Evidence map›Paper›PMID 30251025›Full record

ArticleSocial psychiatry and psychiatric epidemiology2019

Compulsory admission is associated with an increased risk of readmission in patients with schizophrenia: a 7-year, population-based, retrospective cohort study.

Ching-En Lin, Chi-Hsiang Chung, Li-Fen Chen, Pei-Cih Chen, Hsin-Yi Cheng, Wu-Chien Chien

Abstract read
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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 4 institutions in 1 country.

Ching-En LinDepartment of Psychiatry, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan, ROC.ORCID http://orcid.org/0000-0002-2758-7951
Chi-Hsiang ChungDepartment of Medical Research, Tri-Service General Hospital, Taipei, Taiwan, ROC.
Li-Fen ChenSchool of Medicine, National Defense Medical Center, Taipei, Taiwan, ROC.
Pei-Cih ChenDepartment of Nursing, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan, ROC.
Hsin-Yi ChengDepartment of Nursing, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan, ROC.
Wu-Chien ChienDepartment of Medical Research, Tri-Service General Hospital, Taipei, Taiwan, ROC. chienwu@ndmctsgh.edu.tw.ORCID http://orcid.org/0000-0002-3286-0780
Taipei Tzu Chi Hospital · TWTri-Service General Hospital · TWHualien Armed Forces General Hospital · TWTzu Chi University · TW

Funding

Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan (R.O.C.) TCRD-TPE-107-03Tri-Service General Hospital TSGH-C107-004
6 · The paper itself

Abstract

purposeThe aim of this study was to assess the risk of psychiatric readmission in patients with schizophrenia, compare it between patients prescribed compulsory admission and those consenting to voluntary admission, and determine risk factors for psychiatric readmission.

methodsThis 7-year (2007-2013), population-based, cohort study retrospectively compared data of 2038 schizophrenic inpatients who initially underwent compulsory admission (the CA group) and of 8152 matched controls with schizophrenia who initially underwent voluntary admission (the VA group).

resultsDuring the study period, there were 1204 and 3806 readmissions in the CA and VA groups, respectively. Compared with the VA group, the CA group was associated with a greater risk of psychiatric readmission [adjusted hazard ratio (AHR) = 1.765; 95% confidence interval (CI) 1.389-2.243; P < 0.001]. Stratified analyses showed that the CA group was associated with a higher risk of subsequent compulsory (AHR = 1.307; 95% CI 1.029-1.661; P < 0.001) and voluntary (AHR = 1.801; 95% CI 1.417-2.289; P < 0.001) readmissions compared to the VA group. Sensitivity analyses, after excluding data from the first year of observation, also provided significant findings with respect to compulsory and voluntary readmissions. Kaplan-Meier curves revealed that cumulative survival rates of psychiatric readmissions, compulsory and voluntary readmissions were significantly lower in the CA group than in the VA group among patients with schizophrenia (log-rank test, P < 0.001).

conclusionsCA was associated with higher subsequent psychiatric readmissions, compulsory, and voluntary readmissions. Clinicians would need to focus on patients undergoing CAs to reduce readmissions.

Indexed as

AdultAgedCase-Control StudiesFemaleHumansInpatientsMaleMiddle AgedPatient AdmissionPatient ReadmissionProportional Hazards ModelsRetrospective StudiesRisk FactorsSchizophreniaCompulsory admissionInvoluntaryReadmissionRiskSchizophrenia

Identifiers

PMID30251025
OpenAlexW2892832477

What OpenQuestion holds

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Registered trials

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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.