Detection of Diabetes and Hypertension Comorbidities Among Adult Psychiatric Inpatients.

IF 1.3 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2025-10-01 Epub Date: 2025-09-30 DOI:10.1097/NMD.0000000000001852

Matthew L Goldman, Megan McDaniel, Christina Mangurian, Tom Corbeil, Lisa B Dixon, Susan M Essock, Eric Frimpong, Franco Mascayano, Mark Olfson, Marleen Radigan, Ian Rodgers, Fei Tang, Melanie M Wall, Rui Wang, Thomas E Smith

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引用次数: 0

Abstract

Introduction: This study examined adult psychiatric inpatients diagnosed with diabetes or hypertension before admission who then had these diagnoses missing from discharge records.

Methods: We analyzed Medicaid records for adults admitted to inpatient psychiatry in New York State hospitals between 2012 and 2013. We included 6,381 patients with records indicating preexisting diabetes or hypertension in the 12 months before admission. Logistic regression analyses identified factors at the patient, hospital, and system levels related to detection or omission of the diagnosis of diabetes or hypertension upon hospital discharge.

Results: Preexisting diabetes or hypertension was missed in 29% and 36% among inpatients, respectively. Diagnoses were more frequently missed in people who were younger, experiencing homelessness, with fewer claims and with claims longer than 30 days before admission.

Conclusions: These findings underscore the importance of comprehensive admission processes in inpatient psychiatric settings to ensure appropriate detection and treatment of medical comorbidities.

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成人精神科住院患者糖尿病和高血压合并症的检测。

本研究调查了入院前诊断为糖尿病或高血压的成年精神病住院患者，这些患者在出院记录中没有这些诊断。方法：我们分析了2012年至2013年期间在纽约州医院住院的精神科成年人的医疗补助记录。我们纳入了6381例入院前12个月有糖尿病或高血压记录的患者。Logistic回归分析确定了患者、医院和系统层面的因素，这些因素与出院时发现或遗漏糖尿病或高血压的诊断有关。结果：在住院患者中，分别有29%和36%的患者遗漏了先前存在的糖尿病或高血压。在年轻、无家可归、索赔较少、入院前索赔超过30天的人群中，诊断更容易被遗漏。结论：这些发现强调了精神病住院患者综合入院流程的重要性，以确保适当发现和治疗医学合并症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.