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- Title
Patients with Psychiatric Disorders Require Greater Health-Care Resources after Injury.
- Authors
WARNACK, ELIZABETH; HYEMIN CHOI, BEATRIX; DIMAGGIO, CHARLES; FRANGOS, SPIROS; BUKUR, MARKO; MARSHALL, GARY; Choi, Beatrix Hyemin
- Abstract
The objective of this study was to assess whether patients with comorbid psychiatric conditions admitted after traumatic injury require greater health-care resource utilization. The trauma registry of a Level 1 trauma center was used to identify all adult trauma patients presenting from 2012 to 2015. Patients with psychiatric needs, identified as having either an ICD-9 code corresponding to a psychiatric disorder or requiring inpatient psychiatric consultation, were compared with controls, using propensity score matching. Patients with psychiatric disorders were more than three times more likely to present with penetrating injuries (odds ratio [OR] 3.5, P < 0.005). They had longer length of hospital stay (median 5 [IQR 2.5-11] vs. three days [IQR 1-7], P < 0.01), were approximately 70 per cent more likely to require ICU-level care (OR 1.68, P = 0.08), and were 80 per cent less likely to be discharged home (OR 0.18, P < 0.005). Trauma patients with psychiatric illness or need consume greater health-care resources.
- Subjects
NEW York (State); PSYCHIATRIC epidemiology; HOSPITAL care; LENGTH of stay in hospitals; INTENSIVE care units; MEDICAL needs assessment; MEDICAL care use; PENETRATING wounds; TRAUMA centers; WOUNDS &; injuries; COMORBIDITY; DISCHARGE planning; ACQUISITION of data; RETROSPECTIVE studies
- Publication
American Surgeon, 2018, Vol 84, Issue 12, p1889
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/000313481808401233