Cochrane · systematic review · CD000384
Length of hospitalisation for people with severe mental illness
Babalola, O, Gormez, V, Alwan, NA, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
SchizophreniaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 42.9%Low 4 · 57.1%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
SHORT versus LONG HOSPITAL STAY for people with severe mental illness
Population: patients with people with severe mental illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death ‐ 2 years SHORT vs LONG HOSPITAL STAY | RR 0.42 [0.1, 1.83] | 1 study · 175 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
No clinically important changes in specific symptoms ‐ positive and negative symptoms of schizophrenia (long term) Mental state: Not improved ‐ by 2 years ‐ as measured by PEF scale PEF scale SHORT vs LONG HOSPITAL STAY | RR 3.39 [0.76, 15.02] | 1 study · 61 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Service outcomes: 1a. Readmission to hospital (homogeneous studies) long term Number of participants readmitted to hospital SHORT vs LONG HOSPITAL STAY | RR 1.26 [1, 1.57] | 4 studies · 651 participants | Low Downgraded: inconsistency |
Service outcomes: 3. Leaving hospital prematurely ‐ by 2 years Participants leaving the study prematurely SHORT vs LONG HOSPITAL STAY | RR 0.77 [0.34, 1.77] | 2 studies · 229 participants | Low Downgraded: imprecision, inconsistency |
Service outcomes: 4. Discharge delayed beyond the time planned in study ‐ 2‐year data Number of participants kept beyond projected time of discharge SHORT vs LONG HOSPITAL STAY | RR 0.54 [0.33, 0.88] | 3 studies · 404 participants | Low Downgraded: risk of bias, inconsistency |
Leaving the study early (long term) Participants leaving the study prematurely SHORT vs LONG HOSPITAL STAY | RR 1.07 [0.7, 1.62] | 3 studies · 404 participants | Low Downgraded: risk of bias, inconsistency |
General functioning: Unemployed, unable to housekeep or unknown employment status ‐ by 2 years Number of participants with poor occupational functioning in 2 years SHORT vs LONG HOSPITAL STAY | RR 0.61 [0.5, 0.76] | 2 studies · 330 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |