Patients with Psychiatric Disorders Require Greater Health-Care Resources after Injury
| Autor: | Elizabeth Warnack, Beatrix Hyemin Choi, Gary T. Marshall, Marko Bukur, Charles DiMaggio, Spiros G. Frangos |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Wounds Penetrating Comorbidity 03 medical and health sciences 0302 clinical medicine Trauma Centers Health care Medicine Humans 030212 general & internal medicine Registries Psychiatry Retrospective Studies Health Services Needs and Demand business.industry Mental Disorders Trauma center 030208 emergency & critical care medicine Retrospective cohort study General Medicine Odds ratio Length of Stay Middle Aged medicine.disease Patient Discharge Hospitalization Intensive Care Units Traumatic injury Psychiatric consultation Propensity score matching Health Resources Wounds and Injuries Female New York City business |
| Zdroj: | The American surgeon. 84(12) |
| ISSN: | 1555-9823 |
| Popis: | The objective of this study was to assess whether patients with comorbid psychiatric conditions admitted after traumatic injury require greater health-care resource utilization. The trauma registry of a Level 1 trauma center was used to identify all adult trauma patients presenting from 2012 to 2015. Patients with psychiatric needs, identified as having either an ICD-9 code corresponding to a psychiatric disorder or requiring inpatient psychiatric consultation, were compared with controls, using propensity score matching. Patients with psychiatric disorders were more than three times more likely to present with penetrating injuries (odds ratio [OR] 3.5, P < 0.005). They had longer length of hospital stay (median 5 [IQR 2.5–11] vs. three days [IQR 1–7], P < 0.01), were approximately 70 per cent more likely to require ICU-level care (OR 1.68, P = 0.08), and were 80 per cent less likely to be discharged home (OR 0.18, P < 0.005). Trauma patients with psychiatric illness or need consume greater health-care resources. |
| Databáze: | OpenAIRE |
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