PMID: 8610829Mar 1, 1996Paper

Four-year follow-up of the influence of psychological comorbidity on medical rehospitalization

The American Journal of Psychiatry
S M SaravayM Habert

Abstract

This study tested the hypothesis that psychiatric comorbidity measured in medical and surgical general hospital inpatients predicts increased readmissions and days spent rehospitalized at the same hospital up to 4 years after discharge. A convenience sample of 273 medical/surgical inpatients aged 18 years and older were given psychological tests during their third to fifth hospital days on medical and surgical units from June 1, 1985, through June 30, 1986. The main outcome measure was the number of medical/surgical readmissions and number of days rehospitalized during a 4-year follow-up at the same institution. Compared to the rest of the study group, the cognitively impaired patients (according to the Mini-Mental State examination) averaged twice as many rehospitalizations and three times as many days rehospitalized at 6-month follow-up and twice as many days rehospitalized at 2-year follow-up. Compared to the rest of the group, the patients who were depressed or who had high interpersonal sensitivity scores at the index admission spent twice as many days rehospitalized during the 4-year follow-up, while the patients with high hostility scores had almost twice as many readmissions. These results remained statistically signifi...Continue Reading

Citations

May 2, 2007·Nursing & Health Sciences·Cornelia H M LatourWilhelmus A B Stalman
Apr 28, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Jennifer S AlbrechtJon P Furuno
Jun 22, 2005·Disease Management : DM·Karen E BrownWilliam H Sledge
Jun 16, 2000·Journal of Urban Health : Bulletin of the New York Academy of Medicine·J L GouletP A Selwyn
Mar 20, 1999·The Australian and New Zealand Journal of Psychiatry·G C Smith
Aug 15, 2013·European Archives of Psychiatry and Clinical Neuroscience·Dieter SchoepfReinhard Heun
Oct 7, 2005·American Journal of Epidemiology·Candyce H KroenkeLaura D Kubzansky
Jul 2, 2010·The British Journal of Psychiatry : the Journal of Mental Science·Matthijs W BeltmanAnne E Speckens
Mar 29, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jesús M PrietoCristóbal Gastó
Jan 1, 2000·International Journal of Aging & Human Development·A Smith BaruschS H Abu-Bader
Feb 14, 2002·International Journal of Psychiatry in Medicine·C MarchesiC Maggini
Jan 25, 2006·The American Journal of Medicine·Stuart J Eisendrath, J Jewel Shim

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