Predictors of Cost and Incidence of 30-Day Readmissions Following Hospitalizations for Schizophrenia and Psychotic Disorders: A Nationwide Analysis

Rajvi J. Wani, Niranjan J. Kathe, Donald G. Klepser

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Schizophrenia and psychotic disorders (SPDs)-related hospitalizations are the second leading cause of 30-day readmission. This study assessed the effect of patient and hospital-level factors on readmission costs following index hospital discharges for SPDs. METHODS: 2014 Nationwide Readmissions Database was used to identify SPD-related discharges between January 1, 2014, and November 30, 2014. Multivariable logistic regression was used to estimate patient and hospital-level predictors for readmissions. A two part model was used to estimate the predictors of readmission and associated cost for index hospital discharges with SPDs. RESULTS: A total of 77 625 of 343 579 (22%) index hospital discharges for SPDs resulted in readmissions. The average index and readmission costs were $9285 and $8593, respectively. Being 25 to 44 years old (odds ratio: 1.14), with nonmental comorbidities (odds ratio: 1.52), and admitted in private hospitals (odds ratio: 1.24) had significantly higher odds of readmission rates. Being males ($105), 25 to 44 years of age ($99), urban residents ($312), Medicare enrollees ($713 over privately insured), high-income area residents ($393), having multiple comorbidities ($923), and those admitted in large metropolitan ($680) and government-owned hospitals ($417) had higher costs of readmission. CONCLUSION: The high SPD-related readmission rates can be reduced by providing integrated behavioral health services for this high-risk cohort.

Original languageEnglish (US)
Pages (from-to)130-138
Number of pages9
JournalQuality management in health care
Volume28
Issue number3
DOIs
StatePublished - Jul 1 2019

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schizophrenia
hospitalization
Psychotic Disorders
Schizophrenia
Hospitalization
incidence
Costs and Cost Analysis
Incidence
costs
Odds Ratio
comorbidity
Comorbidity
Local Government
Private Hospitals
resident
Hospital Costs
Medicare
Health Services
Logistic Models
Databases

ASJC Scopus subject areas

  • Leadership and Management
  • Health(social science)
  • Health Policy
  • Care Planning

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Predictors of Cost and Incidence of 30-Day Readmissions Following Hospitalizations for Schizophrenia and Psychotic Disorders : A Nationwide Analysis. / Wani, Rajvi J.; Kathe, Niranjan J.; Klepser, Donald G.

In: Quality management in health care, Vol. 28, No. 3, 01.07.2019, p. 130-138.

Research output: Contribution to journalArticle

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