Trial reportBMC health services research2016
A 10-year retrospective analysis of hospital admissions and length of stay among a cohort of homeless adults in Vancouver, Canada.
Trial report in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and risk factors of frailty in people experiencing homelessness: A systematic review and meta-analysis.The Journal of frailty & aging · 2025Pooled it
- Effectiveness of a housing support team intervention with a recovery-oriented approach on hospital and emergency department use by homeless people with severe mental illness: a randomised controlled trial.Epidemiology and psychiatric sciences · 2020Trial
- Exploring the views and experiences of frailty and resilience among people experiencing homelessness in Ireland: A qualitative study.PloS one · 2026Article
- Increased Severity of Multidrug-Resistant Shigella sonnei Infections in People Experiencing Homelessness.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- Illnesses Associated With Increased Length of Stay for Individuals Experiencing Homelessness: A Retrospective Cohort Study of Emergency Department Visits and Hospitalisations.Journal of evaluation in clinical practice · 2025Article
- Factors influencing the length of hospital stay of people experiencing homelessness.Frontiers in public health · 2025Article
- Alternate Level of Care Patients in Canada: a Scoping Review.Canadian geriatrics journal : CGJ · 2024Article
- Association of homelessness and psychiatric hospital readmission-a retrospective cohort study 2016-2020.BMC psychiatry · 2023Article
- Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study.BMJ open · 2023Article
- Mental Health Conservatorship Among Homeless People With Serious Mental Illness.Psychiatric services (Washington, D.C.) · 2022Observational
- Multivariable modelling of factors associated with criminal convictions among people experiencing homelessness and serious mental illness: a multi-year study.Scientific reports · 2021Article
- Factors Associated with Readmission Among General Internal Medicine Patients Experiencing Homelessness.Journal of general internal medicine · 2021Observational
- Analysis of Factors Associated With Length of Stay of Opioid-Related Emergency Department Visits.Cureus · 2021Article
- Met and unmet needs of homeless individuals at different stages of housing reintegration: A mixed-method investigation.PloS one · 2021Article
- Risk factors for unplanned hospital admission in a specialist homeless general practice population: case-control study to investigate the relationship with tri-morbidity.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Examining Health Literacy Levels in Homeless Persons and Vulnerably Housed Persons with Mental Health Disorders.Community mental health journal · 2020Article
- Retrospective Analysis of Factors Associated with Long-Stay Hospitalizations in an Acute Psychiatric Ward.Risk management and healthcare policy · 2020Article
- Residential moves and its association with substance use, healthcare needs, and acute care use among homeless and vulnerably housed persons in Canada.International journal of public health · 2019Article
- Mental disorders and the use of primary health care services among homeless shelter users in the Helsinki metropolitan area, Finland.BMC health services research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundHomelessness is associated with a very high prevalence of substance use and mental disorders and elevated levels of acute health service use. Among the homeless, little is known regarding the relative impact of specific mental disorders on healthcare utilization. The aim of the present study was to examine the association between different categories of diagnosed mental disorders with hospital admission and length of stay (LOS) in a cohort of homeless adults in Vancouver, Canada.
methodsParticipants were recruited as part of an experimental trial in which participants met criteria for both homelessness and mental illness. Administrative data were obtained (with separate consent) including comprehensive records of acute hospitalizations during the 10 years prior to recruitment and while participants where experiencing homelessness. Generalized Estimating Equations were used to estimate the associations between outcome variables (acute hospital admissions and LOS) and predictor variables (specific disorders).
resultsAmong the eligible sample (n = 433) 80 % were hospitalized, with an average of 6.0 hospital admissions and 71.4 days per person during the 10-year observation period. Of a combined total 2601 admissions to hospital, 1982 were psychiatric and 619 were non-psychiatric. Significant (p <0.001) independent predictors of hospital admission and LOS included a diagnosis of schizophrenia or bipolar disorder, as well as high (≥32 service contacts) non-psychiatric medical service use in the community.
conclusionsOur results demonstrate that specific mental disorders alongside high non-psychiatric service use were significantly associated with hospital admission and LOS. These findings suggest the importance of screening within the homeless population to identify individuals who may be at risk for acute illness and the implementation of services to promote recovery and prevent repeated hospitalization.
trial registrationISRCTN57595077 ; ISRCTN66721740.
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