Table 3.
Factors determining hospital length of stay – regression results, Average Partial Effects (APEs)
| Pooled (F20-F31) (1) | Schizophrenia (F20) (2) | Psychotic and schizoaffective disorder (F21-F29) (3) | Manic and bipolar disorder (F30-F31) (4) | |||||
|---|---|---|---|---|---|---|---|---|
| Variable | APE | SE | APE | SE | APE | SE | APE | SE | 
| Main diagnosis | ||||||||
| Schizophrenia (F20) | (base category) | (base category) | ||||||
| Schizotypal disorder (F21) | −4.16 | 0.71*** | (base category) | |||||
| Persistent delusional disorder (F22) | −19.56 | 1.04*** | −2.12 | 2.86 | ||||
| Acute and transient psychotic disorder (F23) | −11.57 | 4.69* | −17.20 | 2.15*** | ||||
| Induced delusional disorder (F24) | 0.75 | 0.52 | −9.34 | 5.65 | ||||
| Schizoaffective disorders (F25) | −11.67 | 2.32*** | 3.78 | 3.18 | ||||
| Other nonorganic psychotic disorders (F28) | −11.42 | 1.10*** | −9.29 | 3.79* | ||||
| Unspecified nonorganic psychosis (F29) | −6.36 | 0.48*** | −9.03 | 2.69*** | ||||
| Manic episode (F30) | −3.02 | 2.80 | (base category) | |||||
| Bipolar affective disorder (F31) | −12.57 | 1.01*** | 7.42 | 1.27*** | ||||
| Patient demographics and clinical characteristics | ||||||||
| Age 25-34 | −1.63 | 0.61** | −1.72 | 0.81* | −0.93 | 1.13 | −2.64 | 1.44 | 
| Age 35-44 | −3.54 | 0.53*** | −3.84 | 0.76*** | −3.68 | 1.10*** | −3.65 | 1.37** | 
| Age 45-54 | −2.25 | 0.59*** | −3.22 | 0.98*** | −2.25 | 1.00* | −0.66 | 1.42 | 
| Age 55-64 | 1.64 | 0.63** | −0.49 | 0.98 | 4.56 | 1.35*** | 4.31 | 1.80* | 
| Age 65-74 | 10.88 | 1.23*** | 6.21 | 1.60*** | 14.39 | 2.33*** | 18.55 | 3.01*** | 
| Age 75 and over | 18.64 | 1.57*** | 11.60 | 2.45*** | 25.57 | 3.84*** | 27.45 | 3.73*** | 
| Male | −0.41 | 0.38 | −1.35 | 0.53* | −0.62 | 0.62 | 0.72 | 0.77 | 
| Detained | 15.98 | 1.17*** | 19.48 | 1.81*** | 14.72 | 2.26*** | 16.51 | 1.76*** | 
| Ethnicity: mixed | 2.31 | 0.99* | 0.57 | 1.49 | 3.65 | 1.80* | 7.74 | 3.45* | 
| Ethnicity: Asian | 0.69 | 0.64 | 0.68 | 0.82 | 1.92 | 1.42 | −0.45 | 0.89 | 
| Ethnicity: black | 4.46 | 0.63*** | 5.28 | 0.93*** | 3.99 | 1.25** | 4.88 | 1.70** | 
| Ethnicity: unknown or missing | −0.77 | 0.72 | 0.10 | 1.21 | −0.81 | 1.17 | −2.31 | 1.87 | 
| Patient has a carer | 3.16 | 1.14** | 3.19 | 1.35* | 1.44 | 1.64 | 5.50 | 2.22* | 
| Patient was previously treated for mental health issues | −1.00 | 0.76 | −2.51 | 0.94** | 0.15 | 0.94 | 0.41 | 1.22 | 
| MH benefit claimants - 2nd quintile | 0.63 | 0.41 | −0.07 | 0.62 | 1.12 | 0.94 | 1.32 | 0.75 | 
| MH benefit claimants - 3rd quintile | 1.41 | 0.47** | 0.59 | 0.67 | 1.24 | 1.00 | 3.14 | 0.97** | 
| MH benefit claimants - 4th quintile | 2.43 | 0.78** | 1.41 | 0.99 | 1.75 | 1.28 | 5.76 | 1.09*** | 
| MH benefit claimants - 5th quintile | 2.65 | 0.68*** | 1.11 | 0.88 | 3.03 | 1.34* | 6.08 | 1.13*** | 
| Number of comorbidities | 1.17 | 0.33*** | 1.04 | 0.35** | 1.29 | 0.36*** | 1.53 | 0.53** | 
| Alcohol and substance misuse | −4.21 | 0.67*** | −4.96 | 1.05*** | −2.40 | 1.38 | −5.10 | 1.50*** | 
| Co-morbid personality disorder | −7.81 | 1.30*** | −9.14 | 2.19*** | −7.18 | 2.91* | −9.46 | 2.19*** | 
| Discharge | ||||||||
| Self-discharged | −19.99 | 1.85*** | −19.24 | 2.48*** | −20.37 | 3.11*** | −29.17 | 2.76*** | 
| Died in hospital | −3.30 | 1.64* | −3.56 | 2.73 | −0.96 | 4.12 | −6.03 | 3.09 | 
| Access to care | ||||||||
| Urban | 0.41 | 0.61 | −0.10 | 0.91 | 0.67 | 1.02 | 1.20 | 1.06 | 
| % residents of local community in psychiatric establishment | −0.04 | 0.41 | 0.11 | 0.52 | 0.01 | 1.30 | −0.41 | 0.87 | 
| Ability to access GP within 48 h | −0.54 | 1.12 | 0.10 | 1.73 | −2.74 | 2.68 | 0.10 | 2.79 | 
| Care plan developed in primary care | −1.01 | 0.95 | −2.18 | 1.57 | 2.92 | 2.16 | −1.70 | 2.23 | 
| Time effects | ||||||||
| Year 2007 | −1.18 | 0.97 | −1.25 | 1.17 | −1.27 | 1.45 | −1.77 | 1.34 | 
| Year 2008 | 0.22 | 0.86 | 0.49 | 1.06 | −0.44 | 1.19 | 0.43 | 1.37 | 
| Year 2009 | −1.47 | 0.99 | −1.34 | 1.33 | −2.30 | 1.20 | −1.79 | 1.33 | 
| Year 2010 | −3.08 | 1.15** | −3.50 | 1.45* | −3.67 | 1.44* | −3.22 | 1.78 | 
| Pseudo-R2 | 0.061 | 0.046 | 0.091 | 0.050 | ||||
| N | 89,510 | 38,216 | 21,415 | 29,879 | ||||
Note: Evaluated at the mean of the estimated hospital effects. Interaction effects are subsumed into main effects. Pseudo-R2 are based on model with standard errors clustered at hospital level but no hospital fixed effects
* p < 0.05; ** p < 0.01; *** p < 0.001