Conference paper
“REVOLVING DOOR” AND BIPOLAR DISORDERS: A RETROSPECTIVE STUDY IN AN ACUTE INPATIENT UNIT
Giulia Menculini
; Department of Psychiatry, University of Perugia, Perugia, Italy
Chiara Gobbicchi
; Department of Psychiatry, University of Perugia, Perugia, Italy; Department of Mental Health, Terni, Italy
Norma Verdolini
; Department of Psychiatry, University of Perugia, Perugia, Italy; Bipolar and Depressive Disorders Unit, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Institute of Neuroscience, Barcelona, Catalonia, Spain
Federica Cirimbilli
; Department of Psychiatry, University of Perugia, Perugia, Italy
Patrizia Moretti
; Department of Psychiatry, University of Perugia, Perugia, Italy
Alfonso Tortorella
; Department of Psychiatry, University of Perugia, Perugia, Italy
Abstract
Introduction: The present retrospective study investigated clinical correlates of the revolving door (RD) phenomenon in a
population of subjects affected by Bipolar Disorders (BDs).
Subjects and methods: Medical records of subjects with BDs admitted to a psychiatric inpatient unit over a 5-year period of time
were retrospectively reviewed and clinical data were extracted into an electronic dataset. “Revolving Door Subjects” (RDS) were
defined as those who presented three or more “Revolving Door Hospitalizations” (RDH) during twelve months. Features of RDH
were compared with non-RDH in order to identify characteristics associated with RD phenomenon and possible risk factors for
readmission. To explore predictors of RDH, a stepwise backword logistic regression model was built, including the variables that
were significantly associated with RDH in the bivariate analyses.
Results: In our sample of 176 subjects affected by BDs, 53 (19.9%) RDH were identified. In the RDH group, a higher prevalence
of mixed episodes (p=0.029) and medical co-morbidities (p=0.004) was detected. Subjects with repeated hospitalizations were more
often committed to psychiatric residential facilities at discharge (p=0.002). Treatment features related to RDH were represented by a higher prescription rate of atypical antipsychotics (p=0.030), benzodiazepines (p=0.001) and antidepressants (p=0.048).
Conclusions: Findings from the present study suggest that the early identification and treatment of medical comorbidities and
specific clinical features of BDs may help reducing the RD phenomenon in this population of subjects.
Keywords
revolving door; bipolar disorders; affective disorders; re-hospitalizations; serious mental illnesses
Hrčak ID:
262491
URI
Publication date:
24.3.2020.
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