Hospitalizations and hospital charges for co-occurring substance use and mental disorders
Hospitalizations and hospital charges for co-occurring substance use and mental disorders
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DOI：
10.1016/j.jsat.2010.12.005
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发表时间：
2011-06-01
影响因子：
3.9
通讯作者：
Skinstad, Anne Helene
中科院分区：
文献类型：
--
作者：
Ding, Kele;Yang, Jingzhen;Skinstad, Anne Helene
大多数已发表的研究都检查了心理健康患者中并发的疾病。我们的目的是比较患有酒精或物质相关疾病（伴有或不伴有并发疾病）的住院患者的住院时间和住院费用。我们分析了具有全国代表性的出院数据（全国住院患者样本，2003-2007 年），并研究了与住院时间和住院费用相关的因素。因酒精或物质相关疾病住院的患者中有 44% 被诊断患有并发精神障碍，即 2003 年至 2007 年间全国此类疾病有 979,421 例。女性、白种人、缴纳保险的患者以及住在大型、农村、非教学和中西部地区医院的患者并发疾病的患病率很高。并发疾病与较长的住院时间有关，但每次出院的住院费用的结果好坏参半。患有物质相关疾病的住院患者中并发疾病的增加可能是由于诊断和临床关注的改进。由爱思唯尔公司出版
Most published studies have examined co-occurring disorders among mental health patients. Our objective was to compare the length of stay and hospital charges between hospitalized patients with alcohol- or substance-related disorders with and without co-occurring disorders. We analyzed nationally representative hospital discharge data (Nationwide Inpatient Sample, 2003-2007) and examined factors associated with length of stay and hospital charges. Forty-four percent of patients who were hospitalized with alcohol- or substance-related disorders were diagnosed with co-occurring mental disorders, representing 979,421 such disorders nationwide between 2003 and 2007. Females, those of White race, those who paid with insurance, and those who stayed in large, rural, nonteaching, and Midwest region hospitals had a high prevalence of co-occurring disorders. Co-occurring disorders were associated with longer hospital stays, but there were mixed results with hospital charges per discharge. An increase in co-occurring disorders among hospitalized patients with substance-related disorder may be due to the improvement in diagnosis and clinical attention. Published by Elsevier Inc.