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  • Review: day hospital is as effective as inpatient care but has lower costs for patients with acute psychiatric disorders

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Review: day hospital is as effective as inpatient care but has lower costs for patients with acute psychiatric disorders

https://doi.org/10.1136/ebn.6.4.108

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    Marshall M, Crowther R, Almaraz-Serrano A, et al.Day hospital versus admission for acute psychiatric disorders.Cochrane Database Syst Rev2003;(1):CD004026(latest version 19 Nov 2002)

    QUESTION: Is day hospital more effective and less costly than inpatient care for patients with acute psychiatric disorders?

    Data sources

    Studies were identified by searching the Cochrane Library (Issue 4, 2000), Medline (1966–2000), CINAHL (1982–2000), EMBASE/Excerpta Medica (1980–2000), PsycLIT (1967–2000), and bibliographies of relevant articles. Researchers were contacted to identify unpublished studies.

    Study selection

    Randomised controlled trials that compared acute psychiatric day hospital with standard inpatient care for patients with acute psychiatric disorders (all diagnoses) were selected. Studies were excluded if most participants were <18 or >65 years of age, or if participants had substance abuse or organic brain disorder.

    Data extraction

    Data were extracted on study quality, patients, feasibility of day hospital treatment, extent …

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    Footnotes

    • Source of funding: NHS Health Technology Assessment.

    • For correspondence: Dr M Marshall, Department of Community Psychiatry, University of Manchester, Preston, Lancashire, UK. mmarshall{at}man.ac.uk