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Status: Bibliographieeintrag

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Verfasst von:Stahl-Toyota, Sophia [VerfasserIn]   i
 Nikendei, Christoph [VerfasserIn]   i
 Nagy, Ede [VerfasserIn]   i
 Bönsel, Stefan [VerfasserIn]   i
 Dönnhoff, Ivo [VerfasserIn]   i
 Unger, Inga [VerfasserIn]   i
 Szendrödi, Julia [VerfasserIn]   i
 Frey, Norbert [VerfasserIn]   i
 Michl, Patrick [VerfasserIn]   i
 Müller-Tidow, Carsten [VerfasserIn]   i
 Jäger, Dirk [VerfasserIn]   i
 Friederich, Hans-Christoph [VerfasserIn]   i
 Hochlehnert, Achim [VerfasserIn]   i
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

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