Abstract
Medical inpatients often suffer from comorbid psychiatric illness, which has been shown in previous studies to be associated with longer hospital stays. The present analysis used a large representative dataset to examine the impact of patient demographic and clinical characteristics on the relationship between psychiatric comorbidity and hospital length of stay. Analyses showed the existence of a psychiatric comorbidity predicted longer hospital stays for medical inpatients. However, in comparison to previous research, this effect was attenuated in this sample. Patients with mental disorders who were elderly, on Medicare, and those with schizophrenia or mood disorders were especially at risk for slightly longer lengths of stay.
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References
Levenson JL, Hamer R, Silverman JJ, et al: Psychopathology in medical inpatients and its relationship to length of hospital stay: A pilot study. International Journal of Psychiatry in Medicine 16:231–236, 1987.
Mayou R, Hawton K, Feldman E, et al: Psychiatric problems among medical admissions. International Journal of Psychiatry in Medicine 21:71–84, 1991.
Fulop G, Strain JJ, Fahs M, et al: A prospective study of the impact of psychiatric comorbidity on length of hospital stays of elderly medical-surgical inpatients. Psychosomatics 39:273–280, 1998.
Wancata J, Benda N, Windhaber J, Nowotny M: Does psychiatric comorbidity increase the length of stay in general hospitals? General Hospital Psychiatry 23:8–14, 2001.
Furlanetto LM, da Dilva RV, Beuno JR: The impact of psychiatric comorbidity on length of stay of medical inpatients. General Hospital Psychiatry 25:14–19, 2003.
Saravay M, Lavin M: Psychiatric comorbidity and length of stay in the general hospital. Psychosomatics 35:233–252, 1994.
Saravay SM, Steinberg MD, Weinschel B, et al: Psychological comorbidity and length of stay in the general hospital. American Journal of Psychiatry 148:324–329, 1991.
Levenson JL, Hamer RM, Rossiter LF: Relation of psychopathology in general medical inpatients to use and cost of services. American Journal of Psychiatry 147:1498–1503, 1990.
Ackerman AD, Lyons JS, Hammer JS, Larson DB: The impact of coexisting depression and timing of psychiatric consultation on medical patients’ length of stay. Hospital and Community Psychiatry 39:173–176
Verbosky LA, Franco KN, Zrull JP: The relationship between depression and length of stay in the general hospital patients. Journal of Clinical Psychiatry 54:177–181, 1993.
Wallen J, Pincus HA, Goldman HH, Marcus SE: Psychiatric consultations in short-term general hospital. Archives of General Psychiatry 44:163–168, 1987.
Dvoredsky AE, Cooley HW: Comparative severity of illness in patients with combined medical and psychiatric diagnoses. Psychosomatics 27:625–630, 1986.
Fulop G, Strain JJ, Vita J, Lyons JS, Hammer JS: Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: A preliminary report. American Journal of Psychiatry 144:878–882, 1987.
Steiner C, Elixhauser A, Schnaier J: The healthcare cost and utilization project: An overview. Effective Clinical Practice 5:143–151, 2002.
Research Triangle Institute: SUDAAN Language Manual, Release 9.0. NC, Research Triangle Park, 2004.
Acknowledgements
This research was supported by grants from the National Institutes of Mental Health (F31MH067349 to Dr. Bressi and K01MH066839 to Dr. Marcus).
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Bressi, S.K., Marcus, S.C. & Solomon, P.L. The Impact of Psychiatric Comorbidity on General Hospital Length of Stay. Psychiatr Q 77, 203–209 (2006). https://doi.org/10.1007/s11126-006-9007-x
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DOI: https://doi.org/10.1007/s11126-006-9007-x