Readmission rate of patients with a diagnosis of schizophrenia treated at a comprehensive rehabilitation center in Boyacá

Abstract

Context: Schizophrenia, a complex mental health disorder, is emerging as an area of significant concern, particularly due to its impact on the population. Objective: Estimate the readmission rate of patients with a diagnosis of Schizophrenia in the population over 18 years of age who entered the Boyacá Comprehensive Rehabilitation Center during the period June 2022 and June 2023. Materials and methods: an observational, descriptive cross-sectional study. The clinical records and demographic data of a group of 133 patients were examined; Of them, a sample composed of 16 patients over 18 years of age with a diagnosis of schizophrenia who received care for readmission at the Boyacá Comprehensive Rehabilitation Center during the study period was selected. Results: Calculated readmission rate of 12.8%; of the total readmitted patients, 75% male; The most prevalent group is those between 29 and 59 years old; 6.3% of readmissions were associated with dementia, another 6.3% with anxiety disorders, and an additional 6.3% with depressive disorders; Of the patients who were readmitted, 18.8% are affiliated with the National Police. Conclusions: The readmission rate highlights the need for more effective and personalized strategies in the care of patients with schizophrenia. The recurrence of hospitalizations indicates the complexity of managing the disease over time, highlighting the importance of continuous preventive and therapeutic interventions. The proportion of recurrences at the level of institutional affiliation suggests the need to implement the application of screening using valid and reliable instruments to early detect the risk of episodes and/or recurrences of this disease.