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Cochrane Database of Systematic Reviews

Open general medical wards versus specialist psychiatric units for acute psychoses

Overview of attention for article published in Cochrane database of systematic reviews, October 2007
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  • Good Attention Score compared to outputs of the same age (70th percentile)
  • Average Attention Score compared to outputs of the same age and source

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Title
Open general medical wards versus specialist psychiatric units for acute psychoses
Published in
Cochrane database of systematic reviews, October 2007
DOI 10.1002/14651858.cd003290.pub2
Pubmed ID
Authors

Fred W Hickling, Wendel Abel, Paul Garner, John Rathbone

Abstract

As international healthcare policy has moved away from treating people with severe mental illness in large inpatient psychiatric institutions, beds for people with acute psychiatric disorders are being established in specialised psychiatric units in general hospitals. In developing countries, however, limited resources mean that it is not always possible to provide discrete psychiatric units, either in general hospitals or in the community. An alternative model of admission, used in the Caribbean, is to treat the person with acute psychosis in a general hospital ward. To compare the outcomes for people with acute psychosis who have been admitted to open medical wards with those admitted to conventional psychiatric units. We searched The Cochrane Schizophrenia Group's study-based register (April 2007). This register is compiled from searches of BIOSIS, CINAHL, The Cochrane Library, EMBASE, LILACS, MEDLINE, PsycINFO, PSYNDEX, Sociofile, and many conference proceedings. We would have included all relevant randomised or quasi-randomised trials, allocating anyone thought to be suffering from an acute psychotic episode to either acute management on general medical wards, or acute management in a specialist psychiatric unit. The primary outcomes of interest were length of stay in hospital and relapse. We extracted data independently. For dichotomous data we would have calculated relative risks (RR) and their 95% confidence intervals (CI) on an intention-to-treat basis based using a fixed effects model. We didnt identify any relevant randomised trials. The Caribbean practice of treating people with severe mental illness on general medical wards has been influenced by socio-economic factors rather than evidence from randomised trials. This practice affords an opportunity for a well designed, well conducted and reported randomised trial, now impossible in many other settings.

X Demographics

X Demographics

The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 118 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Mexico 1 <1%
India 1 <1%
Unknown 116 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 15 13%
Student > Bachelor 15 13%
Student > Master 13 11%
Student > Postgraduate 11 9%
Student > Ph. D. Student 9 8%
Other 16 14%
Unknown 39 33%
Readers by discipline Count As %
Medicine and Dentistry 29 25%
Psychology 15 13%
Nursing and Health Professions 11 9%
Social Sciences 5 4%
Economics, Econometrics and Finance 3 3%
Other 11 9%
Unknown 44 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 August 2018.
All research outputs
#7,295,244
of 25,457,858 outputs
Outputs from Cochrane database of systematic reviews
#8,395
of 11,842 outputs
Outputs of similar age
#26,216
of 88,459 outputs
Outputs of similar age from Cochrane database of systematic reviews
#46
of 80 outputs
Altmetric has tracked 25,457,858 research outputs across all sources so far. This one has received more attention than most of these and is in the 71st percentile.
So far Altmetric has tracked 11,842 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 38.9. This one is in the 26th percentile – i.e., 26% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 88,459 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.
We're also able to compare this research output to 80 others from the same source and published within six weeks on either side of this one. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.