Co-occurring mood disorders among hospitalized patients and risk for subsequent medical hospitalization

被引:20
作者
Daratha, Kenn B. [1 ,2 ,3 ,4 ]
Barbosa-Leiker, Celestina [2 ,5 ,6 ]
Burley, Mason H. [7 ]
Short, Robert [1 ,2 ,7 ]
Layton, Matthew E. [2 ,3 ,8 ]
McPherson, Sterling [2 ,5 ,6 ]
Dyck, Dennis G. [6 ,7 ]
McFarland, Bentson H. [9 ]
Tuttle, Katherine R. [1 ,10 ]
机构
[1] Washington State Univ, Providence Med Res Ctr, Providence Sacred Heart Med Ctr, Spokane, WA 99210 USA
[2] Washington State Univ, Coll Nursing, Spokane, WA 99210 USA
[3] Washington State Univ, WWAMI Med Educ Program, Spokane, WA 99210 USA
[4] Univ Washington, Sch Med, Dept Med Educ & Biomed Informat, Seattle, WA USA
[5] Washington State Univ, Program Excellence Rural Mental Hlth & Subst Abus, Spokane, WA 99210 USA
[6] Washington State Univ, Dept Psychol, Spokane, WA 99210 USA
[7] Washington State Univ, Washington State Inst Mental Hlth Res & Training, Eastern Branch, Spokane, WA 99210 USA
[8] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[9] Oregon Hlth & Sci Univ, Dept Psychiat, Portland, OR 97201 USA
[10] Univ Washington, Sch Med, Dept Med, Div Nephrol, Seattle, WA 98195 USA
关键词
Serious mental illness; Subsequent hospitalization; Mood disorders; SERIOUS MENTAL-ILLNESS; MORTALITY; SCHIZOPHRENIA; COMORBIDITY; ASSOCIATION; BIPOLAR; ADULTS;
D O I
10.1016/j.genhosppsych.2012.05.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: The objective was to determine if patients hospitalized with a primary medical diagnosis and any co-occurring serious mental illness (SMI) were more likely than patients without any co-occurring SMI diagnosis to experience a subsequent medical hospitalization. Method: This was a longitudinal cohort study of 925,705 adult persons (aged 18+ years). Patients hospitalized in Washington State from 2004 to 2008 were followed through 2009 (for an average of 43 months). Results: Compared to patients hospitalized for medical conditions without co-occurring SMI, patients with co-occurring dysthymia, bipolar and major depressive disorders were at an elevated risk for long-term subsequent hospitalization. Patients in the combined co-occurring mood disorders cohort were more likely (hazard ratio=1.13; 99% confidence interval=1.10-1.16; P<.001) than patients in the reference cohort to experience a subsequent medical hospitalization. A significant interaction between substance and mood disorders that increased risk for subsequent hospitalization was also observed. Conclusion: Hospitalized patients with co-occurring mood disorders are at high risk for repeat hospitalization for a medical reason. This high-risk population, including those with substance abuse, should be a focus of research efforts to identify and address ambulatory-care-sensitive conditions amenable to strategies that decrease complications and illness leading to subsequent hospitalizations. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:500 / 505
页数:6
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