Medical comorbidity in psychiatric inpatients: relation to clinical outcomes and hospital length of stay

Psychosomatics
Constantine G LyketsosWilliam R Breakey

Abstract

Medical comorbidity is common in psychiatric inpatients and may be associated with substantial impairment and mortality. Few studies have examined the relation between this comorbidity and psychiatric outcomes. A series of 950 admissions to the Johns Hopkins Hospital Phipps Psychiatric Service were rated by attending psychiatrists at admission and discharge on symptom and functional measures. A subset was also evaluated on the General Medical Health Rating, a valid and reliable measure of seriousness of medical comorbidity. Attending psychiatrists were also asked at discharge whether medical comorbidity had been a focus of care during the hospitalization; medical comorbidity had been a focus of care in about 20% of the patients. Serious active medical comorbidity was present in 15% of patients on admission and 12% at discharge. Medical comorbidity was associated with a 10%-15% increase in psychiatric symptoms and functional impairment at discharge, even after adjustment for admission clinical status. In addition, when comorbidity had been a focus of care during the hospitalization, length of stay was prolonged by 3.25 days on average. Medical comorbidity has measurable effects on the psychiatric outcomes of psychiatric inpatien...Continue Reading

Citations

Dec 26, 2006·Social Psychiatry and Psychiatric Epidemiology·Chiara SameleRobin Murray
Jul 9, 2009·Social Psychiatry and Psychiatric Epidemiology·Paola RoccaF Bogetto
Feb 19, 2011·European Archives of Psychiatry and Clinical Neuroscience·A Carlo AltamuraBernardo Dell'Osso
Jan 13, 2006·Community Mental Health Journal·John W CeilleyTim Denko
May 12, 2005·The Psychiatric Quarterly·Karen BlankHarold I Schwartz
Jun 6, 2006·The Journal of Behavioral Health Services & Research·Lynn A Warner
Nov 9, 2004·Epidemiologia e psichiatria sociale·Chiara Samele
Mar 12, 2008·The Australian and New Zealand Journal of Psychiatry·Vaughan J CarrTim Coombs
Aug 31, 2006·Schizophrenia Bulletin·Marc De HertJoseph Peuskens
Aug 11, 2007·International Clinical Psychopharmacology·A Carlo AltamuraHerbert Y Meltzer
Jul 2, 2009·Psychiatry and Clinical Neurosciences·Kotaro HattaHisashi Kurosawa
Oct 10, 2006·Journal of General Internal Medicine·Caroline P CarneyRobert F Woolson
Jun 21, 2012·BMC Health Services Research·Athanassios DouzenisLefteris Lykouras
Aug 16, 2008·Annals of General Psychiatry·Christos ChristodoulouLefteris Lykouras
Jun 29, 2006·Clinical Practice and Epidemiology in Mental Health : CP & EMH·M De HertJ Peuskens
Jun 22, 2014·The Psychiatric Quarterly·Sungkyu LeeAileen Rothbard
Dec 29, 2012·BMC Psychiatry·Waleed M SweilehIyad Ali
Mar 5, 2015·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Anita M Y GohNicola T Lautenschlager
Nov 15, 2012·Journal of Psychosomatic Research·Iain JordanSiobhan Machale
Mar 8, 2011·Archives of Gerontology and Geriatrics·Rhonda E MalyukNirmal Kang
Sep 21, 2010·Schizophrenia Research·Norio SugawaraSunao Kaneko
Jun 16, 2010·Schizophrenia Research·Ruud van WinkelMarc De Hert
Dec 31, 2004·Archives of Psychiatric Nursing·Angela M Gerolamo
Mar 18, 2015·International Journal of Mental Health Systems·Fikir AddisuMarkos Tesfaye
Jun 3, 2016·Psychopharmacology·Louise BenarrochMargaret K Hahn
Dec 23, 2009·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Régis Eric Maia BarrosCristina Marta Del-Ben
Mar 7, 2014·Expert Review of Pharmacoeconomics & Outcomes Research·Marie-Hélène LafeuillePatrick Lefebvre
Jul 8, 2017·Journal of Mental Health·Nuno Rodrigues-Silva, Lúcia Ribeiro
Aug 12, 2014·International Psychogeriatrics·Anne M A van den BrinkRaymond T C M Koopmans

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Psychiatric Services : a Journal of the American Psychiatric Association
M SajatovicP Buckley
Psychiatric Services : a Journal of the American Psychiatric Association
Christel AlberqueAriel Eytan
Psychiatric Services : a Journal of the American Psychiatric Association
G Goldstein, W J Shemansky
© 2022 Meta ULC. All rights reserved