Early Detection of Pneumology Inpatients at Risk of Extended Hospital Stay and Need for Psychosocial Treatment

Autor: Antonio Lobo, Joris P. J. Slaets, Peter de Jonge, Frits J. Huyse, MJ Rabanaque, Elena Lobo
Přispěvatelé: Health Psychology Research (HPR), Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Life Course Epidemiology (LCE)
Rok vydání: 2007
Předmět:
Lung Diseases
Male
ASTHMA PATIENTS
Health Status
Anxiety
Hospital Anxiety and Depression Scale
psychiatric co-morbidity
Severity of Illness Index
Cohort Studies
Patient Admission
Quality of life
QUALITY-OF-LIFE
Risk Factors
Pulmonary Medicine
Prospective Studies
Applied Psychology
Aged
80 and over
Depression
PSYCHIATRIC-DISORDERS
ILLNESS RATING-SCALE
Middle Aged
Prognosis
pneumology
INTERMED
Psychiatry and Mental health
complexity of care
Female
medicine.symptom
Psychosocial
Needs Assessment
Psychopathology
medicine.medical_specialty
Context (language use)
OBSTRUCTIVE PULMONARY-DISEASE
CAGE QUESTIONNAIRE
LUNG-CANCER
Predictive Value of Tests
Rating scale
medicine
Humans
Psychiatry
Geriatric Assessment
Aged
business.industry
health service research
Length of Stay
CAGE questionnaire
HEALTH-CARE
Emergency medicine
MEDICAL INPATIENTS
business
Zdroj: Psychosomatic Medicine, 69(1), 99-105. LIPPINCOTT WILLIAMS & WILKINS
ISSN: 0033-3174
DOI: 10.1097/psy.0b013e31802e46da
Popis: Background: In a context of increasing concern for complex care needs in medical patients, this study is intended to document the utility in pneumology patients of INTERMED, a reliable and valid instrument to assess case complexity at the time of hospital admission. Methods: Three hundred and fifteen consecutive patients were assessed at hospital admission with INTERMED by a trained nurse. At discharge, independent research workers, blind to the previous results, reviewed the medical database and a subsample (n = 144) was assessed for psychopathological outcome. Severity of the pulmonary disease was assessed with the Cumulative Illness Rating Scale (CIRS), and psychopathology with the Hospital Anxiety and Depression Scale, Mini-Mental Status Examination (MMSE) (cognitive disturbances), and CAGE Scale (alcohol abuse). Operational definitions were used for measures of care complexity. Results: Most patients were in geriatric age, and 78 patients (24.7%) were classified as "complex" by means of INTERMED (IM+). In support of the working hypotheses, IM+ patients scored significantly higher in measures of care complexity (Cumulative Illness Rating Scale, "number of consultations during admission" and "diagnostic count") and on both anxiety and depression. INTERMED was also associated with length of hospital stay (LOS) and with both anxiety and depression after controlling for significant predictors and socio-demographic data. Conclusions: This is the first report about the ability of INTERMED to predict complexity of care in pneumology patients, and the first to predict a negative psychopathological outcome in any type of medical patients.
Databáze: OpenAIRE
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