Changes in patient-reported outcomes during admission to a South African psychiatric facility

South African Journal of Psychiatry

 
 
Field Value
 
Title Changes in patient-reported outcomes during admission to a South African psychiatric facility
 
Creator Motshudi, Lerato Hann, Cherie-Dee Kloppers, Marilee Luhandjula, Thierry Phalatse, Tiro Pretorius, Damien Smith, Dianne Smith, Manuela van der Westhuizen, Marius Rodseth, Reitze N.
 
Subject Psychiatry Patient-reported outcome; PROMS; depression; PHQ-9; depression score
Description Background: Patient-reported outcome measures (PROMs) are used as part of clinical practice to determine the impact of the condition and treatment interventions on a patient’s health and quality of life. The Patient Health Questionnaire-9 (PHQ-9) is a self-administered diagnostic tool that has been widely adopted for the detection and monitoring of depression.Aim: This analysis reports the change in PHQ-9 scores from admission to discharge in patients admitted for depression to a South African acute psychiatric facility and aims to quantify the treatment effect of the admission using the PHQ-9 as the measurement tool.Setting: South African acute psychiatric facility.Methods: This was a retrospective observational study of all patients admitted to Netcare Akeso acute psychiatric facilities from 01 January 2018 to 31 October 2022. Patients were included if they were ≥ 18 years of age, admitted with a primary International Classification of Disease (ICD)-10 code for depression (i.e. F32–F33) and fully completed both an admission and discharge PHQ-9 questionnaire. We excluded facilities focusing only on the treatment of patients with specialised conditions such as addiction or eating disorders.Results: This analysis included 13 308 patients admitted for depression at 10 different facilities. The median PHQ-9 score on admission was 19 (interquartile range [IQR] 14–23) and 5 (IQR 2–11) on discharge, with a median change of -12 (IQR -5 to -18). A minimal clinically important difference was seen in 87.6% patients (n = 10 091/11 515); a treatment effect was seen in 74.5% of patients and a clinically significant improvement was seen in 72.1% of patients.Conclusion: With the average patient reporting a four-fold reduction in the severity of their depression scores, PROMs provide a critical patient-centred window into the benefit that an inpatient admission has on those suffering with depression.Contribution: These changes are consistent with those seen internationally and provide a baseline for understanding the treatment efficacy of an inpatient admission for the treatment of depression.
 
Publisher AOSIS
 
Contributor
Date 2024-09-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Observational cross-sectional study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajpsychiatry.v30i0.2258
 
Source South African Journal of Psychiatry; Vol 30 (2024); 4 pages 2078-6786 1608-9685
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.org.za/index.php/sajp/article/view/2258/3565 https://sajp.org.za/index.php/sajp/article/view/2258/3566 https://sajp.org.za/index.php/sajp/article/view/2258/3567 https://sajp.org.za/index.php/sajp/article/view/2258/3568
 
Coverage South Africa Jan 2028 to Oct 2022 Adult patients
Rights Copyright (c) 2024 Lerato Motshudi, Cherie-Dee Hann, Marilee Kloppers, Thierry Luhandjula, Tiro Phalatse, Damien Pretorius, Dianne Smith, Manuela Smith, Marius van der Westhuizen, Reitze N. Rodseth https://creativecommons.org/licenses/by/4.0
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