Evidence map›Paper›PMID 29194005›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2017

Patient Characteristics, Length of Stay, and Functional Improvement for Schizophrenia Spectrum Disorders: A Population Study of Inpatient Care in Ontario 2005 to 2015.

Sheng Chen, April Collins, Kelly Anderson, Kwame McKenzie, Sean Kidd

Registry-linked trialAbstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04294719 (A Study of Cognitive Adaptation Training in Inpatient Forensic Environments), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

NCT04294719 completednot on this mapstarted 2019, after this paper: background citation

A Study of Cognitive Adaptation Training in Inpatient Forensic Environments

TypeobservationalSponsorCentre for Addiction and Mental HealthRan2019 to 2020Enrolled24ConditionsSchizophreniaArmsCognitive Adaptation Training (CAT)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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  3. 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. 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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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.

Sheng Chen1 Centre for Addiction and Mental Health, Toronto, Ontario.
April Collins1 Centre for Addiction and Mental Health, Toronto, Ontario.
Kelly Anderson2 Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, Ontario.
Kwame McKenzie1 Centre for Addiction and Mental Health, Toronto, Ontario.
Sean Kidd1 Centre for Addiction and Mental Health, Toronto, Ontario.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSchizophrenia and associated illnesses account for a large proportion of mental illness burden and health care expenditures, with the majority of expense involving inpatient care. To date, the literature exploring factors associated with length of stay (LOS) and functional improvement during inpatient care is underdeveloped. In response, this study examined the association between patient characteristics, LOS, and functional improvement using Ontario Mental Health Reporting System (OMHRS) data from 2005 to 2015.

methodsThe associations of patient characteristics (including key demographics, psychosocial variables, reasons for admission, and service use history) and 2 outcome measures (LOS and Global Assessment of Functioning [GAF]) were analysed with generalised linear mixed modelling (GLMM). From 2005 to 2015, a total of 48,498 episodes for distinct patients from 18 psychiatric hospitals and 57 general hospitals in Ontario were included.

resultsFor psychiatric and general hospitals, mean LOS was 96.6 and 20.5 days, and mean GAF improvement was 14.8 and 16.1, respectively. The majority of associations probed demonstrated a high degree of significance with similar patterns across general and tertiary facility contexts. Older age and more recent readmission following a psychiatric discharge were associated with longer LOS and less GAF improvement. Recent experience of adverse life events and substance misuse were associated with shorter LOS.

conclusionsWhile the findings of this exploratory cross-sectional analysis will require further inquiry with respect to validity and reliability, they suggest that a different service pathway is likely required for individuals with greater psychosocial challenge and extensive service use histories.

Indexed as

Life Change EventsSocioeconomic FactorsAdultCross-Sectional StudiesDatabases, FactualFemaleHospitals, GeneralHospitals, PsychiatricHumansInpatientsLength of StayMaleMiddle AgedOntarioOutcome Assessment, Health CareSchizophreniafunctioninginpatientlength of stayschizophrenia

Identifiers

PMID29194005
PMCPMC5714115

What OpenQuestion holds

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Registered trials

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.