Metabolic disturbances are associated with psychiatric readmission: results from a Swiss psychiatric cohort
Introduction High BMI has been associated with psychiatric rehospitalisation. Objectives We aimed to replicate this finding in a large Swiss psychiatric cohort and to examine whether other metabolic disturbances are independently associated with psychiatric readmission. Methods Data on 16’727 ho...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822002176/type/journal_article |
| _version_ | 1797616506109952000 |
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| author | N. Laaboub M. Gholam C. Dubath C. Grosu M. Piras K. Von Plessen A. Von Gunten P. Conus M. Preisig C. Eap |
| author_facet | N. Laaboub M. Gholam C. Dubath C. Grosu M. Piras K. Von Plessen A. Von Gunten P. Conus M. Preisig C. Eap |
| author_sort | N. Laaboub |
| collection | DOAJ |
| description |
Introduction
High BMI has been associated with psychiatric rehospitalisation.
Objectives
We aimed to replicate this finding in a large Swiss psychiatric cohort and to examine whether other metabolic disturbances are independently associated with psychiatric readmission.
Methods
Data on 16’727 hospitalizations of 7’786 patients admitted between January 1st, 2007 and December 31st, 2019 at the Department of Psychiatry of the Lausanne University Hospital, were collected. Metabolic syndrome was defined according to International Diabetes Federation definition. Generalized Linear Mixed Models were used to investigate the associations between psychiatric readmission and metabolic syndrome and/or its five components.
Results
The readmitted population (N=2’935; 37.7% patients) had higher BMI, and were more likely to have central obesity, hypertriglyceridemia, and hypertension. Multivariate analyses confirmed that having a BMI ≥ 25 kg.m-2 was associated with psychiatric readmission (25 kg.m-2≤ BMI< 30 kg.m-2: OR = 1.88; 95%CI [1.55-2.29]; BMI≥30 kg.m-2: OR = 3.5; 95%CI [2.85-4.30]) when compared to patients with 18.5≤BMI<25 kg.m-2. Interestingly, novel factors associated with readmission were identified including metabolic syndrome (OR = 1.57, 95%CI [1.05-2.33]), central obesity (OR = 1.81, 95%CI [1.33-2.46]), hypertriglyceridemia (OR = 1.59; 95%CI [1.38-1.83]), HDL hypocholesterolemia (OR = 1.22; 95%CI [1.06-1.40]) and hyperglycemia (OR = 1.58; 95%CI [1.35-1.85]).
Conclusions
Metabolic syndrome, central obesity, hypertriglyceridemia, HDL hypocholesterolemia, hyperglycemia and obesity were associated with psychiatric readmission. Possible causes will be presented and discussed (e.g. reduced adherence to treatment in patients with metabolic disorders, multiple psychotropic treatments in non-responders increasing the risk of metabolic worsening).
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:42:10Z |
| format | Article |
| id | doaj.art-6620b93fab7d48fa856aeefd39f48011 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:42:10Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-6620b93fab7d48fa856aeefd39f480112023-11-17T05:08:18ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S68S6810.1192/j.eurpsy.2022.217Metabolic disturbances are associated with psychiatric readmission: results from a Swiss psychiatric cohortN. Laaboub0M. Gholam1C. Dubath2C. Grosu3M. Piras4K. Von Plessen5A. Von Gunten6P. Conus7M. Preisig8C. Eap9Lausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, SwitzerlandLausanne University Hospital, Psychiatry, Prilly, Switzerland Introduction High BMI has been associated with psychiatric rehospitalisation. Objectives We aimed to replicate this finding in a large Swiss psychiatric cohort and to examine whether other metabolic disturbances are independently associated with psychiatric readmission. Methods Data on 16’727 hospitalizations of 7’786 patients admitted between January 1st, 2007 and December 31st, 2019 at the Department of Psychiatry of the Lausanne University Hospital, were collected. Metabolic syndrome was defined according to International Diabetes Federation definition. Generalized Linear Mixed Models were used to investigate the associations between psychiatric readmission and metabolic syndrome and/or its five components. Results The readmitted population (N=2’935; 37.7% patients) had higher BMI, and were more likely to have central obesity, hypertriglyceridemia, and hypertension. Multivariate analyses confirmed that having a BMI ≥ 25 kg.m-2 was associated with psychiatric readmission (25 kg.m-2≤ BMI< 30 kg.m-2: OR = 1.88; 95%CI [1.55-2.29]; BMI≥30 kg.m-2: OR = 3.5; 95%CI [2.85-4.30]) when compared to patients with 18.5≤BMI<25 kg.m-2. Interestingly, novel factors associated with readmission were identified including metabolic syndrome (OR = 1.57, 95%CI [1.05-2.33]), central obesity (OR = 1.81, 95%CI [1.33-2.46]), hypertriglyceridemia (OR = 1.59; 95%CI [1.38-1.83]), HDL hypocholesterolemia (OR = 1.22; 95%CI [1.06-1.40]) and hyperglycemia (OR = 1.58; 95%CI [1.35-1.85]). Conclusions Metabolic syndrome, central obesity, hypertriglyceridemia, HDL hypocholesterolemia, hyperglycemia and obesity were associated with psychiatric readmission. Possible causes will be presented and discussed (e.g. reduced adherence to treatment in patients with metabolic disorders, multiple psychotropic treatments in non-responders increasing the risk of metabolic worsening). Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822002176/type/journal_articlereadmissionpsychiatrymetabolic disturbances |
| spellingShingle | N. Laaboub M. Gholam C. Dubath C. Grosu M. Piras K. Von Plessen A. Von Gunten P. Conus M. Preisig C. Eap Metabolic disturbances are associated with psychiatric readmission: results from a Swiss psychiatric cohort European Psychiatry readmission psychiatry metabolic disturbances |
| title | Metabolic disturbances are associated with psychiatric readmission: results from a Swiss psychiatric cohort |
| title_full | Metabolic disturbances are associated with psychiatric readmission: results from a Swiss psychiatric cohort |
| title_fullStr | Metabolic disturbances are associated with psychiatric readmission: results from a Swiss psychiatric cohort |
| title_full_unstemmed | Metabolic disturbances are associated with psychiatric readmission: results from a Swiss psychiatric cohort |
| title_short | Metabolic disturbances are associated with psychiatric readmission: results from a Swiss psychiatric cohort |
| title_sort | metabolic disturbances are associated with psychiatric readmission results from a swiss psychiatric cohort |
| topic | readmission psychiatry metabolic disturbances |
| url | https://www.cambridge.org/core/product/identifier/S0924933822002176/type/journal_article |
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