Psychiatric Comorbidity and Length of Stay in a general hospital

Introduction Psychiatric comorbidity has a significant impact on the patient’s overall health, with an increased risk of death for those patients with mental-physical comorbidity (Tan et al., 2021). This impacts, among other things, the average hospital stay of a patient with psychiatric comorbidity. For example, an American study shows that psychiatric comorbidity was associated with greater inpatient utilization, including the risk of additional hospitalizations, days of stay, and hospitalization charges (Sayers et al., 2007). Our study aims to confirm these results in patients admitted to a general hospital for any cause and presenting psychiatric comorbidity. Objectives To compare the mean length of stay of patients admitted to a general hospital for any cause according to whether they have psychiatric comorbidity or not. Methods We made a descriptive retrospective study through the use of electronic medical records. The drug use history and average day of hospitalization were obtained for all patients admitted to the inpatient service of a general hospital during a 3-year period. Results The mean length of stay was longer in patients with psychiatric comorbidity (mean = 9.87 days, SD = 15.45) than in patients without psychiatric comorbidity (mean = 5.23 days, SD = 7.16), the difference being statistically significant for the analysis of variance with a small effect size (F = 18.2; p < 0.001, η²=0.038). The assumption of the equality of variances of the two groups is not fulfilled (Levene F = 29.0; p < 0.01) so Welch’s nonparametric test was applied, whose results do not modify those obtained. N Mean SD SE No psychiatric comorbidity 296 5.23 7.16 0.416 Psychiatric comorbidity 238 9.87 15.45 1.002 Conclusions Our results are in line with other studies, showing a longer mean length of stay in those patients admitted for any cause and with associated psychiatric comorbidity. This highlights the importance of having an integrated psychiatry service in a general hospital, as Bronson points out, where they find a shorter mean length of stay in units that have integrated, proactive psychiatric care (Bronson et al., 2019). References Bronson, B. D., Alam, A., & Schwartz, J. E. (2019). The Impact of Integrated Psychiatric Care on Hospital Medicine Length of Stay: A Pre-Post Intervention Design With a Simultaneous Usual Care Comparison. Psychosomatics. Sayers, S. L., Hanrahan, N., Kutney, A., Clarke, S. P., Reis, B. F., & Riegel, B. (2007). Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure. Journal of the American Geriatrics Society. Tan, X. W., Lee, E. S., Toh, M., Lum, A., Seah, D., Leong, K. P., Chan, C., Fung, D., & Tor, P. C. (2021). Comparison of mental-physical comorbidity, risk of death and mortality among patients with mental disorders - A retrospective cohort study. Journal of psychiatric research. Disclosure of Interest None Declared

Introduction: Spine Clearance; which means; SB is a congenital disease .In the first month of pregnancy, the unborn baby's spine does not close properly is the result .In the spinal cord due to a developmental disorder often causes serious permanent disability .Multi-system associated with this congenital anomaly affected, families with infants and these infants are faced with major challenges in the future.Often the expectations of all parents is to have a normal, healthy children.The birth of a disabled child in the family, family members, their (lives, feelings , behaviors , social life) is a condition that affects negatively.Objectives: The SCL-90 is a self repost clinical rating scale oriented toward the symptomatic behavior of psychiatric outpatients.The primary symptom dimensions measured by the SCL-90 are the nine symptom constructs given below: somatization, obsessivecompulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychotism.Introduction: Psychiatric comorbidity has a significant impact on the patient's overall health, with an increased risk of death for those patients with mental-physical comorbidity (Tan et al., 2021).This impacts, among other things, the average hospital stay of a patient with psychiatric comorbidity.For example, an American study shows that psychiatric comorbidity was associated with greater inpatient utilization, including the risk of additional hospitalizations, days of stay, and hospitalization charges (Sayers et al., 2007).Our study aims to confirm these results in patients admitted to a general hospital for any cause and presenting psychiatric comorbidity.Objectives: To compare the mean length of stay of patients admitted to a general hospital for any cause according to whether they have psychiatric comorbidity or not.Methods: We made a descriptive retrospective study through the use of electronic medical records.The drug use history and average day of hospitalization were obtained for all patients admitted to the inpatient service of a general hospital during a 3-year period.Results: The mean length of stay was longer in patients with psychiatric comorbidity (mean = 9.87 days, SD = 15.45)than in patients without psychiatric comorbidity (mean = 5.23 days, SD = 7.16), the difference being statistically significant for the analysis of variance with a small effect size (F = 18.2; p < 0.001, η²=0.038).The assumption of the equality of variances of the two groups is not fulfilled (Levene F = 29.0;p < 0.01) so Welch's nonparametric test was applied, whose results do not modify those obtained.
Conclusions: Our results are in line with other studies, showing a longer mean length of stay in those patients admitted for any cause and with associated psychiatric comorbidity.This highlights the importance of having an integrated psychiatry service in a general hospital, as Bronson points out, where they find a shorter mean length of stay in units that have integrated, proactive psychiatric care (Bronson et al., 2019) 2007).Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure.Journal of the American Geriatrics Society.Tan, X. W., Lee, E. S., Toh, M., Lum, A., Seah, D., Leong, K. Introduction: Spina Bifida (SB) is a closure defect of the neural tube.Affecting multiple systems of the body, this disease also affects families psychologically.Objectives: In this study, our aim was to investigate levels of psychiatric symptoms, depression, anxiety, despair and coping with stress in parents of children with Spina Bifida.Methods: From the follow-up patients' families of our hospital's neurosurgery unit, a total number of 80 parents were included in this study.Sociodemographic data form, The Structured Clinical Interview -Clinical Version (SCID-I / CV) for DSM-IV Axis Diagnosis, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Symptom Checklist (SCL-90-R), Beck Hopelessness Scale (BHS) and Coping with Stress Scale were performed.Results: The mean age of parents of children with Spina Bifida diagnosis was 34.44AE7.00.Psychiatric symptoms and inventory scores are displayed on the table.
Conclusions: It was determined that psychiatric symptoms such as anxiety, depression, difficulty in coping with stress can be seen among parents of children with SB.This suggests that parents of patients with diseases like SB should get the needed psychiatric help and supportive care during the course of treatment.Objectives: Having a disabled child or to observe deficiency in a child regardless of its level is a highly stressful situation for the families.To take care of such children causes an emotional and physical burden on the parents.Thus, this leads to an increase in the level of depression and anxiety on these individuals, causes health related problems and an increase in the drug usage.Methods: Beck depression Inventory and stress coping strategies scale have been applied to 66 parents consisting of 39 female and 27 males.The cut-off scores for Beck Depression Inventory were 1-10 for normal, 11-16 for mild mood disturbance, 17-20 for borderline clinical depression, 21-30 for moderate depression, 31-40 for severe depression.For stress coping strategies scale higher scores correlated with the intensity of coping mechanisms listed on the scale.Results: Acquired data from 66 parents show a positive correlation between Beck Depression Inventory and Stress coping strategies scale

Disclosure of
P., Chan, C., Fung, D., & Tor, P. C. (2021).Comparison of mentalphysical comorbidity, risk of death and mortality among patients with mental disorders -A retrospective cohort study.Journal of psychiatric research.Disclosure of Interest: None Declared EPP0951 Psychiatric Features of Parents of Children with Spina Bifida V. Ozer 1 *, P. Ulual 1 , I. Alataş 2 , R. Çetiner 3 , D. Uğurlar 3 , F. Izci 2 and O. Güçlü 1 Interest: None Declared EPP0952 Corelation between Beck Depression Inventory and stress coping strategies scale on parents of children with Spina Bifida V. Ozer 1 *, P. Ulual 1 , G. Orhaner 2 , I. Alataş 3 , R. Çetiner 4 and O. Güçlü 1 Introduction: Spina Bifida(SB), in other terms called spine openness, is a prenatal disease occur due to improper closure of the spine of the fetus during the first months of the pregnancy.
Marital adjustment test: A 15-item scale that measures marital satisfaction.It was initially used to differentiate well-adjusted couples from distressed (unsatisfied) couples.The 15 items are answered on a variety of response scales.Methods: In this study; The SCL-90 and Marital Adjustment Test have been applied on parents of children with Spina Bifida.A total of 40 person was used which is 25 women and 15 men.The study show that parents who have somatization problems are not align with their partners.Participants have symptomatic problems because of their children health situation can cause an unaligned marriage.This suggests that parents of patients with diseases like SB should get the needed psychiatric help and supportive care during the course of treatment.

Table 1 :
Clinic Inventory Scores of Cases