specialized Hospital in southwest Ethiopia was conducted. The medical charts of 846 admissions spanning the period from January 2001 to December 2010 were reviewed. LOS greater than 21 days was considered as a cut-off point for lengthier stay. Bivariate and multivariable logistic regression analyses were conducted to identify factors independently associated with LOS.

resultsThe most common discharge diagnoses were schizophrenia and other psychotic disorders (27.6%), and bipolar disorder (23.4%). A global clinical rating taken on discharge showed 90.3% improved outcome. The median (25th, 75th percentiles) LOS was 22 (15, 36) days. Patients with major depressive disorder [aOR = 0.51 (0.32 - 0.81)] and brief psychotic disorder [aOR = 0.52 (0.33 - 0.84)] were less likely than patients with schizophrenia and other psychotic disorders to have long hospital stays. Presence of extrapyramidal side-effects and out of pocket expenditures predicted LOS.

conclusionsPatients with psychoses and bipolar disorder have lengthier hospital stays burdening the cost of care of psychiatric treatment in a general hospital setting. Our findings call for identifying those cases quickly, attending to their needs with evidence-based efficient treatment and for improving and developing an aftercare system such that the utilization of acute inpatient beds, already a scarce resource, could achieve higher efficiency.

Indexed as

EthiopiaLength of hospital stayMental illnessPsychiatric admissionPsychiatric careSub-Saharan Africa

Identifiers

PMID25780386
PMCPMC4361196

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.