Somatische Komorbidität im stationär psychiatrischen Bereich – eine Analyse administrativer Daten

Friedrich, Fabian; Litvan, Zsuzsa; Freidl, Marion

doi:10.1007/s40211-015-0135-0

Cited by 4 publications

(5 citation statements)

References 24 publications

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“…Очень интересное исследование из Австрии [23] раскрывает вопрос коморбидности соматической патологии в психиатрии с новой точки зрения, а именно в контексте организации здравоохранения. Использовали частично агрегированные административные данные из рутинной диагностической документации австрийских больниц.…”

Section:  результатыunclassified

“…Из 19 смертей в течение периода исследования 18 (94,7%) были среди пациентов среднего возраста (<75 лет). Средняя потенциальная потерянная продолжительность жизни составила 22,3 года (SD 10,8, n=18, 95% CI 16,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]6). Респираторные заболевания (44,4%, n=8) были основной причиной естественной смерти, за которой следовали желудочно-кишечные заболевания (38,9%, n=7), сердечно-сосудистые заболевания (11,1%, n=2) и заболевания почек (5,6%, n=1).…”

Section:  результатыunclassified

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Premature Mortality among Patients with Mental Disorders: An International Literature Review

Дарьин¹,

Амбарцумян²,

Питель³

2023

Психиатрия, Психотерапия И Клиническая Психология

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В статье представлен нарративный несистематический обзор литературы на тему причин и структуры преждевременной смертности среди психически больных. Смертность среди людей с психическими заболеваниями стабильно выше, чем в среднем по популяции. Исследования указывают на более высокие риски смертности у данной категории пациентов, чем у населения в целом. Сейчас наибольшее число случаев смерти связаны с сердечно-сосудистыми и респираторными заболеваниями. С увеличением ожидаемой продолжительности жизни среди населения в целом разница в показателях смертности среди людей с психическими заболеваниями и в общей популяции будет увеличиваться. Без разработки альтернативных подходов к укреплению физического здоровья людей с психическими заболеваниями и к их лечению повышенная смертность среди психически больных будет сохраняться. Цель исследования. Изучить и обобщить данные о причинах и показателях смертности пациентов, имеющих психические заболевания, от основных групп соматических заболеваний. Материалы и методы. Проведен несистематический поиск иностранных источников в базе данных PubMed. Поиск статей осуществлен по ключевым словам: «mental disorders», «mortality rate», «mortality causes of death», «mortality statistics». Включались полнотекстовые статьи, находящиеся в открытом доступе, либо без открытого доступа при наличии абстракта. The article provides a narrative, nonsystematic review of the literature on the causes and structure of premature mortality among the psychiatric population. Mortality rate among people with mental illness is consistently higher than in the population average Research indicates higher mortality risks in these patients if compared to general population. Currently, the largest numbers of mortalities are related to cardiovascular and respiratory diseases. As life expectancy in the general population increases, the difference in mortality rates between individuals with mental illness and the general population is going to widen. Unless alternative approaches to improving physical health and treatment of individuals with mental illnesses are elaborated, the increased mortality rate among psychiatric populations will persist. Purpose of the study. To study and summarize data on reasons and mortality rates in patients with mental illnesses died due to the main groups of somatic diseases. Materials and methods. A non-systematic search for foreign sources in the database PubMed was performed. Articles were searched using such keywords as: "mental disorders," "mortality rate," "mortality causes of death," and "mortality statistics". Full-text articles were included either available in free access or without free access if abstracts were present.

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Section:  результатыunclassified

Premature Mortality among Patients with Mental Disorders: An International Literature Review

Дарьин¹,

Амбарцумян²,

Питель³

2023

Психиатрия, Психотерапия И Клиническая Психология

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“…For example, the prevalence of depression is 1.5 to 3 times higher in people with diabetes mellitus [ 5 , 6 ]. On the other hand, people with several mental illnesses (SMIs), such as depression, bipolar disorder, schizophrenia, and anxiety disorder, have an increased risk of somatic comorbidity [ 3 , 7 , 8 ], especially cardiovascular [ 3 , 9 ] and metabolic diseases [ 10 ]. The increased prevalence of somatic disorders is associated with an increased need for somatic healthcare.…”

Section: Introductionmentioning

confidence: 99%

The somatic care of patients with comorbid mental disorders: protocol of a mixed-methods study aiming to identify barriers to and enablers of utilization of somatic healthcare (SoKo)

Groß,

Schellartz,

Zielasek

et al. 2023

BMC Health Serv Res

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Background Healthcare for people with somatic and comorbid mental diseases can pose a challenge to the healthcare system. The aim of the SoKo study (the Somatic care of patients with mental Comorbidity) is to assess the current state of care and the facilitators and barriers of somatic care of people with somatic disorders and comorbidity of a mental disorder. Methods The study is conducted as a mixed-methods approach and will include (a) descriptive and inferential analysis of secondary claims data of persons insured by a German statutory health insurance company in North Rhine-Westphalia (Techniker Krankenkasse, TK-NRW), (b) qualitative individual interviews and group discussions, and (c) based on (a) and (b), quantitative surveys of both patients and physicians. We intend to analyse a sample of claims data of about 2.6 million persons insured by TK-NRW (group comparisons between TK-NRW insured persons with a diagnosis of a prevalent somatic disease [ICD-10-GM E01–E07, E11, E66, I10–I15, I20–I25, I60–I64] with and without comorbidity of a mental disorder [F00–F99]), in order to assess the uptake of somatic care by people with mental and somatic comorbidity. In addition, primary data from patients with the aforementioned somatic illnesses and a mental comorbidity as well as primary data from physicians (general practitioners and medical specialists) will be collected. The focus here will be on support factors and barriers in the somatic care of people with mental comorbidity. Discussion Up to now, there have been no published results of a systematic collection of both secondary and primary data on the utilisation of different care services of somatically ill patients with mental comorbidity for Germany. The present mixed-methods study aims to address this gap. Trial registration The trial is registered with the German Clinical Trials Register DRKS: DRKS00030513. The trial was registered on 3rd February 2023.

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“…Patients with psychiatric and medical illnesses experience loss of independence, an inferior quality of life, and disproportional increases in care utilization and costs [ 1 , 5 – 8 ]. In addition, medical comorbidity accounts for most of the excess mortality in psychiatric patients [ 7 , 9 – 12 ]. Deficiencies in the quality of medical care for these patients add to this excess: a mismatch of health preferences and care arrangements [ 13 ], reduced accessibility due to stigma [ 13 – 15 ], and difficulties in managing patients’ care avoidance and challenging behaviors [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Hospital healthcare utilizers with medical and psychiatric claims in the Netherlands: a nationwide study

Schijndel

Jansen

Busschbach³

et al. 2022

BMC Health Serv Res

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Background Psychiatric and medical multimorbidity is associated with low quality of life, poor functioning and excess mortality. Differences in healthcare utilization between those receiving co-occurring medical and psychiatric healthcare (HUMPCs) and those only receiving medical (HUMCs) or only psychiatric healthcare (HUPCs) may indicate differences in care accessibility, help-seeking behavior and the risk patterns of medical illness. We aimed to assess the occurrence of psychiatric diagnostic groups in HUMPCs compared to HUPCs and to compare their medical and psychiatric claims expenditures. Methods Using Dutch claims data covering psychiatric and medical hospital care in 2010–2011, healthcare utilization differences between HUMPCs and HUPCs were expressed as differences and ratios, accounting for differences in age and sex between groups. Median claims expenditures were then compared between HUMPCs and HUPCs. Results HUMPCs had 40% higher median medical cost of claims compared to HUMCs and a 10% increased number of psychiatric claims compared to HUPCs. HUMPCs were more often diagnosed with: organic disorders; behavioral syndromes associated with physiological disturbances and physical factors; mood [affective] disorders; neurotic, stress related and somatoform disorders; and disorders of adult personality and behavior. By contrast, disorders of psychological development, schizophrenia, schizotypal and delusional disorders, behavioral and emotional disorders with usual onset occurring in childhood, and mental and behavioral disorders due to psychoactive substance abuse were less often diagnosed in this group. Conclusions Both medical and psychiatric disease become more costly where both are present. For HUMPCs the costs of both medical and psychiatric claims for almost all diagnostic groups were higher than for HUPCs and HUMCs.

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Somatische Komorbidität im stationär psychiatrischen Bereich – eine Analyse administrativer Daten

Abstract: Physical diagnoses are very common among psychiatric inpatients. Mass screening and specialized prevention programs should be evaluated regarding their effectiveness for this population.

Cited by 4 publications

References 24 publications

Premature Mortality among Patients with Mental Disorders: An International Literature Review

Premature Mortality among Patients with Mental Disorders: An International Literature Review

The somatic care of patients with comorbid mental disorders: protocol of a mixed-methods study aiming to identify barriers to and enablers of utilization of somatic healthcare (SoKo)

Hospital healthcare utilizers with medical and psychiatric claims in the Netherlands: a nationwide study

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