M S Richter
Standards for perinatal education. Part 1
Curationis
reducing burden pediatric mental illness requires greater knowledge mental health substance abuse mhsa outcomes children increased risk primary psychiatric illness national data hospital care psychiatric illness children epilepsy limited used kids inpatient database kid healthcare cost utilization project hcup agency healthcare research quality 2003 2009 examine mhsa hospitalization patterns children comorbid epilepsy nonparametric regression analyses determined association comorbid epilepsy specific mhsa diagnoses examined impact epilepsy length stay los mhsa diagnoses controlling demographic payer hospital characteristics observed 353319 weighted mhsa hospitalizations children ages 620 3280 involved child epilepsy depression common mhsa diagnosis general population 395 whereas bipolar disorder common mhsa diagnosis among children epilepsy 362 multivariate logistic regression models revealed children comorbid epilepsy greater adjusted odds bipolar disorder aor 117 104130 psychosis aor 178 151209 sleep disorder aor 590 1901834 suicide attemptideation aor 320 146699 compared general mhsa inpatient population epilepsy associated greater los higher adjusted incidence rate ratio irr prolonged los irr 112 109117 particularly suicide attemptideation irr 374 168834 children epilepsy distinct patterns hospital care mental illness substance abuse experience prolonged hospitalization mhsa conditions strategies reduce psychiatric hospitalizations population may require diseasespecific approaches measure diseaserelevant outcomes hospitals caring large numbers children neurological disease academic centers may inaccurate measurements mental healthcare quality unless impact key comorbid conditions epilepsy considered