The Particulars: Length of stay (LOS) has become an important quality measure of care. Few studies have assessed risk factors that increase LOS among inpatients with bipolar disorder.

Data Breakdown: Researchers analyzed the impact of several presenting features on LOS among nearly 250 patients with bipolar disorder whore were admitted to a psychiatric inpatient setting. Psychotic symptoms and involuntary status predicted longer LOS, whereas comorbid personality disorder predicted shorter LOS. History of suicidal attempts, mood state, and comorbid substance abuse had no significant impact on LOS.

Take Home Pearls: Psychotic symptoms and involuntary status appear to predict longer LOS among psychiatric inpatients with bipolar disorder. Identifying and managing these factors early may minimize LOS in this patient population.