Key result
Psychiatric comorbidity, including cognitive impairment and depression, was associated with up to twice as many readmissions and days rehospitalized over a 4-year follow-up.
Why the study?
Does psychiatric comorbidity increase readmissions and days spent rehospitalized in medical/surgical inpatients?
Population
273 medical/surgical general hospital inpatients aged 18 years and older (convenience sample)
Comparison
Psychiatric comorbidity vs Absence of psychiatric comorbidity
Design
Cohort
Follow-up
4 years
Authors
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May prompt enhanced psychiatric evaluation at discharge; leaves open whether treating comorbidity reduces long-term readmissions.
Cohort (n=273)
No
Does psychiatric comorbidity increase readmissions and days spent rehospitalized in medical/surgical inpatients?
Psychiatric comorbidity in medical and surgical inpatients is associated with significantly increased hospital utilization for at least 4 years after discharge.
Saravay et al. (1996) conducted a cohort in Medical and surgical general hospital inpatients (n=273). Psychiatric comorbidity (cognitive impairment, depression, high interpersonal sensitivity, high hostility) vs. Patients without these comorbidities was evaluated on Number of medical/surgical readmissions and number of days rehospitalized. Psychiatric comorbidity, including cognitive impairment and depression, was associated with up to twice as many readmissions and days rehospitalized over a 4-year follow-up.
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