Relationship Between Depression and/or Anxiety and Hospital Readmission Among Women After Childbirth
| Autor: | Kathleen O'Rourke, Aparna Kumar, Nancy P. Hanrahan, Aditi Rao |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Databases Factual Urban Population Anxiety Hospitals General Critical Care Nursing Logistic regression Patient Readmission Risk Assessment Pediatrics Article Young Adult 03 medical and health sciences 0302 clinical medicine New England Maternity and Midwifery medicine Humans Childbirth 030212 general & internal medicine Medical diagnosis Depression (differential diagnoses) Pregnancy Chi-Square Distribution 030219 obstetrics & reproductive medicine Depression Obstetrics business.industry Incidence Age Factors Infant Newborn Parturition Odds ratio Length of Stay Delivery Obstetric medicine.disease Mental health Patient Discharge Cross-Sectional Studies Female medicine.symptom business |
| Zdroj: | J Obstet Gynecol Neonatal Nurs |
| ISSN: | 0884-2175 |
| Popis: | OBJECTIVE: To examine the relationship between depression and/or anxiety and any psychiatric diagnosis and readmission following childbirth. DESIGN AND SETTING: Cross-sectional analysis of administrative data from patient discharge records at an urban, academic medical center in the Northeast United States. PARTICIPANTS: Women admitted for childbirth (N = 17,905). METHODS: Differences among participants with and without depression and/or anxiety present on admission were compared using t-tests and chi-squared tests. Risk-adjusted logistic regression models were employed to examine the effects of depression and/or anxiety and any psychiatric diagnosis on 7, 30, 60, 90, and 180-day readmissions following childbirth. RESULTS: Significant differences were noted between participants with (n = 1,169) and without (n = 16,736) depression and/or anxiety. Participants with these diagnoses had a higher mean age and a longer mean length of stay during hospitalization for childbirth. A greater proportion of these participants were White, single, had cesarean births, and were discharged with home health services. The presence of depression and/or anxiety was not significantly associated with readmission. The effect of having any psychiatric diagnosis was significantly associated with a higher risk of readmission at 7 (OR = 1.51; p = 0.100), 30 (OR = 1.45; p = 0.030), 60 (OR = 1.45; p = 0.026), 90 (OR = 1.56; p = 0.004), and 180 days (OR =1.74; p |
| Databáze: | OpenAIRE |
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