Psychiatric Comorbidity and Length of Stay in the General Hospital

Saravay, Stephen M.; Lavin, Michael R.

doi:10.1016/s0033-3182(94)71772-2

Cited by 201 publications

(110 citation statements)

References 39 publications

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“…3,[7][8][9] The present study is the fi rst of its kind to quan titatively assess the effect of psychiatry consul tation on pediatric hospitalizations. Similar to the adult literature, we found that earlier psychiatry consulta tion was associated with shorter hos pitalization.…”

Section: Discussionmentioning

confidence: 99%

Effect of Timing of Psychiatry Consultation on Length of Pediatric Hospitalization and Hospital Charges

Bujoreanu

White

Gerber

et al. 2015

Hospital Pediatrics

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Objectives: The purpose of this study was to evaluate the impact of timing of a psychiatry consultation during pediatric hospitalization on length of hospital stay and total hospitalization charges. Methods: The charts of 279 pediatric patients (totaling 308 consultations) referred to the psychiatry consultation liaison service at a freestanding tertiary pediatric hospital between January 1, 2010, and June 30, 2010 were retrospectively analyzed. The variables analyzed included the following: patient demographic characteristics; dates of admission, psychiatric consultation, and discharge; psychiatric diagnoses based on the psychiatric diagnostic evaluation; psychiatric treatment disposition; and illness severity and total charges associated with the medical stay. Results: Earlier psychiatry consultation was associated with shorter length of stay and lower hospitalization charges after adjusting for psychiatric functioning, physical illness severity, and psychiatric disposition. Poorer psychiatric functioning and milder physical illness were associated with shorter referral time. Conclusions: Timely involvement of psychiatry consultation services during a medical or surgical hospitalization was associated with reductions in length of stay and total hospital charges in pediatric settings. These findings have important effects on quality of care via decreasing burden on the patient and family and on the medical system resources. Educating pediatric health care providers about the importance of early psychiatry consultation regardless of physical illness severity or psychiatric acuity will likely improve resource management for patients and hospitals.

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Section: Discussionmentioning

confidence: 99%

Effect of Timing of Psychiatry Consultation on Length of Pediatric Hospitalization and Hospital Charges

Bujoreanu

White

Gerber

et al. 2015

Hospital Pediatrics

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“…Reviews based on the opinions of leaders in the field in the different European countries report a wide variation in service delivery, suggesting a haphazard development of the field [2]. C-L patients belong to the group of patients with longer lengths of hospital stay, indicating that they belong to a hospital population of greater complexity [9]. Although liaison constitutes half the name of C-L, the proportion of consults generated by liaison activities-the more preventive and integrated form of service delivery-has never been well established [10].…”

Section: Introductionmentioning

confidence: 99%

Consultation-Liaison psychiatric service delivery: results from a European study

Huyse

Herzog

Lobo

et al. 2001

General Hospital Psychiatry

139

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The reported findings of the European Consultation-Liaison Workgroup (ECLW) Collaborative Study describe consultation-liaison service delivery by 56 services from 11 European countries aggregated on a C-L service level. During the period of 1 year (1991), the participants applied a standardized, reliability tested method of patient data collection, and data were collected describing pertinent characteristics of the hospital, the C-L service, and the participating consultants. The consultation rate of 1% (median; 1.4% mean) underscores the discrepancy between epidemiology and the services delivered. The core function of C-L services in general hospitals is a quick, comprehensive emergency psychiatric function. Reasons to see patients were the following. deliberate self-harm (17%), substance abuse (7.2%), current psychiatric symptoms (38.6%), and unexplained physical complaints (18.6%) (all means). A significant number of patients are old and seriously ill. Mood disorders and organic mental disorders are most predominant (17.7%). Somatoform and dissociative disorders together constitute 7.5%. C-L services in European countries are mainly emergency psychiatric services and perform an important bridge function between primary, general health, and mental health care.

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“…B. nächtliche Unruhe oder Verirren auf der Station sowie das Ablehnen von Nahrung) -, die oftmals eine wesentlich längere und mit hohen Kosten verbundene Aufenthaltsdauer zur Folge haben. 3 …”

Section: Die Ausgangslageunclassified

Demenz und Ethik – Personen mit Demenz im Akutkrankenhaus

Heil¹

2017

GGP

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Psychiatric Comorbidity and Length of Stay in the General Hospital

Cited by 201 publications

References 39 publications

Effect of Timing of Psychiatry Consultation on Length of Pediatric Hospitalization and Hospital Charges

Effect of Timing of Psychiatry Consultation on Length of Pediatric Hospitalization and Hospital Charges

Consultation-Liaison psychiatric service delivery: results from a European study

Demenz und Ethik – Personen mit Demenz im Akutkrankenhaus

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