Acute hospital service utilization by inpatients in psychiatric hospitals

General Hospital Psychiatry
John LallyFiona Gaughran

Abstract

Standardized mortality ratios are twice the population average in the year following a mental health admission, yet there is a relative paucity of research on uptake of general medical care in psychiatric inpatients. A retrospective database analysis was performed to ascertain the frequency of acute medical care usage by psychiatric inpatients. Data were gathered through a static linkage between anonymized clinical records in a large UK mental health provider and the national hospital activity database (Hospital Episode Statistics) over 1year from 2010 to 2011. Over the year, 10.4% of the 8023 psychiatric admission episodes included at least one night in a general hospital during that psychiatric inpatient stay, while 12.0% of psychiatry admission episodes entailed an emergency department (ED) visit. Over the course of the full year, of the 4674 people admitted to the mental health provider at least once, 16.0% were admitted to a general hospital while registered as a mental health inpatient and 18.0% were seen in the ED. Patients were simultaneously registered as occupying beds in both general and psychiatric hospitals for a total of 5163 bed days at a cost of £2.4 million over the year. This large population-based linkage stu...Continue Reading

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Citations

Aug 6, 2019·The International Journal of Social Psychiatry·Florian HotzyMatthias Jaeger
Feb 21, 2021·Administration and Policy in Mental Health·Sonja MoetteliFlorian Hotzy
Nov 19, 2021·International Journal of Geriatric Psychiatry·Cristina de LasaSarah Colman

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