[PMH16] Predictive factors for hospitalization in French schizophrenic patients

[PMH16] Predictive factors for hospitalization in French schizophrenic patients

2009 Value in health

Sarlon, E. | Dorey, J. | Millier, A. | Toumi, M. | Volume: 12, Issue: 7, Pages: A353, Hospitalization, poster, Schizophrenia,

OBJECTIVES: The appropriate and optimal health care resources of schizophrenic
patients could benefit from identifying predictive factors for hospitalization. The
purpose of this study was to identify those factors of hospitalization for French
schizophrenic patients out of a 2 years prospective cohort of 288 patients. METHODS:
This study collected clinical, patient reported outcomes, patient management, care
giver involvement and resource utilizations data every six months. The patients who
were at least once hospitalized during the study were compared to the patients who
were not hospitalized during the study. Predictive factors of hospitalization were
identified by using a Cox model with all appropriate variables. RESULTS: To be under
antidepressant/depressed, to have negative attitude toward medicine and former hos- attitude toward medicine and former hospitalizations
appear to be good predictors of hospitalisation in French schizophrenic
patients. While living alone and subjective side effect were associated to reduce the
risk of hospitalisation. Depression is known to be associated to poor outcome however
few comprehensive studies include depression as a confounding factor. Negative attitude
toward medicine as well as former hospitalisation are likely to be associated to
increase the risk of hospitalisation. Unexpectedly perceived side effects and living alone Unexpectedly perceived side effects and living alone Unexpectedly perceived side effects and living alone
were associated to reduce hospitalisation. The authors do not have clear explanation
but hypothesis that would require to be tested in further studies. CONCLUSIONS:
Unless appropriate confounding variables are included in resource utilization studies,
results should considered with great caution.