Evidence map›Paper›PMID 32982246›Full record

ArticleNeuropsychiatric disease and treatment2020

Physical Comorbidities are Independently Associated with Higher Rates of Psychiatric Readmission in a Chinese Han Population.

Chunyu Yang, Xiaomei Zhong, Huarong Zhou, Zhangying Wu, Min Zhang, Yuping Ning

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Article in Neuropsychiatric disease and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Chunyu Yang *The First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, People's Republic of China.
Xiaomei Zhong *The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.
Huarong ZhouThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.
Zhangying WuThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.
Min ZhangThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.
Yuping NingThe First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn people with psychosis, physical comorbidities are highly widespread and leading contributors to the untimely death encountered. Readmission rates in psychiatric patients are very high. Somatic comorbidities could be one of the considerable risk factors for psychiatric rehospitalization. Nevertheless, much less is known about the relation between physical comorbidities and psychiatric readmission. We aimed to investigate the association between physical comorbidities and psychiatric readmission in Han Chinese patients with psychiatric disorders.

methodsWe used administrative data for January 1, 2009 to December 31, 2018 from the headquarters of the Affiliated Brain Hospital of Guangzhou Medical University to identify adults with schizophrenia, unipolar depression or bipolar disorder discharged from hospital. Data were extracted on sociodemographic and clinical characteristics. The Charlson comorbidity index (CCI) was used to assess the existence of significant physical comorbidity. Cox proportional hazards regression estimated rehospitalization risk after discharge.

resultsA total of 15,620 individuals were included in this study, with the mean age of 35.1 years (SD = 12.8), and readmission occurred for 23.6% of participants. Survival analysis showed that physical comorbidities were statistically and significantly associated with psychiatric readmission, even after the adjustment for the number of psychiatric comorbidities, other sociodemographic and clinical variables.

conclusionOur results suggest that somatic comorbidities are related with higher rates of psychiatric readmission. Hence, to treat psychosis more effectively and to reduce rehospitalization, it is crucial to treat physical comorbidities promptly and adequately. It is absolutely necessary to bring somatic comorbidities to the forefront of psychiatric treatment and research.

Indexed as

physical comorbiditypsychiatric disorderreadmissionsurvival analysis

Identifiers

PMID32982246
PMCPMC7494391

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