Abstract
Due to the significant functional repercussions suffered by patients with dual disorder, we must evaluate which ones can benefit from intensive rehabilitative therapies in medium-stay psychiatric units. This was a retrospective study of patient medical records which intended to analyze sociodemographic and clinical variables and parameters related to the hospitalization and discharge of patients admitted to the Medium-Stay Unit (MSU) at the Castellón Provincial Hospital Consortium over 2 years (2017 and 2018), according to the presence or absence of dual disorders in these patients. Patients with a dual disorder represented 55.2% of the hospitalized patients. A higher proportion of them were male, were relatively younger, and had an earlier onset of mental illness, fewer associated medical pathologies, and shorter hospital admission times to the Short-Term Hospitalization Unit than those who did not present a dual disorder. A diagnosis on the schizophrenia spectrum with cannabis use or polyconsumption was the most common diagnosis; 98.2% of all the patients responded adequately to admission to the MSU. This work highlighted the need for higher doses of depot paliperidone in patients with dual disorders.
Highlights
Given the limited number of publications and the importance of examining the characteristics of DD patients in any psychosocial rehabilitation service [9], we aimed to analyze the possible differences according to the presence or absence of DDs in patients admitted to the Medium-Stay Unit (MSU) at the Castellón Provincial Hospital Consortium (CHP in its Spanish initialism), including an analysis with a gender perspective
Department 3 and 6 months after discharge from the MSU was obtained from the patient medical histories
In addition to more frequent SHU re-admissions among patients with DDs (n = 6), further analysis revealed that these admissions were related to fewer previous admissions to the MSU (t = 7.57; p < 0.001), higher doses of olanzapine (t = 2.82; p = 0.009), a non-schizophrenia spectrum diagnosis (χ2 = 5.15; p = 0.023; especially affective spectrum diagnoses: schizoaffective disorder = 33.3%, bipolar disorder = 33.3%, and recurrent depressive disorder = 16.7%), a desvenlafaxine prescription (χ2 = 10.72; 0.001), medication with lithium (χ2 = 4.19; p = 0.041), and referral to outpatient resources (χ2 = 3.98; p = 0.046)
Summary
Due to the significant functional repercussions suffered by patients with dual disorder, we must evaluate which ones can benefit from intensive rehabilitative therapies in medium-stay psychiatric units. This was a retrospective study of patient medical records which intended to analyze sociodemographic and clinical variables and parameters related to the hospitalization and discharge of patients admitted to the Medium-Stay Unit (MSU) at the Castellón Provincial Hospital. According to the international meta-analysis by Steel et al [1], mental disorders are highly prevalent worldwide. This agrees with the latest data published by the Spanish
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