Length of stay of hospitalized patients at tertiary psychiatry facilities in Uganda: the role of caregiver's presence.

Journal: Discover mental health

Volume: 2

Issue: 1

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. kmarkmohan@gmail.com. College of Health Sciences, Makerere University, kampala, Uganda. Butabika National Referral and Teaching Mental Hospital, kampala, Uganda. Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. Department of Psychiatry, Mbarara Regional Referral Hospital, Mbarara, Uganda. CHINTA Research Bangladesh, Dhaka, Savar, Bangladesh. Department of Medical Microbiology & Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda.

Abstract summary 

Whether the presence of caregivers during the hospital stay of patients with mental illness affects the length of hospital stay (LoS) remains inconclusive.(1) To determine the average LoS and the associated factors, and (2) to determine the role of caregivers' presences during inpatient stay on LoS.We conducted a cross-sectional study in two hospitals in Uganda; one with caregivers and the other without caregivers between July to November 2020. Mann-Whitney U test was used to compare LoS in the two selected hospitals and linear regression was used to determine factors associated with LoS.A total of 222 participants were enrolled, the majority were males (62.4%). Mean age was 36.3 (standard deviation (SD) = 13.1) years. The average LoS was 18.3 (SD = 22.3) days, with patients in a hospital without caregivers having a longer median LoS (i.e., (30 (interquartile range (IQR) = 30) vs. 7 (7) days; χ = 68.95, p < 0.001). The factors significantly associated a longer LoS among our study participants included; being admitted in a hospital without caregivers (adjusted coefficient [aCoef]: 14.88, 95% CI 7.98-21.79, p < 0.001), a diagnosis of schizophrenia (aCoef: 10.68, 95 %CI 5.53-15.83, p < 0.001), being separated or divorced (aCoef: 7.68, 95% CI 1.09-14.27, p = 0.023), and increase in money spent during the admission (aCoef: 0.14, 95% CI 0.09-0.18, p < 0.001).Patients with mental illness in southwestern Uganda have a short LoS (below 28 days), and the stay was much shorter for patients with fulltime caregivers. We recommend caregivers presence during patient's hospital stay to reduce the LoS and minimize healthcare expenditure.

Authors & Co-authors:  Kaggwa Mark Mohan MM Najjuka Maria Sarah MS Kesande Claire C Nyemara Novatus N Kule Moses M Mamum Mohammed A MA Bongomin Felix F Ashaba Scholastic S

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Organisation for Economic Cooperation and Development. (2019). Length of hospital stay. https://www.oecd-ilibrary.org/social-issues-migration-health/length-of-hospital-stay/indicator/english_8dda6b7a-en. Accessed 12 Nov 2021.
Authors :  8
Identifiers
Doi : 15
SSN : 2731-4383
Study Population
Males
Mesh Terms
Other Terms
And Uganda;Caregiver;Length of stay;Mental health services;Psychiatry inpatient
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
Switzerland