Increased risk of hospital admission for <scp>ICD</scp>‐9‐<scp>CM</scp> psychotic episodes following admission for epilepsy

Rossi, Kyle C.; Kim, Anna M.; Yoo, Ji Yeoun; Hung, Kenneth W.; Dhamoon, Mandip S.

doi:10.1111/epi.14508

Cited by 13 publications

(7 citation statements)

References 26 publications

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“…In addition, a psychopathology study revealed that greater severity of ASD symptoms and male sex were related to the higher risk of progression to schizophrenia 2 . Systemic autoimmune diseases, neurological diseases, and other physical illnesses have been suggested as risk factors for psychotic symptoms and schizophrenia 14,15 . A population‐based study indicated a positive association between systemic lupus erythematosus and schizophrenia among patients of different ages, gender, and socioeconomic status 16 …”

mentioning

confidence: 99%

Diagnostic progression to schizophrenia: A nationwide cohort study of 11 170 adolescents and young adults with autism spectrum disorder

Hsu

Chu

Tsai

et al. 2022

Psychiatry Clin Neurosci

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Aims: Previous studies have suggested an increased risk of developing schizophrenia later in life in children with autism spectrum disorder (ASD). This study aims to investigate the diagnosis stability and the potential predictors for progression to schizophrenia in ASD. Methods:We recruited 11 170 adolescents (10-19 years) and young adults (20-29 years) with ASD between 2001 and 2010. They were followed up to the end of 2011 to identify newly diagnosed schizophrenia. The Kaplan-Meier method and Cox regression with age as a time scale were employed to estimate incidence rates and the significance of candidate predictors. Results:The progression rate from ASD to schizophrenia was 10.26% for 10 years of follow-up. Among 860 progressors, 580 (67.44%) occurred within the first 3 years after a diagnosis of ASD. The identified predictors were age (reported as hazard ratio with 95% confidence interval: 1.13; 1.11-1.15), depressive disorder (1.36; 1.09-1.69), alcohol use disorder (3.05; 2.14-4.35), substance use disorder (1.91; 1.18-3.09), cluster A personality disorder (2.95; 1.79-4.84), cluster B personality disorder (1.86; 1.05-3.28), and a family history of schizophrenia (2.12; 1.65-2.74). Conclusion:More than two-thirds of the progressors developed schizophrenia within the first 3 years. Demographic characteristics, physical and psychiatric comorbidities, and psychiatric family history were significant predictors of progression.

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confidence: 99%

Diagnostic progression to schizophrenia: A nationwide cohort study of 11 170 adolescents and young adults with autism spectrum disorder

Hsu

Chu

Tsai

et al. 2022

Psychiatry Clin Neurosci

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“…Medical comorbidities such as hypertension, diabetes, renal disease, coagulopathies, autoimmune disease, sepsis, and psychiatric disorders were identified using validated ICD‐9‐CM codes 13 from previously published studies and/or Clinical Classification Software codes, which consist of grouped ICD‐9‐CM codes developed as a publicly available software tool via HCUP 24–29 . Codes for nausea and vomiting and rheumatoid arthritis were obtained from manual review of ICD‐9 codes.…”

Section: Methodsmentioning

confidence: 99%

“…grouped ICD-9-CM codes developed as a publicly available software tool via HCUP. [24][25][26][27][28][29] Codes for nausea and vomiting and rheumatoid arthritis were obtained from manual review of ICD-9 codes. Additional covariates such as age and income quartile were obtained from the NRD.…”

Section: Key Pointsmentioning

confidence: 99%

Pregnancy‐related complications and risk of postpartum readmission for seizures and epilepsy: A national study

et al. 2020

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Objective: Peripartum seizures remain a leading cause of maternal morbidity and mortality worldwide. Therefore, recognition of high-risk individuals is essential. We aimed to determine the rate and identify risk factors for postpartum seizure/epilepsy readmissions. Methods: In this retrospective cohort study, the Nationwide Readmissions Database was used to identify index admissions for delivery and readmissions for seizures in the year 2013, defined by International Classification of Disease, Ninth Revision, Clinical Modification codes for epilepsy, convulsions, and eclampsia in the primary diagnostic position. Logistic regression analysis was used to examine 30-day readmission for seizures as well as associations between demographic, medical, psychiatric, and pregnancy-related factors. Results: There were 1 633 714 index admissions for delivery, with a 30-day readmission rate for seizures/epilepsy of 19.69 per 100 000 index admissions. The mean age of index participants was 28.6 years (SD = 5.8). Postpartum 30-day readmissions for eclampsia represented 80% of seizure/epilepsy readmissions. Higher income was associated with lower odds of seizure/epilepsy readmission (odds ratio [OR] = 0.50, 95% confidence interval [CI] = 0.34-0.72, P = .03) for the highest income group.

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“…Participants were purposively selected, and the prospective participants' files were sorted with the assistance of record officers before being reviewed by the investigator and nurses on duty. Inclusion criteria were that the individual had to have a diagnosis of schizophrenia and been mentally stable for not less than 3 months (research evidence shows that the risk of relapse is usually high from 1-3 months of discharge 28 ). Exclusion criteria were records of positive symptoms in the last 3 months (which can impede the interview process, such as flight of idea or slurred and incoherent speech), history of debilitating co-morbidity (such as head injury, cerebral cancer, poorly managed diabetes with injuries or wounds), affective co-morbidities (such as depression and mania) and individuals younger than 18 years.…”

Section: Sampling and Procedures For Data Collectionmentioning

confidence: 99%

Living beyond the limitation: Rehabilitation, life and productivity of individuals with schizophrenia in South‐West Nigeria

Oyelade

Nkosi-Mafutha

2021

Health Expectations

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Introduction Schizophrenia, the most chronic and stigmatized form of mental illness, can be described as a brain disorder that affects an individual's cognition. Individuals with schizophrenia exhibit socially unacceptable symptoms that affect their psychosocial lives. They suffer from reduced productivity due to the debilitating effect of the illness, and the negative symptoms impede their employability; such symptoms and effects aggravate the stigma around mental illness. However, when rehabilitation is successfully achieved, so is productivity, and this decreases the associated stigma. Thus, this study describes the rehabilitation experiences and productivity of individuals with schizophrenia in South‐West Nigeria. Methods and analysis A descriptive qualitative approach with semi‐structured interviews was used to gather information from mental health service users. The discharged users in this study received in‐hospital or outpatient rehabilitation care at four outpatient units within two specialist mental health‐care facilities in South‐West Nigeria. These facilities offer vocational training and rehabilitation services for individuals with schizophrenia. Twenty‐nine mental health service users were interviewed. The data from the interviews were independently analysed by two researchers through a content analysis approach using NVIVO version 11. The researchers compared the results of the analysis and reached an agreement on the conclusion. Findings and recommendations The rehabilitation services availed by patients in the research setting are of three types. Some attend occupational rehabilitation to learn a trade; they depend on professionals for the choice of skill but at a cost that is not affordable to many. Some stay in rehabilitation units linked to the hospital, rendering their services at a cost, and their living expenses and skill acquisition processes are based on the remuneration they get from the services rendered to the institution. Others depend on their family members' efforts to afford rehabilitation services but set up on job by family or employed in family business. The mental health service users in this study who offered their services to the institutions were able to make informed decisions and showed better performance with their chosen occupation than those who depended on their family or health professionals for the choice of rehabilitation service or vocational career. Therefore, this study concludes that prioritizing mental health facility users' preferences in terms of productive activities (sales, services, vocation) or rehabilitation goals should be encouraged.

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Increased risk of hospital admission for ICD‐9‐CM psychotic episodes following admission for epilepsy

Abstract: An epilepsy admission was independently associated with subsequent hospital readmission for psychotic episodes, even after adjustment for confounding variables.

Cited by 13 publications

References 26 publications

Diagnostic progression to schizophrenia: A nationwide cohort study of 11 170 adolescents and young adults with autism spectrum disorder

Diagnostic progression to schizophrenia: A nationwide cohort study of 11 170 adolescents and young adults with autism spectrum disorder

Pregnancy‐related complications and risk of postpartum readmission for seizures and epilepsy: A national study

Living beyond the limitation: Rehabilitation, life and productivity of individuals with schizophrenia in South‐West Nigeria

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