Psychiatric comorbidity in cardiovascular inpatients: Costs, net gain, and length of hospitalization

Journal of Psychosomatic Research

Volumn 70, Issue 2, 2011, Pages 135-139

  Hochlehnert, Achim ^a   Niehoff, Dorothea ^a   Wild, Beate ^a   Jünger, Jana ^a   Herzog, Wolfgang ^a   Löwe, Bernd ^b  

^a UNIVERSITY OF HEIDELBERG   (Germany)

^b UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

Author keywords

Diagnosis related groups (DRG); Health care costs; Inpatients; Internal medicine; Mental disorders

Indexed keywords

ADULT; ARTICLE; CARDIOVASCULAR DISEASE; COMORBIDITY; CONTROLLED STUDY; FEMALE; GERMANY; HEALTH CARE COST; HEALTH ECONOMICS; HOSPITAL PATIENT; HOSPITALIZATION COST; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; OUTCOME ASSESSMENT; OUTCOME VARIABLE; PATIENT HEALTH QUESTIONNAIRE; QUESTIONNAIRE; REIMBURSEMENT;

CARDIOVASCULAR DISEASES; COMORBIDITY; GERMANY; HOSPITAL COSTS; HOSPITALIZATION; HUMANS; LENGTH OF STAY; MENTAL DISORDERS; SOCIOECONOMIC FACTORS;

EID: 78751630040     PISSN: 00223999     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpsychores.2010.09.010     Document Type: Article

References (34)

1. Rief W, Martin A, Klaiberg A, Brahler E Specific effects of depression, panic, and somatic symptoms on illness behavior. Psychosom Med 2005, 67:596-601.
2. Hansen MS, Fink P, Frydenberg M, Oxhoj ML Use of health services, mental illness, and self-rated disability and health in medical inpatients. Psychosom Med 2002, 64:668-675.
3. Simon G, Ormel J, VonKorff M, Barlow W Health care costs associated with depressive and anxiety disorders in primary care. Am J Psychiatry 1995, 152:352-357.
4. Hochlehnert A, Niehoff D, Herzog W, Lowe B Elevated costs of treatment in medical inpatients with psychiatric comorbidity are not reflected in the German DRG-system. Psychother Psychosom Med Psychol 2007, 57:70-75.
5. 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.
6. Friederich HC, Hartmann M, Bergmann G, Herzog W Psychiatric comorbidity in medical inpatients - prevalence and effect on the length of stay. Psychother Psychosom Med Psychol 2002, 52:323-328.
7. Saravay SM, Steinberg MD, Weinschel B, Pollack S, Alovis N Psychological comorbidity and length of stay in the general hospital. Am J Psychiatry 1991, 148:324-329.
8. Ziegelstein RC, Fauerbach JA, Stevens SS, Romanelli J, Richter DP, Bush DE Patients with depression are less likely to follow recommendations to reduce cardiac risk during recovery from a myocardial infarction. Arch Intern Med 2000, 160:1818-1823.
9. de Groot M, Anderson R, Freedland KE, Clouse RE, Lustman PJ Association of depression and diabetes complications: a meta-analysis. Psychosom Med 2001, 63:619-630.
10. Penninx BW, Beekman AT, Honig A, Deeg DJ, Schoevers RA, van Eijk JT, et al. Depression and cardiac mortality: results from a community-based longitudinal study. Arch Gen Psychiatry 2001, 58:221-227.
11. Dickens C, McGowan L, Clark-Carter D, Creed F Depression in rheumatoid arthritis: a systematic review of the literature with meta-analysis. Psychosom Med 2002, 64:52-60.
12. Goodwin RD, Jacobi F, Thefeld W Mental disorders and asthma in the community. Arch Gen Psychiatry 2003, 60:1125-1130.
13. Lowe B, Willand L, Eich W, Zipfel S, Ho AD, Herzog W, et al. Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases. Psychosom Med 2004, 66:395-402.
14. Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR, et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 2003, 289:3095-3105.
15. O'Connor CM, Joynt KE Depression: are we ignoring an important comorbidity in heart failure?. J Am Coll Cardiol 2004, 43:1550-1552.
16. Holzapfel N, Zugck C, Muller-Tasch T, Lowe B, Wild B, Schellberg D, et al. Routine screening for depression and quality of life in outpatients with congestive heart failure. Psychosomatics 2007, 48:112-116.
17. Junger J, Kramer S, Schellberg D, Habich A, Zugck C, Haass M, et al. Quality of life, anxiety and depression dependent on NYHA-class in patients with chronic heart failure. Psychosomatic Medicine 1998, 60:106-107.
18. Rumsfeld JS, Havranek E, Masoudi FA, Peterson ED, Jones P, Tooley JF, et al. Depressive symptoms are the strongest predictors of short-term declines in health status in patients with heart failure. J Am Coll Cardiol 2003, 42:1811-1817.
19. Allison TG, Williams DE, Miller TD, Patten CA, Bailey KR, Squires RW, et al. Medical and economic costs of psychologic distress in patients with coronary artery disease. Mayo Clin Proc 1995, 70:734-742.
20. Jiang W, Alexander J, Christopher E, Kuchibhatla M, Gaulden LH, Cuffe MS, et al. Relationship of depression to increased risk of mortality and rehospitalization in patients with congestive heart failure. Arch Intern Med 2001, 161:1849-1856.
21. Himelhoch S, Weller WE, Wu AW, Anderson GF, Cooper LA Chronic medical illness, depression, and use of acute medical services among Medicare beneficiaries. Med Care 2004, 42:512-521.
22. Junger J, Schellberg D, Muller-Tasch T, Raupp G, Zugck C, Haunstetter A, et al. Depression increasingly predicts mortality in the course of congestive heart failure. Eur J Heart Fail 2005, 7:261-267.
23. Sullivan M, Simon G, Spertus J, Russo J Depression-related costs in heart failure care. Arch Intern Med 2002, 162:1860-1866.
24. Spitzer RL, Kroenke K, Williams JB Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA 1999, 282:1737-1744. Patient Health Questionnaire Primary Care Study Group.
25. Löwe B, Spitzer RL, Gräfe K, Kroenke K, Quenter A, Zipfel S, et al. Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians' diagnoses. J Affect Disord 2004, 78:131-140.
26. Lowe B, Grafe K, Zipfel S, Spitzer RL, Herrmann-Lingen C, Witte S, et al. Detecting panic disorder in medical and psychosomatic outpatients: comparative validation of the Hospital Anxiety and Depression Scale, the Patient Health Questionnaire, a screening question, and physicians' diagnosis. J Psychosom Res 2003, 55:515-519.
27. Löwe B, Gräfe K, Zipfel S, Witte S, Loerch B, Herzog W Diagnosing ICD-10 depressive episodes: superior criterion validity of the patient health questionnaire. Psychother Psychosom 2004, 73:386-390.
28. Howell D Statistical methods for psychology 2010, Cengage Wadsworth, Belmont, CA.
29. Burgmer M, Fiori W, Bunzemeier H, Roeder N, Heuft G Comorbidity of mental disorders in the German G-DRG system - effect on length of stay and revenue at a university hospital. Z Psychosom Med Psychother 2004, 50:306-316.
30. Lowe B, Grafe K, Ufer C, Kroenke K, Grunig E, Herzog W, et al. Anxiety and depression in patients with pulmonary hypertension. Psychosom Med 2004, 66:831-836.
31. Hansen MS, Fink P, Frydenberg M, Oxhoj ML, Sondergaard L, Eriksen M Mental disorders in medical inpatients and the association to severity of illness, self-rated physical disability, and health perception. Psychosomatics 2001, 42:41-47.
32. Hauser W, Wambach S, Schiedermaier P, Thomas J, Schonecke O, Klein W, et al. Increased demand for psychosomatic consultation service (C-service) in a department of cardiology/pneumology due to psychometric screening. Psychother Psychosom Med Psychol 2001, 51:261-263.
33. Fiori W, Roeder N, Lakomek HJ, Liman W, Koneke N, Hulsemann JL, et al. Changes for rheumatology in the G-DRG system 2005. Z Rheumatol 2005, 64:58-69.
34. Lindena G, Gerbershagen HU, Zenz M, Laubenthal H, Schleppers A Organized pain management in the DRG reimbursement system. Schmerz 2005, 19:40-54.