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
References
Dec 12, 2001·Alimentary Pharmacology & Therapeutics·B AvidanS J Sontag
Nov 10, 2004·Psychiatric Services : a Journal of the American Psychiatric Association·Danson R JonesCourtenay M Harding
Oct 13, 2006·Psychiatric Services : a Journal of the American Psychiatric Association·Brian J MillerDale P Svendsen
Oct 9, 2007·Acta Psychiatrica Scandinavica·S LeuchtN Sartorius
Jun 6, 2009·Journal of Advanced Nursing·Cindy Diamond Zolnierek
Aug 14, 2009·BMC Psychiatry·Robert StewartSimon Lovestone
Dec 30, 2009·Community Mental Health Journal·Naira Roland Matevosyan
Mar 27, 2010·Schizophrenia Bulletin·Yi-Hua ChenHerng-Ching Lin
Mar 8, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Marc DE HertStefan Leucht
May 26, 2011·PloS One·Chin-Kuo ChangRobert Stewart
Jun 3, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·UNKNOWN International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders
Sep 2, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Steve KiselyDavid Lawrence
Sep 13, 2012·PloS One·Richard D HayesRobert Stewart
Apr 20, 2013·BMJ Open·Daniel J SmithStewart W Mercer
May 23, 2013·BMJ : British Medical Journal·David LawrenceStephen Kisely
Jul 12, 2013·BMC Medical Informatics and Decision Making·Andrea C FernandesFelicity Callard
Aug 15, 2013·European Archives of Psychiatry and Clinical Neuroscience·Dieter SchoepfReinhard Heun
Dec 24, 2013·BMC Medicine·Daniel J SmithStewart W Mercer
Mar 26, 2014·American Journal of Nephrology·Sterling McPhersonKatherine Tuttle
May 14, 2014·JAMA Internal Medicine·Aaron L LeppinVictor M Montori
Sep 30, 2014·Social Science & Medicine·Jonathan WhiteAnne Mason
Jan 30, 2015·BMJ Open·Nian-Sheng TzengHui-Ling Huang
Oct 2, 2015·BMC Health Services Research·Rowena JacobsSimon Gilbody
Jan 1, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Steve KiselyDavid Lawrence
Feb 14, 2016·Social Work in Health Care·Sungkyu Lee, Jason Matejkowski
Mar 5, 2016·BMJ Open·Gayan PereraRobert Stewart
May 31, 2017·JAMA Internal Medicine·Teryl K NuckolsPaul Shekelle
Aug 10, 2017·Journal of Psychosomatic Research·Amber L BahorikCynthia I Campbell
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
Jun 21, 2019·Journal of Psychiatric and Mental Health Nursing·Brenda HappellPall Biering
Nov 6, 2018·International Journal of Mental Health Nursing·Brenda HappellPall Biering
Sep 18, 2020·PLoS Medicine·Hassan MansourAndrew Sommerlad
Aug 31, 2019·Nursing Standard·Lauren Chuttoo, Vijay Chuttoo
Aug 19, 2020·International Journal of Mental Health Nursing·Aine HorganBrenda Happell
Feb 5, 2021·European Journal of Oral Sciences·Jaya ChaturvediRobert Stewart
Nov 6, 2020·BioMed Research International·Yi HanXixi Jiang
Oct 15, 2020·Psychological Medicine·Robert Whitaker
Feb 28, 2021·General Hospital Psychiatry·Judith A CookAlberto Santos
Apr 21, 2021·Social Psychiatry and Psychiatric Epidemiology·Mayur ParmarGayan Perera
May 30, 2021·Journal of Psychosomatic Research·Marvey GhaniGayan Perera
May 25, 2021·Frontiers in Psychiatry·Akiko KikuchiChiyo Fujii
May 26, 2021·Journal of Psychiatric and Mental Health Nursing·Brenda HappellPall Biering