In:
PLOS ONE, Public Library of Science (PLoS), Vol. 18, No. 6 ( 2023-6-22), p. e0287234-
Abstract:
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.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0287234
DOI:
10.1371/journal.pone.0287234.g001
DOI:
10.1371/journal.pone.0287234.g002
DOI:
10.1371/journal.pone.0287234.g003
DOI:
10.1371/journal.pone.0287234.g004
DOI:
10.1371/journal.pone.0287234.t001
DOI:
10.1371/journal.pone.0287234.t002
DOI:
10.1371/journal.pone.0287234.s001
DOI:
10.1371/journal.pone.0287234.s002
DOI:
10.1371/journal.pone.0287234.s003
DOI:
10.1371/journal.pone.0287234.s004
DOI:
10.1371/journal.pone.0287234.s005
DOI:
10.1371/journal.pone.0287234.s006
DOI:
10.1371/journal.pone.0287234.s007
DOI:
10.1371/journal.pone.0287234.s008
DOI:
10.1371/journal.pone.0287234.s009
DOI:
10.1371/journal.pone.0287234.s010
DOI:
10.1371/journal.pone.0287234.s011
DOI:
10.1371/journal.pone.0287234.r001
DOI:
10.1371/journal.pone.0287234.r002
DOI:
10.1371/journal.pone.0287234.r003
DOI:
10.1371/journal.pone.0287234.r004
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2023
detail.hit.zdb_id:
2267670-3
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