ArticlePLOS mental health2025
Quantifying institutional-level length of stay variation among hospitalizations for schizophrenia in Ontario between 2014-2021.
Article in PLOS mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- What drives prolonged hospital stays in schizophrenia-spectrum disorders? A Canadian tertiary care review.PCN reports : psychiatry and clinical neurosciences · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Variations in the length and intensity of care delivery from person to person are to be expected, however, such variation can also result from institutional-level factors that may not be directly related to a patient's needs. The objective of this study is to provide a descriptive analysis quantifying the variation in the length of stay (LOS) that is attributable to institutional- and patient-level factors for Ontarians hospitalized with schizophrenia between 2014 and 2021. A retrospective cohort study was conducted using Ontario medical records from >100,000 adult inpatients who had been admitted to an Ontario hospital with a primary diagnosis of schizophrenia between fiscal years 2014 and 2021. The proportion of variation in inpatient LOS that was attributable to institutional-level factors was assessed using log-linear mixed-effects models. Large community, teaching, and specialty mental health hospitals were each modelled separately. These results are presented alongside descriptive analyses for additional context. Average LOS in large community hospitals (mean = 24.2 days, SD = 62.51 days) was lower than specialty mental health hospitals (mean = 85.4 days, SD = 262.9 days) and teaching hospitals (mean = 42.8 days, SD = 137.4 days). The highest proportion of institutional-level variation was seen in large community hospitals (29.3%), with specialty mental health hospitals (19.3%) and teaching hospitals (19.7%) reporting similar proportions of institutional-level variation. This analysis has identified differences in the proportion of inpatient LOS variation attributable to institutional-level factors between types of hospital. A larger percentage of institutional-level variation was seen in large community hospitals however, all hospital types exhibited institutional-level variation. These differences likely result from a combination of governmental and hospital-level factors, which may present an opportunity for policy and clinical interventions. Future research can assess the potential for evidence-based interventions such as bundled care pathways and supportive housing programs in addressing these factors.
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Registered trials
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