Journal article
Co-occurring mood disorders among hospitalized patients and risk for subsequent medical hospitalization
General hospital psychiatry, Vol.34(5), pp.500-505
09/2012
Handle:
https://hdl.handle.net/2376/115737
PMID: 22703606
Abstract
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.
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).
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.
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.
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Details
- Title
- Co-occurring mood disorders among hospitalized patients and risk for subsequent medical hospitalization
- Creators
- Kenn B Daratha - College of Nursing, Washington State University, Spokane, WA, USACelestina Barbosa-Leiker - College of Nursing, Washington State University, Spokane, WA, USAMason H. Burley - Washington State Institute for Mental Health Research and Training–Eastern Branch, Washington State University, Spokane, WA, USARobert Short - College of Nursing, Washington State University, Spokane, WA, USAMatthew E Layton - College of Nursing, Washington State University, Spokane, WA, USASterling McPherson - College of Nursing, Washington State University, Spokane, WA, USADennis G Dyck - Department of Psychology, Washington State University, Spokane, WA, USABentson H McFarland - Department of Psychiatry, Oregon Health and Science University, Portland, OR, USAKatherine R Tuttle - Providence Medical Research Center, Providence Sacred Heart Medical Center, Spokane, WA, USA
- Publication Details
- General hospital psychiatry, Vol.34(5), pp.500-505
- Academic Unit
- Nursing, College of; Elson S. Floyd College of Medicine; Medical Education and Clinical Science, Department of; Psychology, Department of
- Publisher
- Elsevier Inc
- Identifiers
- 99900547671301842
- Language
- English
- Resource Type
- Journal article