Acute general hospital admissions in people with serious mental illness.

Psychological Medicine
Nishamali JayatillekeRobert Stewart

Abstract

Serious mental illness (SMI, including schizophrenia, schizoaffective disorder, and bipolar disorder) is associated with worse general health. However, admissions to general hospitals have received little investigation. We sought to delineate frequencies of and causes for non-psychiatric hospital admissions in SMI and compare with the general population in the same area. Records of 18 380 individuals with SMI aged ⩾20 years in southeast London were linked to hospitalisation data. Age- and gender-standardised admission ratios (SARs) were calculated by primary discharge diagnoses in the 10th edition of the World Health Organization International Classification of Diseases (ICD-10) codes, referencing geographic catchment data. Commonest discharge diagnosis categories in the SMI cohort were urinary conditions, digestive conditions, unclassified symptoms, neoplasms, and respiratory conditions. SARs were raised for most major categories, except neoplasms for a significantly lower risk. Hospitalisation risks were specifically higher for poisoning and external causes, injury, endocrine/metabolic conditions, haematological, neurological, dermatological, infectious and non-specific ('Z-code') causes. The five commonest specific ICD-10 di...Continue Reading

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Citations

Feb 15, 2019·Issues in Mental Health Nursing·Brenda HappellChris Platania-Phung
Apr 7, 2019·International Journal of Mental Health Nursing·Brenda HappellPall Biering
Aug 31, 2019·Nursing Standard·Lauren Chuttoo, Vijay Chuttoo
Aug 19, 2020·International Journal of Mental Health Nursing·Aine HorganBrenda Happell
Oct 15, 2020·Psychological Medicine·Robert Whitaker
May 26, 2021·Journal of Psychiatric and Mental Health Nursing·Brenda HappellPall Biering

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