Evidence map›Paper›PMID 32593912›Full record

ArticleGeneral hospital psychiatry

Medical comorbid diagnoses among adult psychiatric inpatients.

Matthew L Goldman, Christina Mangurian, Tom Corbeil, Melanie M Wall, Fei Tang, Morgan Haselden, Susan M Essock, Eric Frimpong, Franco Mascayano, Marleen Radigan and 5 more

Open access · greenAbstract read
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
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  7. The Efficacy of the Psychiatry Clerkship in Developing Students' Comprehensive Clinical Skills.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025
    Article
  8. Article
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  12. Surveying Child and Adolescent Inpatient Psychiatric Units: Demographics, Policies, and Practice.Evidence-based practice in child and adolescent mental health · 2024
    Article
  13. Article
  14. Article
  15. Editorial: Medical emergencies in psychiatry.Frontiers in psychiatry · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

Matthew L GoldmanDepartment of Psychiatry, University of California, San Francisco, United States of America. Electronic address: Matthew.Goldman@ucsf.edu.
Christina MangurianDepartment of Psychiatry, University of California, San Francisco, United States of America; UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital, United States of America.
Tom CorbeilNew York State Psychiatric Institute, United States of America.
Melanie M WallNew York State Psychiatric Institute, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, United States of America.
Fei TangOffice of Performance Measurement and Evaluation, New York State Office of Mental Health, United States of America.
Morgan HaseldenNew York State Psychiatric Institute, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, United States of America.
Susan M EssockDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, United States of America.
Eric FrimpongOffice of Performance Measurement and Evaluation, New York State Office of Mental Health, United States of America.
Franco MascayanoNew York State Psychiatric Institute, United States of America.
Marleen RadiganOffice of Performance Measurement and Evaluation, New York State Office of Mental Health, United States of America.
Matthew SchneiderDepartment of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Montefiore Medical Center, United States of America.
Rui WangOffice of Performance Measurement and Evaluation, New York State Office of Mental Health, United States of America.
Lisa B DixonNew York State Psychiatric Institute, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, United States of America.
Mark OlfsonNew York State Psychiatric Institute, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, United States of America.
Thomas E SmithNew York State Psychiatric Institute, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, United States of America.
Columbia University · USNew York State Office of Mental Health · USNew York State Psychiatric InstituteMontefiore Medical Center · USSan Francisco General Hospital · USUniversity of California, San Francisco · US

Funding

Hospital Discharge Planning and Transition to Outpatient Psychiatric CareR01MH106558 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI SMITH, THOMAS E · 2016 to 2019
$1.7M
NIMH NIH HHS R01 MH106558
6 · The paper itself

Abstract

objectiveShortened life expectancy of people with mental disorders has been attributed to medical comorbidities, yet these conditions remain under-recognized and under-treated. This study characterizes the medical demands placed on inpatient psychiatric units to help guide medical assessment and management practices in these settings.

methodsMedicaid claims records and clinician data were linked with hospital and regional data for individuals with a principal diagnosis of any mental disorder admitted to psychiatric inpatient units in New York State from 2012 to 2013. A modified Elixhauser Comorbidity Index (ECI) score was calculated for each unique individual (n = 14,458). Adjusted odds ratios (AORs) of having a medical comorbidity were calculated using logistic regression analyses.

results74.9% of psychiatric inpatients had at least one medical comorbidity, including 57.5% of people ages 18-24. Higher rates of medical comorbidity were associated with older age, female gender, non-schizophrenia diagnoses, and engagement in care prior to hospitalization. Patients with medical comorbidities had lower odds (AOR 0.54; 99% CI 0.35-0.83) of being treated in hospitals with 100 or more total beds compared to smaller hospitals.

conclusionsA high prevalence of common medical diagnoses among psychiatric inpatients underscores the importance of adequate detection and medical treatment of medical comorbidities in psychiatric inpatient settings.

Indexed as

AdolescentAdultAge FactorsComorbidityFemaleHospitalizationHumansInpatientsMaleMedicaidMental DisordersMiddle AgedNew YorkNoncommunicable DiseasesPrevalencePsychiatric Department, HospitalInpatient psychiatric careMedical comorbidity

Identifiers

PMID32593912
PMCPMC8684817
OpenAlexW3037023693

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.