Häuser Winfried, Wilhelm-Schwenk Ruth, Klein Walter, Zimmer Christoph, Krause-Wichmann Daniel
Medizinische Klinik I (Gastroenterologie, Hepatologie, Stoffwechsel- und Infektionskrankheiten, Psychosomatik), Klinikum Saarbrücken, Saarbrücken, Germany.
Psychother Psychosom Med Psychol. 2006 Sep-Oct;56(9-10):370-5. doi: 10.1055/s-2006-940179.
The influence of psychiatric comorbidity (ICD-10 categories F1, F3, F4 and F5) on the length of hospital stay of 4936 medical inpatients of two medical departments of a hospital of tertiary care level was studied. In 994/4936 patients (20.2%) at least one F (1,3,4,5)-diagnosis had been coded. 160/994 patients (16.1%) had undergone psychosomatic consultation (CL) service treatment. The median of the time of from admission until first contact with CL-service was 3 days. Patients with psychiatric comorbidity had a significant longer hospital stay (median stay without CL-service 5 days, with CL-service 8 days) than patients with no F-diagnoses coded (4 days) (p<0.01). There were no differences as to patient complication and complexity level PCCL between the three groups. Even within a diagnosis related groups system psychiatric comorbidity has a negative effect on the length of hospital stay.
研究了精神疾病共病（国际疾病分类第十版（ICD - 10）中的F1、F3、F4和F5类别）对一家三级医疗水平医院两个内科的4936名内科住院患者住院时间的影响。在4936名患者中有994名（20.2%）至少有一项F（1、3、4、5）诊断被编码。160名/994名患者（16.1%）接受了心身咨询（CL）服务治疗。从入院到首次接触CL服务的时间中位数为3天。有精神疾病共病的患者住院时间显著长于未编码F诊断的患者（无CL服务时住院时间中位数为5天，有CL服务时为8天，无F诊断患者为4天）（p<0.01）。三组之间在患者并发症和复杂程度水平（PCCL）方面没有差异。即使在诊断相关分组系统内，精神疾病共病也会对住院时间产生负面影响。
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