@article{ref1,
title="The revolving door phenomenon in an Italian acute psychiatric ward: a 5-year retrospective analysis of the potential risk factors",
journal="Journal of nervous and mental disease",
year="2016",
author="Di Lorenzo, Rosaria and Sagona, Marco and Landi, Giulia and Martire, Lisa and Piemonte, Chiara and Del Giovane, Cinzia",
volume="204",
number="9",
pages="686-692",
abstract="To highlight the revolving door (RD) phenomenon in an acute psychiatric ward, we retrospectively identified the patients hospitalized three or more times in a calendar year from 1/1/2009 to 31/12/2013 as RD patients (RDP). We collected sociodemographic and clinical variables of RDP and statistically analyzed the potential RD risk factors. We divided RDP into &quot;high&quot; and &quot;extremely high&quot; utilizers and evaluated the variables related to more frequent readmissions. RDP represented 5.68% of all patients and their hospitalizations (RDH) 25% of all admissions. The statistically significant risk factors for all RDH were &quot;disability pension,&quot; &quot;substance abuse/dependence,&quot; &quot;mild/severe aggressiveness,&quot; and &quot;psychiatric and social rehabilitative programs&quot;. The comparison between &quot;high&quot; and &quot;extremely high&quot; utilizers showed that &quot;manic episodes&quot; and &quot;personality disorders,&quot; among the diagnoses, &quot;familial relational conflicts&quot; and &quot;violence/suicidality&quot;, among the hospitalization reasons, were statistically significant risk factors for more frequent readmissions. RD phenomenon was greatly affected by severe clinical conditions with social disability.<p /> <p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0000000000000540",
url="http://dx.doi.org/10.1097/NMD.0000000000000540"
}