ArticlePloS one2023
Interaction of mental comorbidity and physical multimorbidity predicts length-of-stay in medical inpatients.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06651164 (Psychosomatic Risk Screening in the Inpatient Care of Physically Ill Patients), which is not on this map. Cited by 8 papers.
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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.
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.
Psychosomatic Risk Screening in the Inpatient Care of Physically Ill Patients: a Feasibility Study
Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Creating a service system architecture for people living with multiple long-term conditions.Future healthcare journal · 2026Article
- Psychosocial risk screening in the inpatient care of physically ill patients: study protocol for a feasibility study.BMJ open · 2026Article
- [Latent profile analysis of mental health literacy among nurses in tertiary general hospitals in Chongqing, China].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026Article
- Machine learning models incorporating somatic and mental comorbidities for prolonged length-of-stay prediction in a maximum care university hospital.BMC medical informatics and decision making · 2025Article
- Perceptions of Hospital Care Quality According to People Living With Multiple Long-Term Conditions: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Factors influencing the length of hospital stay of people experiencing homelessness.Frontiers in public health · 2025Article
- Association of the Tilburg Frailty Indicator with mortality, readmission, and healthcare contacts in adult patients with multimorbidity.Journal of multimorbidity and comorbidityArticle
- Associations between number and type of conditions and physical activity levels in adults with multimorbidity - a cross-sectional study from the Danish Lolland-Falster health study.Journal of multimorbidity and comorbidityArticle
Corrections and comments
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental comorbidities of physically ill patients lead to higher morbidity, mortality, health-care utilization and costs.
objectiveThe aim of the study was to investigate the impact of mental comorbidity and physical multimorbidity on the length-of-stay in medical inpatients at a maximum-care university hospital.
designThe study follows a retrospective, quantitative cross-sectional analysis approach to investigate mental comorbidity and physical multimorbidity in internal medicine patients. PATIENTS: The study comprised a total of n = 28.553 inpatients treated in 2017, 2018 and 2019 at a German Medical University Hospital. MAIN MEASURES: Inpatients with a mental comorbidity showed a median length-of-stay of eight days that was two days longer compared to inpatients without a mental comorbidity. Neurotic and somatoform disorders (ICD-10 F4), behavioral syndromes (F5) and organic disorders (F0) were leading with respect to length-of-stay, followed by affective disorders (F3), schizophrenia and delusional disorders (F2), and substance use (F1), all above the sample mean length-of-stay. The impact of mental comorbidity on length-of-stay was greatest for middle-aged patients. Mental comorbidity and Elixhauser score as a measure for physical multimorbidity showed a significant interaction effect indicating that the impact of mental comorbidity on length-of-stay was greater in patients with higher Elixhauser scores.
conclusionsThe findings provide new insights in medical inpatients how mental comorbidity and physical multimorbidity interact with respect to length-of-stay. Mental comorbidity had a large effect on length-of-stay, especially in patients with high levels of physical multimorbidity. Thus, there is an urgent need for new service models to especially care for multimorbid inpatients with mental comorbidity.
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