{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:19:41Z","timestamp":1785424781927,"version":"3.56.0"},"reference-count":30,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"unspecified","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec id=\"S2056472425109733_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Limited data exist on factors influencing the length of hospital stay (HLoS) in patients with schizophrenia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109733_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to identify and quantify patient characteristics associated with HLoS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109733_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective study was conducted on patients diagnosed with schizophrenia (F20, ICD-10) admitted to the County Emergency Hospital of Cluj-Napoca, Romania, from 2018 to 2022. Demographics, comorbidities, symptom severity (Positive and Negative Syndrome Scale\/Brief Psychiatric Rating Scale), antipsychotic treatment and adverse effects data were collected from medical charts. Predictors of HLoS for patients with one hospitalisation were assessed using negative binomial regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109733_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample comprised 288 patients aged 18\u201365 years, with 75% over 30 years and a balanced gender distribution. Most patients had no comorbidities (64.24%) whereas 49.46% reported addictions. Men had higher rates of tobacco use (62.00\n                      <jats:italic>v<\/jats:italic>\n                      . 53.49%) and self-reported use of substances\/drugs (15.49\n                      <jats:italic>v<\/jats:italic>\n                      . 3.91%). Independent predictors of HLoS (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05) in the multivariable model included gender, being retired, experiencing fear or violence in the context of psychotic decompensation, percentage score reduction in symptom severity score, first-generation antipsychotics treatment and the presence of reasons for late discharge. Men had an expected HLoS 39% longer than women. Experiencing fear (adjusted incidence rate ratio (aIRR) 1.13, 95% CI [1.01; 1.27]) and violence in the context of psychotic decompensation (aIRR 1.19, 95% CI [1.06; 1.34]), and first-generation antipsychotics treatment (aIRR 1.17, 95% CI [1.02; 1.35]) were associated with longer stay, whereas being retired predicted shorter HLoS (aIRR 0.83, 95% CI [0.70; 0.98]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109733_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The length of hospital stay in patients with schizophrenia is influenced by demographic, clinical and treatment factors. Targeted interventions addressing these predictors may optimise the duration of hospitalisation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2025.10973","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T07:21:22Z","timestamp":1773127282000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of hospital length of stay for schizophrenia: retrospective negative binomial analysis in a university hospital"],"prefix":"10.1192","volume":"12","author":[{"given":"R\u0103zvan","family":"Pop","sequence":"first","affiliation":[{"name":"Iuliu Ha\u021bieganu University of Medicine and Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihaela","family":"Iancu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/051h0cw83","id-type":"ROR","asserted-by":"publisher"}],"name":"Iuliu Ha\u021bieganu University of Medicine and Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioana Valentina","family":"Miclu\u021bia","sequence":"additional","affiliation":[{"name":"Iuliu Ha\u021bieganu University of Medicine and Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u0103t\u0103lina Angela","family":"Cri\u0219an","sequence":"additional","affiliation":[{"name":"Iuliu Ha\u021bieganu University of Medicine and Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Pop","sequence":"additional","affiliation":[{"name":"Iuliu Ha\u021bieganu University of Medicine and Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2342-4311","authenticated-orcid":false,"given":"Sorana D.","family":"Bolboac\u0103","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/051h0cw83","id-type":"ROR","asserted-by":"publisher"}],"name":"Iuliu Ha\u021bieganu University of Medicine and Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"S2056472425109733_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/fmch-2019-000262"},{"key":"S2056472425109733_ref9","first-page":"a2237","article-title":"Schizophrenia and schizoaffective disorder: length of stay and associated factors","volume":"30","author":"Goga","year":"2024","journal-title":"S Afr J Psychiatr"},{"key":"S2056472425109733_ref12","doi-asserted-by":"publisher","DOI":"10.1192\/S0007125000291514"},{"key":"S2056472425109733_ref26","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12235"},{"key":"S2056472425109733_ref15","unstructured":"15 Cri\u0219an, C-A , Pop, R. Predictors of Schizophrenia Clinical Evolution. medichub, 2023 (https:\/\/www.medichub.ro\/reviste-de-specialitate\/psihiatru-ro\/predictors-of-schizophrenia-clinical-evolution-id-8256-cmsid-66 [cited 18 Sep 2024])."},{"key":"S2056472425109733_ref25","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2010.515205"},{"key":"S2056472425109733_ref1","unstructured":"1 World Health Organization. Schizophrenia. 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Health at a Glance: Europe 2018: State of Health in the EU Cycle. OECD, 2018 (https:\/\/read.oecd-ilibrary.org\/social-issues-migration-health\/health-at-a-glance-europe-2018_health_glance_eur-2018-en#page24 [cited 2 Sep 2024])."},{"key":"S2056472425109733_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2004.05.021"},{"key":"S2056472425109733_ref24","first-page":"916198","article-title":"Gender differences in schizophrenia and first-episode psychosis: a comprehensive literature review","volume":"2012","author":"Ochoa","year":"2012","journal-title":"Schizophr Res Treat"},{"key":"S2056472425109733_ref28","doi-asserted-by":"publisher","DOI":"10.1177\/0020764011431794"},{"key":"S2056472425109733_ref3","unstructured":"3 World Life Expectancy. Romania: Schizophrenia. 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e85"}}