合并物质使用和精神障碍的住院治疗和住院费用。

Hospitalizations and hospital charges for co-occurring substance use and mental disorders.

机构信息

The Health Education and Promotion Program, Kent State University, Kent, Ohio 44242, USA.

出版信息

J Subst Abuse Treat. 2011 Jun;40(4):366-75. doi: 10.1016/j.jsat.2010.12.005. Epub 2011 Feb 25.

DOI:10.1016/j.jsat.2010.12.005

Abstract

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.

摘要

大多数已发表的研究都考察了心理健康患者的共病情况。我们的目的是比较伴有和不伴有共病的酒精或物质相关障碍住院患者的住院时间和住院费用。我们分析了全国代表性的医院出院数据（全国住院患者样本，2003-2007 年），并考察了与住院时间和住院费用相关的因素。在因酒精或物质相关障碍住院的患者中，44%被诊断为共患精神障碍，这代表了 2003 年至 2007 年间全国范围内有 979,421 例此类共病。女性、白人、有保险支付的患者、以及在大型、农村、非教学和中西部地区医院住院的患者，共病的发生率较高。共病与住院时间延长有关，但每次出院的住院费用结果不一。伴有物质相关障碍的住院患者中，共病的发生率增加可能是由于诊断和临床关注度的提高。