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"Stat" medication administration predicts hospital discharge
Ari Jaffe1, Jerome Levine, Leslie Citrome
1Nathan S Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA.
The Psychiatric Quarterly
|March 17, 2009
Summary
Stat medications for agitation in psychiatric hospitals are common. Receiving these "agitation stat" medications was linked to a significantly lower chance of hospital discharge within six months.
Area of Science:
- Psychiatry
- Pharmacoepidemiology
- Health Services Research
Background:
- Stat medications are frequently administered in psychiatric settings.
- The use of
- stat
- (immediate) medications, particularly for agitation, is common in inpatient psychiatric facilities.
Purpose of the Study:
- To describe the utilization of
- stat
- medications in a state psychiatric hospital system.
- To investigate the association between receiving a
- stat
- order for agitation and subsequent hospital discharge.
Main Methods:
- Retrospective analysis of medication use in 2005 from a database of 17 state-run adult civil facilities.
- Logistic regression modeling to assess the relationship between early
- stat
- orders for agitation (antipsychotics or lorazepam) and discharge by 6 months.
Main Results:
- 45% of patients receiving antipsychotics also received a
- stat
- psychotropic medication.
- 25% of admitted patients received an
- agitation stat
- within the first six months.
- Receiving an
- agitation stat
- within 30 days was associated with a 37% lower likelihood of discharge by 6 months (OR .63).
Conclusions:
- "Stat" medications are widely used in psychiatric hospitals.
- The administration of
- agitation stat
- medications may serve as a proxy for clinical stability.
- This measure could be valuable for future pharmacoepidemiologic studies on medication effectiveness.
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