Incremental hospital utilization and mortality associated with co-morbid depression in pediatric hospitalizations

Olusunmade, Mayowa; Qadir, Tooba Fatima; Akyar, Serra; Farid, Ahsan; Aggarwal, Rashi

doi:10.1016/j.jad.2019.03.073

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…Mental health conditions have been found to increase LOS and total hospital costs (THC) for somatic conditions. 7,8 The conditions associated with the highest additional resource use were depression, anxiety and substance use. 7 Wilkes et al found billing costs for somatic disorders to be 1.8 times greater for individuals with a psychiatric disorder compared to those without psychiatric disorders.…”

Section: Introductionmentioning

confidence: 99%

Health care utilization in children and adolescents with psychiatric disorders

Agnafors

Kjellström

Björk

et al. 2023

Acta Psychiatr Scand

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ObjectiveMental illness is increasing among young people and likewise the request for health care services. At the same time, somatic comorbidity is common in children and adolescents with psychiatric disorders. There is a lack of studies on health care use in children and adolescents, and the hypothesis was that children and adolescents with psychiatric disorders use more primary‐, and specialized somatic health care compared to children without psychiatric disorders.MethodsIn this retrospective population‐based register study, all individuals aged 3–17 years living in Västra Götaland region in Sweden in 2017 were included (n = 298,877). Linear and Poisson regression were used to compare health care use during 2016–2018 between children with and without psychiatric diagnoses, controlling for age and gender. The results were reported as unstandardised beta coefficient (ß) and adjusted prevalence ratio (aPR) respectively.ResultsHaving a psychiatric diagnosis was associated with more primary care visits (ß 2.35, 95% CI 2.30–2.40). This applied to most diagnoses investigated. Girls had more primary care visits than boys. Likewise, individuals with psychiatric diagnoses had more specialized somatic outpatient care (ß 1.70, 95% CI 1.67–1.73), both planned and unplanned (ß 1.23, 95% CI 1.21–1.25; ß 0.18, 95% CI 0.17–0.19). Somatic inpatient care was more common in those having a psychiatric diagnosis (aPR 1.65, 95% CI 1.58–1.72), with the diagnoses of psychosis and substance use exerting the greatest risk.ConclusionsPsychiatric diagnoses were associated with increased primary‐, somatic outpatient‐ as well as somatic inpatient care. Increased awareness of comorbidity and easy access to relevant health care could be beneficial for patients and caregivers. The results call for a review of current health care systems with distinct division between medical disciplines and levels of health care.

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Section: Introductionmentioning

confidence: 99%

Health care utilization in children and adolescents with psychiatric disorders

Agnafors

Kjellström

Björk

et al. 2023

Acta Psychiatr Scand

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“…Young people living with a mental disorder experience worse overall physical health, longer lengths of stay (LOS) in hospital, and receive poorer healthcare quality as a result of both their conditions and their circumstances compared to the general population [6][7][8][9]. Not only is the health of young people experiencing mental illness adversely affected, but mental disorders have also been associated with poor academic performance among young people and a failure to complete high school [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort

Mitchell

McMaugh

Lystad

et al. 2022

BMC Health Serv Res

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Background To inform healthcare planning and resourcing, population-level information is required on the use of health services among young people with a mental disorder. This study aims to identify the health service use associated with mental disorders among young people using a population-level matched cohort. Method A population-based matched case-comparison retrospective cohort study of young people aged ≤ 18 years hospitalised for a mental disorder during 2005–2018 in New South Wales, Australia was conducted using linked birth, health, and mortality records. The comparison cohort was matched on age, sex and residential postcode. Adjusted rate ratios (ARR) were calculated for key demographics and mental disorder type by sex. Results Emergency department visits, hospital admissions and ambulatory mental health service contacts were all higher for males and females with a mental disorder than matched peers. Further hospitalisation risk was over 10-fold higher for males with psychotic (ARR 13.69; 95%CI 8.95–20.94) and anxiety (ARR 11.44; 95%CI 8.70-15.04) disorders, and for both males and females with cognitive and behavioural delays (ARR 10.79; 95%CI 9.30-12.53 and ARR 14.62; 95%CI 11.20-19.08, respectively), intellectual disability (ARR 10.47; 95%CI 8.04–13.64 and ARR 11.35; 95%CI 7.83–16.45, respectively), and mood disorders (ARR 10.23; 95%CI 8.17–12.80 and ARR 10.12; 95%CI 8.58–11.93, respectively) compared to peers. Conclusion The high healthcare utilisation of young people with mental disorder supports the need for the development of community and hospital-based services that both prevent unnecessary hospital admissions in childhood and adolescence that can potentially reduce the burden and loss arising from mental disorders in adult life.

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“…Research indicates that the risk of having a mental health disorder is two–four times greater in children with pLTCs as compared to their physically healthier counterparts [ 2 ]. Untreated mental health conditions in pediatric patients are linked with suboptimal disease management [ 3 ], negative health outcomes [ 4 , 5 ], increased hospitalization stay, and costs compared to peers without a mental health comorbidity [ 6 , 7 ]. Therefore, there is an urgent need to estimate and respond to the mental health needs of young patients with mental health disturbances.…”

Section: Introductionmentioning

confidence: 99%

Trends in comorbid physical and mental health conditions in children from 1999 to 2017 in England

Panagi

Newlove‐Delgado

White

et al. 2022

Eur Child Adolesc Psychiatry

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Introduction Children with long-term physical health conditions (pLTCs) are at increased risk of mental health conditions but less is known about time trends in the mental health of this group of children. Methods We used data from three comparable, population-based surveys of children conducted in 1999, 2004, and 2017. We examined whether the proportion of children aged 5–15 years old with comorbid mental health conditions (measured using the multi-informant Development and Well-being Assessment tool) and pLTCs (measured using parental report) in England increased from 1999 to 2017 using linear regression analysis. Results Our analysis used data from 8662 (1999), 6401 (2004) and 6219 (2017) children, respectively. The proportion of children with comorbid pLTCs and psychiatric disorders was 0.050 (95% CI = 0.045, 0.055) in 1999, 0.054 (95% CI = 0.049, 0.060) in 2004, and 0.059 (95% CI = 0.053, 0.065) in 2017. The linear regression model revealed a non-significant effect of time on the proportion of children with comorbid pLTCs and psychiatric disorders from 1999 to 2017 (B = 0.0004785; SE = 0.0001256; p = 0.163). Conclusion The estimated prevalence of school-aged children with comorbid pLTCs and mental health conditions in England remained stable since 1999, highlighting the need to prioritize mental health resources for children with physical health comorbidities.

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Incremental hospital utilization and mortality associated with co-morbid depression in pediatric hospitalizations

Cited by 8 publications

References 18 publications

Health care utilization in children and adolescents with psychiatric disorders

Health care utilization in children and adolescents with psychiatric disorders

Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort

Trends in comorbid physical and mental health conditions in children from 1999 to 2017 in England

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