Haddadin Rakahn, Aboujamra Danny, Merhavy Zachary I, Trad George, Ryan John, Shetty Kartika
Department of Internal Medicine, HCA Healthcare; MountainView Hospital, Las Vegas, NV, USA.
Department of Internal Medicine, Medical University of South Carolina (MUSC) Health Florence, SC, USA, Florence, SC 29505, USA.
Gastroenterology Res. 2024 Dec;17(5-6):212-216. doi: 10.14740/gr1765. Epub 2024 Nov 13.
As mental health awareness increases, healthcare professionals must understand the interplay between chronic gastrointestinal (GI) conditions and psychological well-being, particularly regarding healthcare utilization. This study uniquely aggregates various chronic GI disorders, such as inflammatory bowel disease, celiac disease, and eosinophilic esophagitis, to examine their impact on depression and anxiety.
Utilizing a retrospective observational design, we analyzed data from 34,876 patients admitted to HCA national hospitals from January 2016 to December 2022.
We found that patients with GI conditions and comorbid psychiatric disorders had significantly higher readmission rates and longer hospital stays compared to those without mental health diagnoses. Results indicated that patients with GI disorders and depression or anxiety were 1.29 times more likely to be readmitted within 90 days and had 1.50 times longer hospital stay.
These findings underscore the importance of integrated care approaches addressing physical and mental health in managing chronic GI conditions. Future research should focus on targeted interventions to enhance mental health management and improve outcomes in this vulnerable patient population.
随着心理健康意识的提高，医疗保健专业人员必须了解慢性胃肠道（GI）疾病与心理健康之间的相互作用，特别是在医疗保健利用方面。本研究独特地汇总了各种慢性胃肠疾病，如炎症性肠病、乳糜泻和嗜酸性食管炎，以检查它们对抑郁和焦虑的影响。
采用回顾性观察设计，我们分析了2016年1月至2022年12月期间入住HCA全国医院的34876例患者的数据。
我们发现，与没有心理健康诊断的患者相比，患有胃肠疾病和共病精神疾病的患者再入院率显著更高，住院时间更长。结果表明，患有胃肠疾病且伴有抑郁或焦虑的患者在90天内再次入院的可能性高出1.29倍，住院时间长1.50倍。
这些发现强调了在管理慢性胃肠疾病时采用综合护理方法解决身心健康问题的重要性。未来的研究应侧重于有针对性的干预措施，以加强心理健康管理并改善这一脆弱患者群体的治疗效果。
