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Table 5 Secondary outcomes. Number of mental health inpatient days, number of admissions and number of readmission < 30 days from baseline (date of randomisation) to twelve months

From: Health care utilization and cost after discharge from a mental health hospital; an RCT comparing community residential aftercare and treatment as usual

Variable

All (n = 41)

Intervention (N = 21)

Control (N = 20)

Between groups

P- value

 

Mean (SD)

Median (IQR), range

Mean (SD)

Mean (SD)

Mean diff (95% CI)

 

Total inpatient days

66.5 (61.4)

50 (34.5–77.5), 306

66.7 (55.9)

66.4 (68.1)

0.3 (−35.8 to 40.3)

.629

 MHH

17.8 (25.0)

8 (3–18), 97.5

11.2 (19.8)

24.7 (28.5)

−13.4 (−29.8 to 0.9)

.008

 CMHC

17.9 (31.5)

0 (0–27.5), 120

7.9 (22.3)

28.4 (36.7)

−20.4 (−38.8 to − 2.8)

.004

 CRA

29.7 (50.3)

2 (0–47.5), 255

45.9 (37.6)

12.8 (57.0)a

33.2 (− 0.1 to 60)

.000

 CRA self-referral

1.2 (2.8)

0 (0–0), 12

1.7 (2.8)

0.6 (2.7)b

1.1 (− 0.6 to 2.7)

.035

Total number of admission after initial stay

4.4 (4.0)

3 (1–5), 15

3.9 (3.9)

4.9 (4.1)

−0.9 (−3.5 to 1.5)

.224

 MHH

2.8 (2.9)

2 (1–3.5), 12

2.6 (2.8)

3.1 (3.0)

−0.5 (−2.3 to 1.2)

.358

 CMHC

1.2 (2.5)

0 (0–2), 14

0.7 (1.7)

1.8 (3.1)

−1.0 (−2.8 to 0.3)

.016

 CRA

0.5 (0.5)

1 (0–1),1

1.0 (0.0)

0.05 (0.22)a

0.9 (0.8 to 0.9)

0.00

 CRA self-referral

0.4 (0.83)

0 (0–0), 3

0.7 (1.1)

0.05(0.22)b

0.6 (0.2 to 1.1)

.019

Total number of readmissions after initial stay

1.5 (2.8)

0 (0–2.5), 11

1.2 (2.4)

1.9 (3.2)

−0.8 (−2.5 to 0.9)

.440

 MHH

1 (1.9)

0 (0–1), 8

0.81 (1.7)

1.2 (2.2)

−0.4 (−1.7 to 0.8)

.820

 CMHC

0.5 (1.9)

0 (0–0), 11

0.38 (1.2)

0.7 (2.5)

−0.3 (−1.7 to 0.7)

.396

 CRA

0

 

0

0

0

 
 

N (%)

 

n (%)

n (%)

Difference %- points

 

Number of patients admitted after initial stay

38 (93%)

 

21 (100%)

17 (85%)

15

.069

 MHH

21 (51%)

 

9 (43%)

12 (60%)

− 17

 

 CMHC

17 (41%)

 

4 (19%)

13 (65%)

− 46

 

 CRA aftercare

22 (54%)

 

21 (100%)

1 (5%)

95

 

 CRA self-referral

8 (20%)

 

7 (33%)

1 (5%)

28

 

Number of patient with readmission

15 (37%)

 

6 (29%)

9 (45%)

− 16

.281

 MHH

12 (29%)

 

6 (29%)

6 (30%)

−1

 

 CMHC

6 (15%)

 

2 (10%)

4 (20%)

−10

 

 CRA

0

 

0

0

0

 
  1. MHH Mental Health hospital, CMHC Community mental health centre, CRA Community residential aftercare
  2. aOne patient in the control group, who after the initial stay at the MHH was discharged to home, later had several acute admissions to the MHH. After the last of these, the patient was discharged to the CRA from the MHH as the CMHC declined the referral of this patient from the MHH, and a solution had to be found. This patient then stayed at the CRA for 255 days
  3. bOne patient in the control group was admitted to a self-referral bed at the CRA from the patient’s residence by a community mental health team as an emergency measure due to lack of other suitable services. The patient stayed at the CRA for 12 days