[Association between psychiatric comorbidities and hospital length of stay in post-emergency internal medicine patients].

Autor: Lampros A; Médecine interne, hôpital Tenon, Sorbonne université, AP-HP, 4, rue de la Chine, 75020 Paris, France., Montardi C; Médecine interne, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92104 Boulogne-Billancourt, France., Journeau L; Médecine interne, hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France., Georgin-Lavialle S; Médecine interne, hôpital Tenon, Sorbonne université, AP-HP, 4, rue de la Chine, 75020 Paris, France., Hanslik T; Médecine interne, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92104 Boulogne-Billancourt, France., Dhôte R; Médecine interne, hôpital Avicenne, AP-HP, 125, rue de Stalingrad, 93000 Bobigny, France., Goujard C; Médecine interne, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France., Le Jeunne C; Médecine interne, hôpital Cochin, AP-HP, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France., Mahe I; Médecine interne, hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France., Papo T; Médecine interne, hôpital Bichat-Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France., Godeau B; Médecine interne, hôpital Henri-Mondor, AP-HP, 51, avenue Maréchal-de-Lattre-de-Tassigny, 94000 Créteil, France., Bourgarit A; Médecine interne, hôpital Jean-Verdier, AP-HP, avenue du 14-Juillet, 93143 Bondy, France., Fain O; Médecine interne, hôpital Saint-Antoine, AP-HP, 184, rue Faubourg-Saint-Antoine, 75012 Paris, France., Fantin B; Médecine interne, hôpital Beaujon, AP-HP, 100, boulevard du Général-Leclerc, 92110 Clichy, France., Dzierzynski N; Psychiatrie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France., Leblanc J; URC-Est, INSERM, institut Pierre-Louis d'épidémiologie et de santé publique, Sorbonne université, AP-HP, 184, rue Faubourg-Saint-Antoine, 75012 Paris, France., Nevoret C; Département Web Innovations Données (WIND), direction des systèmes d'information, AP-HP, 33, boulevard de Picpus, 75012 Paris, France., Steichen O; Médecine interne, hôpital Tenon, Sorbonne université, AP-HP, 4, rue de la Chine, 75020 Paris, France. Electronic address: olivier.steichen@aphp.fr.
Jazyk: francouzština
Zdroj: La Revue de medecine interne [Rev Med Interne] 2020 Jun; Vol. 41 (6), pp. 360-367. Date of Electronic Publication: 2020 Jan 22.
DOI: 10.1016/j.revmed.2019.12.016
Abstrakt: Introduction: Patients with psychiatric disorders suffer from a higher rate of somatic disorders than those without psychiatric disorder, often inappropriately managed. Our study aimed to describe patients with psychiatric comorbidity in post-emergency internal medicine units and to compare their length of hospital stay to patients without psychiatric disease.
Methods: This French cross sectional study used the data warehouse of the greater Paris hospitals. It included, all patients hospitalized through the emergency department in 9 internal medicine departments during the year 2017. Psychiatric disorders and the burden of somatic disorders (Charlson score) were determined through diagnostic coding. Charlson score and hospital length of stay were compared between patients with and without psychiatric comorbidity.
Results: In total, 8981 hospital stays (8001 patients) were included, 1867 (21%) with psychiatric comorbidity. After adjusting for age, gender, hospital and main diagnosis, the Charlson score was on average 0.68 higher in the psychiatric comorbidity group (P<0.001) and the length of hospital stay was 30% higher after further adjustment on the Charlson score (P<0.001). These differences were consistent for each main diagnosis.
Conclusion: Patients with psychiatric comorbidity are frequent in post-emergency internal medicine wards. They experience longer hospital stays, only partly related with a higher burden of somatic disorders. Special attention should be paid to this vulnerable population.
(Copyright © 2020 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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