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The impact of psychiatric comorbidity on length of stay of medical inpatients
- Source :
- General Hospital Psychiatry. 25:14-19
- Publication Year :
- 2003
- Publisher :
- Elsevier BV, 2003.
-
Abstract
- The aim of the study was to determine the impact of psychiatric comorbidity (PC) on length of hospital stay (LOS) of medical inpatients. A prospective cohort study was conducted. A series of 317 medical inpatients consecutively admitted to the general medical wards of a University Hospital composed the sample, after excluding those who refused or who could not be evaluated due to their physical illnesses or treatments (n=78). Data on demographic and medical variables were collected. A psychiatrist categorized subjects into two cohorts (with and without PC), according to DSM-IV, using the Schedule for Affective Disorders and Schizophrenia, except in patients cognitively impaired who were diagnosed by clinical interview. Mortality and length of stay during the index hospitalization were recorded. At admission, 156 (49%) inpatients had a current psychiatric comorbidity. After controlling for confounders (age and physical severity), in the multivariate analysis of covariance, the patients with cognitive impairment had a significantly prolonged LOS (F=17.8; P
- Subjects :
- Adult
Male
medicine.medical_specialty
Multivariate analysis
Adolescent
Cohort Studies
Internal medicine
medicine
Humans
Prospective Studies
Prospective cohort study
Psychiatry
business.industry
Cognitive disorder
Confounding
Delirium
Schedule for Affective Disorders and Schizophrenia
Length of Stay
Middle Aged
medicine.disease
Diagnostic and Statistical Manual of Mental Disorders
Hospitalization
Psychiatry and Mental health
Anxiety
Female
medicine.symptom
Cognition Disorders
business
Cohort study
Subjects
Details
- ISSN :
- 01638343
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- General Hospital Psychiatry
- Accession number :
- edsair.doi.dedup.....6d33eb55ec8d091ab3f31dcb7519ffdb