Mood & Emotion (우울조울병)

Korean Society for Affective Disorders (대한우울조울병학회)
권호 표지

Predictors of Continuity of Care after Inpatient Discharge of Patients with Bipolar Disorder : A Retrospective Chart Review Study in a University Hospital

양극성 장애 환자에서 퇴원 이후 외래 치료 유지에 영향을 미치는 예측인자 : 일 대학병원 후향적 의무기록 조사연구

  • Wang, Hee Ryung (Department of Psychiatry, College of Medicine The Catholic University of Korea) ;
  • Jung, Young-Eun (Department of Psychiatry, College of Medicine The Catholic University of Korea) ;
  • Song, Hoo Rim (Department of Psychiatry, College of Medicine The Catholic University of Korea) ;
  • Jun, Tae-Youn (Department of Psychiatry, College of Medicine The Catholic University of Korea) ;
  • Kim, Kwang-Su (Department of Psychiatry, College of Medicine The Catholic University of Korea) ;
  • Bahk, Won-Myong (Department of Psychiatry, College of Medicine The Catholic University of Korea)
  • 왕희령 (가톨릭대학교 의과대학 여의도성모병원 정신과학교실) ;
  • 정영은 (가톨릭대학교 의과대학 여의도성모병원 정신과학교실) ;
  • 송후림 (가톨릭대학교 의과대학 여의도성모병원 정신과학교실) ;
  • 전태연 (가톨릭대학교 의과대학 여의도성모병원 정신과학교실) ;
  • 김광수 (가톨릭대학교 의과대학 여의도성모병원 정신과학교실) ;
  • 박원명 (가톨릭대학교 의과대학 여의도성모병원 정신과학교실)
  • Received : 2011.03.02
  • Accepted : 2011.03.31
  • Published : 2011.06.30
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Abstract

Background and Objectives : This study aims to identify sociodemographic and disease-related variables which predicts continuity of outpatient treatment after discharge among bipolar patients. Materials and Method : The medical records of patients who discharged with the diagnosis of bipolar disorder from Department of Psychiatry, St. Mary's hospital from 2005 to 2009 were reviewed. Data on sociodemographic and disease-related variables were analyzed. Results : It showed older age, higher rate of male and higher rate of being married in 1-year follow-up group than in non-follow-up group. And it showed longer duration of index hospitalization, higher rate of previous psychiatric outpatient treatment within 3 months before index hospitalization, higher rate of involuntary admission in 1-year follow-up group than in non-follow-up group. The univariate logistic regression analysis revealed that older age, being male, previous psychiatric treatment and longer duration of index hospitalization were significantly related to an increased likelihood of 1-year follow-up visits. Conclusion : Age, sex, history of previous psychiatric treatment, and duration of hospitalization seems to have influence on continuity of outpatient treatment after discharge.

Keywords