Risk of hospitalization due to medication nonadherence identified through EMRs of patients with psychosis

Carrie E. Andrews, Krista Baker, Carolyn Howell, Arlene Cuerdo, Jamie A. Roberts, Abdullah Chaudhary, Stephanie Lechich, Leslie Nucifora, Dhananjay Vaidya, Ramin Mojtabai, Russell Louis Margolis, Akira Sawa, Frederick Nucifora

Research output: Contribution to journalArticle

Abstract

Objective: This study examined whether outpatients with a psychotic disorder who are at risk of hospitalization can be identified by using data fromelectronicmedical records (EMRs). Methods: Data from EMRs of outpatients enrolled in two clinics for treatment of psychotic disorders were abstracted. Monthly data were collected for 75 patients over two years. The study examined the association of medication nonadherence, substance use, participation in psychiatric rehabilitation, and long-acting injectable antipsychotic use in any given month with the risk of hospitalization in the subsequent month by using generalized estimating equations. Results: The only variable found to increase the relative risk of future hospitalization was recorded medication nonadherence (adjusted relative risk=7.19, p<001). Conclusions: Results suggest that recording medication nonadherence in EMRs is feasible and that these data may be used to identify patients at high risk of future hospitalization, who may require more intensive intervention.

Original languageEnglish (US)
Pages (from-to)847-850
Number of pages4
JournalPsychiatric Services
Volume68
Issue number8
DOIs
StatePublished - Aug 1 2017

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Medication Adherence
Psychotic Disorders
Hospitalization
Outpatients
Antipsychotic Agents
Injections

ASJC Scopus subject areas

  • Psychiatry and Mental health

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Risk of hospitalization due to medication nonadherence identified through EMRs of patients with psychosis. / Andrews, Carrie E.; Baker, Krista; Howell, Carolyn; Cuerdo, Arlene; Roberts, Jamie A.; Chaudhary, Abdullah; Lechich, Stephanie; Nucifora, Leslie; Vaidya, Dhananjay; Mojtabai, Ramin; Margolis, Russell Louis; Sawa, Akira; Nucifora, Frederick.

In: Psychiatric Services, Vol. 68, No. 8, 01.08.2017, p. 847-850.

Research output: Contribution to journalArticle

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AU - Howell, Carolyn

AU - Cuerdo, Arlene

AU - Roberts, Jamie A.

AU - Chaudhary, Abdullah

AU - Lechich, Stephanie

AU - Nucifora, Leslie

AU - Vaidya, Dhananjay

AU - Mojtabai, Ramin

AU - Margolis, Russell Louis

AU - Sawa, Akira

AU - Nucifora, Frederick

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