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Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure.
J Am Geriatr Soc. 2007 Oct; 55(10):1585-91.JA

Abstract

OBJECTIVES

To explore associations between psychiatric comorbidity and rehospitalization risk, length of hospitalization, and costs.

DESIGN

Cross-sectional study of 1-year hospital administrative data.

SETTING

Claims-based study of older adults hospitalized in the United States.

PARTICIPANTS

Twenty-one thousand four hundred twenty-nine patients from a 5% national random sample of U.S. Medicare beneficiaries aged 65 and older, with at least one acute care hospitalization in 1999 with a Diagnostic-Related Group of congestive heart failure.

MEASUREMENTS

The number of hospitalizations, mean length of hospital stay, and total hospitalization costs in calendar year 1999.

RESULTS

Overall, 15.8% of patients hospitalized for heart failure (HF) had a coded psychiatric comorbidity; the most commonly coded comorbid psychiatric disorder was depression (8.5% of the sample). Most forms of psychiatric comorbidity were associated with greater inpatient utilization, including risk of additional hospitalizations, days of stay, and hospitalization charges. Additional hospitalization costs associated with psychiatric comorbidity ranged up to $7,763, and additional days length of stay ranged up to 1.4 days.

CONCLUSION

Psychiatric comorbidity appears in a significant minority of patients hospitalized for HF and may affect their clinical and economic outcomes. The associations between psychiatric comorbidity and use of inpatient care are likely to be an underestimate, because psychiatric illness is known to be underdetected in older adults and in hospitalized medical patients.

Authors+Show Affiliations

VISN 4 Mental Illness, Research, Education and Clinical Center, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania 19104, USA. steven.sayers@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

17714458

Citation

Sayers, Steven L., et al. "Psychiatric Comorbidity and Greater Hospitalization Risk, Longer Length of Stay, and Higher Hospitalization Costs in Older Adults With Heart Failure." Journal of the American Geriatrics Society, vol. 55, no. 10, 2007, pp. 1585-91.
Sayers SL, Hanrahan N, Kutney A, et al. Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure. J Am Geriatr Soc. 2007;55(10):1585-91.
Sayers, S. L., Hanrahan, N., Kutney, A., Clarke, S. P., Reis, B. F., & Riegel, B. (2007). Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure. Journal of the American Geriatrics Society, 55(10), 1585-91.
Sayers SL, et al. Psychiatric Comorbidity and Greater Hospitalization Risk, Longer Length of Stay, and Higher Hospitalization Costs in Older Adults With Heart Failure. J Am Geriatr Soc. 2007;55(10):1585-91. PubMed PMID: 17714458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure. AU - Sayers,Steven L, AU - Hanrahan,Nancy, AU - Kutney,Ann, AU - Clarke,Sean P, AU - Reis,Brendali F, AU - Riegel,Barbara, Y1 - 2007/08/21/ PY - 2007/8/24/pubmed PY - 2007/11/9/medline PY - 2007/8/24/entrez SP - 1585 EP - 91 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 55 IS - 10 N2 - OBJECTIVES: To explore associations between psychiatric comorbidity and rehospitalization risk, length of hospitalization, and costs. DESIGN: Cross-sectional study of 1-year hospital administrative data. SETTING: Claims-based study of older adults hospitalized in the United States. PARTICIPANTS: Twenty-one thousand four hundred twenty-nine patients from a 5% national random sample of U.S. Medicare beneficiaries aged 65 and older, with at least one acute care hospitalization in 1999 with a Diagnostic-Related Group of congestive heart failure. MEASUREMENTS: The number of hospitalizations, mean length of hospital stay, and total hospitalization costs in calendar year 1999. RESULTS: Overall, 15.8% of patients hospitalized for heart failure (HF) had a coded psychiatric comorbidity; the most commonly coded comorbid psychiatric disorder was depression (8.5% of the sample). Most forms of psychiatric comorbidity were associated with greater inpatient utilization, including risk of additional hospitalizations, days of stay, and hospitalization charges. Additional hospitalization costs associated with psychiatric comorbidity ranged up to $7,763, and additional days length of stay ranged up to 1.4 days. CONCLUSION: Psychiatric comorbidity appears in a significant minority of patients hospitalized for HF and may affect their clinical and economic outcomes. The associations between psychiatric comorbidity and use of inpatient care are likely to be an underestimate, because psychiatric illness is known to be underdetected in older adults and in hospitalized medical patients. SN - 0002-8614 UR - https://www.unboundmedicine.com/medline/citation/17714458/Psychiatric_comorbidity_and_greater_hospitalization_risk_longer_length_of_stay_and_higher_hospitalization_costs_in_older_adults_with_heart_failure_ L2 - https://doi.org/10.1111/j.1532-5415.2007.01368.x DB - PRIME DP - Unbound Medicine ER -