Lydia Chwastiak|Dimitry S. Davydow|Christine L. McKibbin|Ellen A. Schur|Mason Burley|Michael G. McDonell|John Roll|Kenn B. Daratha
The Effect of Serious Mental Illness on the Risk of Rehospitalization Among Patients With Diabetes
University of Washington|University of Washington|University of Wyoming|University of Washington|Washington State University Spokane|University of Washington|Washington State University Spokane|Washington State University Spokane|University of Washington|Providence Regional Medical Center Everett
medicalsurgical rehospitalizations within month discharge among patients diabetes result tremendous costs us health care system studys aim examine whether comorbid serious mental illness diagnoses bipolar disorder schizophrenia psychotic disorders among patients diabetes independently associated medicalsurgical rehospitalization within month discharge initial hospitalization cohort study community hospitals washington state evaluated data 82060 adults discharged state washington international classification diseases ninth revision clinical modification diagnosis indicating diabetes mellitus 2010 2011 data medicalsurgical hospitalizations obtained washington state comprehensive hospital abstract reporting system comorbid serious mental illness diagnoses identified based international classification diseases ninth revision clinical modification diagnosis codes indicating bipolar disorder schizophrenia psychotic disorders logistic regression analyses identified factors independently associated rehospitalization within month discharge cox proportional hazard analyses estimated time rehospitalization entire study period adjusting demographics medical comorbidity characteristics index hospitalization comorbid serious mental illness diagnosis independently associated increased odds rehospitalization within 1 month among patients diabetes medicalsurgical hospitalization odds ratio 124 95 confidence interval 107 144 increased risk rehospitalization persisted throughout study period 24 mo comorbid serious mental illness patients diabetes independently associated greater risk early medicalsurgical rehospitalization future research needed define specify targets interventions points care transition vulnerable patient population