Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective study
This study aims to evaluate clinical correlates of psychiatric comorbidity and length of hospitalization in patients admitted in a general hospital emergency medicine setting. Overall, 160 patients hospitalized for different acute medical pathologies were selected consecutively over 12 months. All...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-03-01
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| Series: | Emergency Care Journal |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/ecj/article/view/10216 |
| _version_ | 1828364368636542976 |
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| author | Stefano Pini Antonella Benvenuti Bruno Pacciardi Gabriele Massimetti Marianna Abelli Gabriele Sapia Francesco Pardini Lucia Massa Mario Miniati Gianluca Salarpi Francesco Forfori Laura Palagini |
| author_facet | Stefano Pini Antonella Benvenuti Bruno Pacciardi Gabriele Massimetti Marianna Abelli Gabriele Sapia Francesco Pardini Lucia Massa Mario Miniati Gianluca Salarpi Francesco Forfori Laura Palagini |
| author_sort | Stefano Pini |
| collection | DOAJ |
| description |
This study aims to evaluate clinical correlates of psychiatric comorbidity and length of hospitalization in patients admitted in a general hospital emergency medicine setting. Overall, 160 patients hospitalized for different acute medical pathologies were selected consecutively over 12 months. All subjects were evaluated with proper forms to collect data on medical and psychiatric diagnoses. Levels of C-reactive protein were also measured in all patients. Statistical analyses were conducted with univariate, logistic, and multiple linear regressions. Patients with psychiatric comorbidity had significantly longer hospitalization than did patients with no psychiatric diagnoses (days 10.9±9.5 vs. 6.9±4.5, p<0.005). Agitation and delirium were more frequent in the psychiatry comorbidity study group (p<0.05), as was cognitive impairment (p=0.001). These variables predicted longer hospitalisation (respectively: t=-3.27, p=0.002; t=-2.64, p=0.009; t=-2.85, p=0.006). Psychiatric comorbidity acts as an adjunct factor in determining clinical severity and predicting a more difficult recovery in patients hospitalized in an emergency medicine setting.
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| first_indexed | 2024-04-14T05:14:50Z |
| format | Article |
| id | doaj.art-cc252597765f40688973583abf70ec54 |
| institution | Directory Open Access Journal |
| issn | 1826-9826 2282-2054 |
| language | English |
| last_indexed | 2024-04-14T05:14:50Z |
| publishDate | 2022-03-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj.art-cc252597765f40688973583abf70ec542022-12-22T02:10:25ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542022-03-0118110.4081/ecj.2022.10216Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective studyStefano Pini0Antonella Benvenuti1Bruno Pacciardi2Gabriele Massimetti3Marianna Abelli4Gabriele Sapia5Francesco Pardini6Lucia Massa7Mario Miniati8Gianluca Salarpi9Francesco Forfori10Laura Palagini11Department of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Surgery, Medical, Molecular and Critical Area, University of PisaDepartment of Clinical and Experimental Medicine, University of Pisa This study aims to evaluate clinical correlates of psychiatric comorbidity and length of hospitalization in patients admitted in a general hospital emergency medicine setting. Overall, 160 patients hospitalized for different acute medical pathologies were selected consecutively over 12 months. All subjects were evaluated with proper forms to collect data on medical and psychiatric diagnoses. Levels of C-reactive protein were also measured in all patients. Statistical analyses were conducted with univariate, logistic, and multiple linear regressions. Patients with psychiatric comorbidity had significantly longer hospitalization than did patients with no psychiatric diagnoses (days 10.9±9.5 vs. 6.9±4.5, p<0.005). Agitation and delirium were more frequent in the psychiatry comorbidity study group (p<0.05), as was cognitive impairment (p=0.001). These variables predicted longer hospitalisation (respectively: t=-3.27, p=0.002; t=-2.64, p=0.009; t=-2.85, p=0.006). Psychiatric comorbidity acts as an adjunct factor in determining clinical severity and predicting a more difficult recovery in patients hospitalized in an emergency medicine setting. https://www.pagepressjournals.org/index.php/ecj/article/view/10216Psychiatric comorbidityemergency medicineoutcomeC-reactive protein |
| spellingShingle | Stefano Pini Antonella Benvenuti Bruno Pacciardi Gabriele Massimetti Marianna Abelli Gabriele Sapia Francesco Pardini Lucia Massa Mario Miniati Gianluca Salarpi Francesco Forfori Laura Palagini Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective study Emergency Care Journal Psychiatric comorbidity emergency medicine outcome C-reactive protein |
| title | Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective study |
| title_full | Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective study |
| title_fullStr | Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective study |
| title_full_unstemmed | Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective study |
| title_short | Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective study |
| title_sort | characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization a retrospective study |
| topic | Psychiatric comorbidity emergency medicine outcome C-reactive protein |
| url | https://www.pagepressjournals.org/index.php/ecj/article/view/10216 |
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