The impact of psychiatric diagnosis on length of stay in a university medical center in the managed care era

Psychosomatics

Volumn 46, Issue 5, 2005, Pages 431-439

  Bourgeois, James A ^a   Kremen, William S ^a   Servis, Mark E ^a   Wegelin, Jacob A ^a   Hales, Robert E ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADJUSTMENT DISORDER; ANXIETY DISORDER; ARTICLE; COGNITIVE DEFECT; COMORBIDITY; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; MANAGED CARE; MENTAL DISEASE; MOOD DISORDER; PSYCHIATRIC DIAGNOSIS; PSYCHOSIS; SUBSTANCE ABUSE; UNIVERSITY HOSPITAL; DIAGNOSIS RELATED GROUP; FEMALE; HEALTH INSURANCE; LENGTH OF STAY; MALE; STATISTICS; UNITED STATES;

ACADEMIC MEDICAL CENTERS; CALIFORNIA; DIAGNOSIS-RELATED GROUPS; FEMALE; HUMANS; LENGTH OF STAY; MALE; MANAGED CARE PROGRAMS; MENTAL DISORDERS;

EID: 32944467722     PISSN: 00333182     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.psy.46.5.431     Document Type: Article

References (30)

1. Saravay SM, Steinberg MD, Weinschel B, Pollack S, Alovis N: Psychological comorbidity and length of stay in the general hos-pital. Am J Psychiatry 1991; 148:324-329
2. Maguire GP, Julier DL, Hawton KE, Bancroft JHJ: Psychiatric morbidity and referral on two general hospital wards. Br Med J 1974; 1:268-270
3. Silverstone PH: Prevalence of psychiatric disorders in medical inpatients. J Nerv Ment Dis 1996; 184:43-51
4. Fulop G, Strain JJ, Fahs MC, Schmeidler J, Snyder S: A prospective study of the impact of psychiatric comorbidity on length of hospital stays of elderly medical-surgical inpatients. Psychosomatics 1998; 39:273-280
5. Ackerman AD, Lyons JS, Hammer JS, Larson DB: The impact of coexisting depression and timing of psychiatric consultation on medical patients' length of stay. Hosp Comm Psychiatry 1988; 39:173-176
6. Fulop G, Strain JJ, Vita J, Lyons JS, Hammer JS: Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: a preliminary report. Am J Psychiatry 1987; 144:878-882
7. Levenson JL, Hamer RM, Rossiter LF: Relation of psychopathology in general medical inpatients to use and cost of services. Am J Psychiatry 1990; 147:1498-1503
8. Lyons JS, Larson DB, Burns BJ, Cope N, Wright S, Hammer JS: Psychiatric co-morbidities and patients with head and spinal cord trauma: effects on acute hospital care. Gen Hosp Psychiatry 1988; 10:292-297
9. Morris PLP, Goldberg RJ: Impact of psychiatric comorbidity on length of stay in gastroenterology patients. Gen Hosp Psychiatry 1990; 12:77-82
10. Wancata J, Benda N, Windhaber J, Nowotny M: Does psychiatric comorbidity increase the length of stay in general hospitals? Gen Hosp Psychiatry 2001; 23:8-14
11. Strain JJ, Lyons JS, Hammer JS, Fahs M, Lebovits A, Paddison PL, Snyder S, Strauss E, Burton R, Nuber G, Abernathy T, Sacks H, Nordlie J, Sacks C: Cost offset from a psychiatric consultation-liaison intervention with elderly hip fracture patients. Am J Psychiatry 1991; 148:1044-1049
12. Furlanetto LM, da Silva RV, Bueno JR: The impact of psychiatric co-morbidity on length of stay of medical inpatients. Gen Hosp Psychiatry 2003; 25:14-19
13. Saravay SM, Lavin M: Psychiatric comorbidity and length of stay in the general hospital: a critical review of outcome studies. Psychosomatics 1994; 35:233-252
14. Diagnostic and Statistical Manual of Mental Disorders, 4th ed (DSM-IV). Washington, DC, American Psychiatric Association, 1994
15. Public Use Files-Files for Download for the Prospective Payment System (PPS): Acute Inpatient. Retrieved Sept 1, 2003. hop://cms.gov/providers/hipps/ ippspufs.asp
16. Hornik K: The R Project for Statistical Computing: FAQ. Retrieved 2003. http://www.r-project.org. ISBN 3-901167-51-X
17. McCullagh P, Neider JA: Generalized Linear Models. Monographs on Statistics and Applied Probability, 2nd ed. New York, Chapman & Hall, 1989
18. Collett D: Modelling Binary Data: Texts in Statistical Science. New York, Chapman & Hall, 2003
19. Venables WN, Ripley BD: Modern Applied Statistics With S-Plus: Statistics and Computing. New York, Springer, 1994
20. Hunter CL, Hunter CM, West ET, Kinder M, Carroll DW: Recognition of depressive disorders by primary care providers in a military medical setting. Mil Med 2002; 167:308-311
21. Andersen SM, Harthorn BH: The recognition, diagnosis, and treatment of mental disorders by primary care physicians. Med Care 1989; 27:869-886
22. Harman JS, Brown EL, Have TT, Mulsant BH, Brown G, Bruce ML: Primary care physicians' attitude toward diagnosis and treatment of late-life depression. CNS Spectr 2000; 7:784-790
23. Davidson JR, Meltzer-Brody SE: The underrecognition and undertreatment of depression: what is the breadth and depth of the problem? J Clin Psychiatry 1999; 60(suppl 7):4-9; discussion, 60(suppl 7):10-11
24. Gustafson Y, Brannstrom B, Norberg A, Bucht G, Winblad B: Underdiagnosis and poor documentation of acute confusional states in elderly hip fracture patients. J Am Geriatr Soc 1991; 39:760-765
25. Ely EW, Stephens RK, Jackson JC, Thomason JW, Truman B, Gordon S, Dittus RS, Bernard GR: Current opinions regarding the importance, diagnosis, and management of delirium in the intensive care unit: a survey of 912 healthcare professionals. Critical Care Med 2004; 32:106-112
26. Hearne R, Connolly A, Sheehan J: Alcohol abuse and detection in a general hospital. J R Soc Med 2002; 95:84-87
27. Kouimtsidis C, Reynolds M, Hunt M, Lind J, Beckett J, Drummond C, Ghodse H: Substance use in the general hospital. Addict Behav 2003; 28:483-499
28. Tiemens BG, VonKorff M, Lin EH: Diagnosis of depression by primary care physicians versus a structured diagnostic interview. Gen Hosp Psychiatry 1999; 21:87-96
29. Arolt V, Driessen M: Alcoholism and psychiatric comorbidity in general hospital inpatients. Gen Hosp Psychiatry 1996; 18:271-277
30. Pirmohamed M, Brown C, Owens L, Luke C, Gilmore IT, Breckenridge AM, Park BK: The burden of alcohol misuse on an inner-city general hospital. QJM 2000; 93:291-295