| Online-Ressource |
Verfasst von: | Stahl-Toyota, Sophia [VerfasserIn]  |
| Nikendei, Christoph [VerfasserIn]  |
| Nagy, Ede [VerfasserIn]  |
| Bönsel, Stefan [VerfasserIn]  |
| Dönnhoff, Ivo [VerfasserIn]  |
| Unger, Inga [VerfasserIn]  |
| Szendrödi, Julia [VerfasserIn]  |
| Frey, Norbert [VerfasserIn]  |
| Michl, Patrick [VerfasserIn]  |
| Müller-Tidow, Carsten [VerfasserIn]  |
| Jäger, Dirk [VerfasserIn]  |
| Friederich, Hans-Christoph [VerfasserIn]  |
| Hochlehnert, Achim [VerfasserIn]  |
Titel: | Interaction of mental comorbidity and physical multimorbidity predicts length-of-stay in medical inpatients |
Verf.angabe: | Sophia Stahl-Toyota, Christoph Nikendei, Ede Nagy, Stefan Bönsel, Ivo Rollmann, Inga Unger, Julia Szendrödi, Norbert Frey, Patrick Michl, Carsten Müller-Tidow, Dirk Jäger, Hans-Christoph Friederich, Achim Hochlehnert |
Jahr: | 2023 |
Umfang: | 16 S. |
Illustrationen: | Illustrationen |
Fussnoten: | Veröffentlicht: 22. Juni 2023 ; Gesehen am 18.08.2023 |
Titel Quelle: | Enthalten in: PLOS ONE |
Ort Quelle: | San Francisco, California, US : PLOS, 2006 |
Jahr Quelle: | 2023 |
Band/Heft Quelle: | 18(2023), 6, Artikel-ID e0287234, Seite 1-16 |
ISSN Quelle: | 1932-6203 |
Abstract: | Background: Mental comorbidities of physically ill patients lead to higher morbidity, mortality, health-care utilization and costs. Objective: The aim of the study was to investigate the impact of mental comorbidity and physical multimorbidity on the length-of-stay in medical inpatients at a maximum-care university hospital. Design The study follows a retrospective, quantitative cross-sectional analysis approach to investigate mental comorbidity and physical multimorbidity in internal medicine patients. Patients: The study comprised a total of n = 28.553 inpatients treated in 2017, 2018 and 2019 at a German Medical University Hospital. Main measures Inpatients with a mental comorbidity showed a median length-of-stay of eight days that was two days longer compared to inpatients without a mental comorbidity. Neurotic and somatoform disorders (ICD-10 F4), behavioral syndromes (F5) and organic disorders (F0) were leading with respect to length-of-stay, followed by affective disorders (F3), schizophrenia and delusional disorders (F2), and substance use (F1), all above the sample mean length-of-stay. The impact of mental comorbidity on length-of-stay was greatest for middle-aged patients. Mental comorbidity and Elixhauser score as a measure for physical multimorbidity showed a significant interaction effect indicating that the impact of mental comorbidity on length-of-stay was greater in patients with higher Elixhauser scores. Conclusions: The findings provide new insights in medical inpatients how mental comorbidity and physical multimorbidity interact with respect to length-of-stay. Mental comorbidity had a large effect on length-of-stay, especially in patients with high levels of physical multimorbidity. Thus, there is an urgent need for new service models to especially care for multimorbid inpatients with mental comorbidity. |
DOI: | doi:10.1371/journal.pone.0287234 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
kostenfrei: Volltext: https://doi.org/10.1371/journal.pone.0287234 |
| kostenfrei: Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0287234 |
| DOI: https://doi.org/10.1371/journal.pone.0287234 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Age groups |
| Depression |
| Diagnostic medicine |
| Hospitals |
| Inpatients |
| Mental health and psychiatry |
| Mood disorders |
| Multivariate analysis |
K10plus-PPN: | 1856524213 |
Verknüpfungen: | → Zeitschrift |
Interaction of mental comorbidity and physical multimorbidity predicts length-of-stay in medical inpatients / Stahl-Toyota, Sophia [VerfasserIn]; 2023 (Online-Ressource)