Skip to main content
Erschienen in: Psychiatric Quarterly 3/2006

01.09.2006 | Original Paper

The Impact of Psychiatric Comorbidity on General Hospital Length of Stay

verfasst von: Sara K. Bressi, M.S.W., Ph.D., Steven C. Marcus, Ph.D., Phyllis L. Solomon, Ph.D.

Erschienen in: Psychiatric Quarterly | Ausgabe 3/2006

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat 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.CrossRef 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.CrossRef
2.
Zurück zum Zitat Mayou R, Hawton K, Feldman E, et al: Psychiatric problems among medical admissions. International Journal of Psychiatry in Medicine 21:71–84, 1991.PubMedCrossRef Mayou R, Hawton K, Feldman E, et al: Psychiatric problems among medical admissions. International Journal of Psychiatry in Medicine 21:71–84, 1991.PubMedCrossRef
3.
Zurück zum Zitat 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.PubMed 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.PubMed
4.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
5.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
6.
Zurück zum Zitat Saravay M, Lavin M: Psychiatric comorbidity and length of stay in the general hospital. Psychosomatics 35:233–252, 1994.PubMed Saravay M, Lavin M: Psychiatric comorbidity and length of stay in the general hospital. Psychosomatics 35:233–252, 1994.PubMed
7.
Zurück zum Zitat 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.PubMed 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.PubMed
8.
Zurück zum Zitat 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.PubMed 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.PubMed
9.
Zurück zum Zitat 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 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
10.
Zurück zum Zitat 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.PubMed 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.PubMed
11.
Zurück zum Zitat Wallen J, Pincus HA, Goldman HH, Marcus SE: Psychiatric consultations in short-term general hospital. Archives of General Psychiatry 44:163–168, 1987.PubMed Wallen J, Pincus HA, Goldman HH, Marcus SE: Psychiatric consultations in short-term general hospital. Archives of General Psychiatry 44:163–168, 1987.PubMed
12.
Zurück zum Zitat Dvoredsky AE, Cooley HW: Comparative severity of illness in patients with combined medical and psychiatric diagnoses. Psychosomatics 27:625–630, 1986.PubMed Dvoredsky AE, Cooley HW: Comparative severity of illness in patients with combined medical and psychiatric diagnoses. Psychosomatics 27:625–630, 1986.PubMed
13.
Zurück zum Zitat 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.PubMed 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.PubMed
14.
Zurück zum Zitat Steiner C, Elixhauser A, Schnaier J: The healthcare cost and utilization project: An overview. Effective Clinical Practice 5:143–151, 2002.PubMed Steiner C, Elixhauser A, Schnaier J: The healthcare cost and utilization project: An overview. Effective Clinical Practice 5:143–151, 2002.PubMed
15.
Zurück zum Zitat Research Triangle Institute: SUDAAN Language Manual, Release 9.0. NC, Research Triangle Park, 2004. Research Triangle Institute: SUDAAN Language Manual, Release 9.0. NC, Research Triangle Park, 2004.
Metadaten
Titel
The Impact of Psychiatric Comorbidity on General Hospital Length of Stay
verfasst von
Sara K. Bressi, M.S.W., Ph.D.
Steven C. Marcus, Ph.D.
Phyllis L. Solomon, Ph.D.
Publikationsdatum
01.09.2006
Verlag
Springer US
Erschienen in
Psychiatric Quarterly / Ausgabe 3/2006
Print ISSN: 0033-2720
Elektronische ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-006-9007-x

Weitere Artikel der Ausgabe 3/2006

Psychiatric Quarterly 3/2006 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.