Number of prior episodes and the presence of depressive symptoms are associated with longer length of stay for patients with acute manic episodes

Background: Few studies have analyzed predictors of length of stay (LOS) in patients admitted due to acute bipolar manic episodes. The purpose of the present study was to estimate LOS and to determine the potential sociodemographic and clinical risk factors associated with a longer hospitalization. Such information could be useful to identify those patients at high risk for long LOS and to allocate them to special treatments, with the aim of optimizing their hospital management. Methods: This was a cross-sectional study recruiting adult patients with a diagnosis of bipolar disorder (Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR) criteria) who had been hospitalized due to an acute manic episode with a Young Mania Rating Scale total score greater than 20. Bivariate correlational and multiple linear regression analyses were performed to identify independent predictors of LOS. Results: A total of 235 patients from 44 centers were included in the study. The only factors that were significantly associated to LOS in the regression model were the number of previous episodes and the Montgomery-Åsberg Depression Rating Scale (MADRS) total score at admission (P < 0.05). Conclusions: Patients with a high number of previous episodes and those with depressive symptoms during mania are more likely to stay longer in hospital. Patients with severe depressive symptoms may have a more severe or treatment-resistant course of the acute bipolar manic episode.

Carta enviada por José Aguirre a Justo Garate en 1933

1 carta (mecanografiada) ; 162x224mm. Ubicación: Caja 1 - Carpeta 9

Cartas enviadas por José Antonio Aguirre a Justo Garate entre 1933-1946

7 cartas (mecanografiadas) ; entre 215x286mm y 157x215mm. Ubicación: Caja 1 - Carpeta 10

Cartas enviadas por Telesforo de Aranzadi a Justo Garate entre 1933 y 1934

6 cartas y 4 tarjetas (manuscritas) ; entre 225x165mm y 140x90mm. Ubicación: Caja 1 - Carpeta 40

Carta enviada por José de Ariztimuño a Justo Garate en 1933

1 carta (mecanografiada) ; 215x135mm. Ubicación: Caja 1 - Carpeta 51

Cartas enviadas por Gerhard Bähr a Justo Garate entre 1933 y 1939

8 cartas y 4 tarjetas postales (mecanografiadas y manuscritas) ; entre 205x295mm y 90x140mm

Carta enviada desde la Bibliothèque Nationale [de Frace] a Justo Garate en 1933

1 carta (manuscrita) ; 125x210mm

Estudio de una serie musteriense de La Quina (Charente, Francia): el ejemplo de la trinchera C (excavaciones DR. L. y G. Henri-Martin)

[ES] El análisis de una serie industrial correspondiente a los cinco niveles arqueológicos de la trinchera C de La Quina (Charente, Francia), proveniente de las excavaciones del Dr. L. Henri-Martin y de G. Henri-Martin, pone de manifiesto, junto a la caracterización del conjunto estratigráfico por la presencia de raederas, el progresivo incremento de los denticulados en el devenir temporal. Este hecho asociado a otros particulares fenómenos secundarios (en el alargamiento de las formas, en la tipología de las raederas, en la elaboración del retoque, ... ) traducen una complicación diacrónica creciente en la dinámica de este complejo musteroide, presagiando, quizás, su relativa afinidad con el proceso leptolitizante de las series industriales evolucionadas del Paleolítico medio.