Abstract
Objective
Our aim in this study was to characterize the relationship between comorbid mental
health diagnosis and diabetes type on inpatient length of stay (LOS).
Methods
This retrospective chart review study was conducted at a community hospital in Ontario,
Canada. Individuals admitted to the inpatient mental health unit with a reported diagnosis
of type 1 or type 2 diabetes were included in the analysis. Relevant data related
to mental health conditions at admission and LOS were collected from the electronic
health record. Analyses of variance and coviariance were used to determine the impact
on LOS.
Results
A total of 249 encounters were included in the analyses. Overall, individuals with
type 2 diabetes had a significantly longer LOS (mean, 14.70 days; standard deviation,
15.75 days) than individuals with type 1 diabetes (mean, 8.01 days; standard deviation,
7.27 days). Upon including sociodemographic factors, individuals older in age and
with a most recent admission of <1 year also had a longer LOS. There was no significant
relationship between the most responsible mental health diagnosis and LOS.
Conclusions
Individuals with type 2 diabetes may be more likely to have a longer LOS in inpatient
mental health settings than those with type 1 diabetes. More dedicated support would
be beneficial for this population. Future work should focus on in-depth exploration
of the challenges that lead to the observed LOS.
Résumé
Objectifs
L’objectif de notre étude était de caractériser la relation entre le diagnostic d’un
trouble de santé mentale comorbide et le type de diabète sur la durée du séjour (DDS)
en milieu hospitalier.
Méthodes
Nous avons réalisé cette étude rétrospective de dossiers médicaux d’un hôpital communautaire
en Ontario, au Canada. Pour cette analyse, nous avons sélectionné les individus admis
à l’unité hospitalière de santé mentale qui avaient un diagnostic de diabète de type
1 ou de type 2 selon le système de dossiers médicaux électroniques. Nous avons collecté
les données pertinentes liées aux troubles de santé mentale à l’admission et la DDS
dans les dossiers médicaux électroniques. Nous avons eu recours aux analyses de variance
et de covariance pour déterminer les répercussions de la DDS.
Résultats
Nous avons inclus un total de 249 rencontres dans les analyses. À partir des modèles
de régression linéaire, les individus atteints du diabète de type 2 (moyenne, 14,70
jours; écart type, 15,75 jours) avaient une DDS significativement plus longue que
les individus atteints du diabète de type 1 (moyenne, 8,01 jours; écart type, 7,27
jours). Lors de l’application des facteurs sociodémographiques, les individus plus
âgés et récemment admis depuis < 1 an avaient aussi une DDS plus longue. Il n’y avait
aucune relation significative entre le diagnostic principal de santé mentale et la
DDS.
Conclusions
Les individus atteints du diabète de type 2 sont plus susceptibles d’avoir une plus
longue DDS en milieu hospitalier de santé mentale que ceux atteints du diabète de
type 1. Cette population tirerait avantage d’un soutien plus adapté à leurs besoins
particuliers. D’autres travaux devraient porter sur l’exploration en profondeur des
difficultés qui mènent aux DDS observées.
Keywords
Mots clés
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Article info
Publication history
Published online: April 18, 2022
Accepted:
March 29,
2022
Received in revised form:
March 5,
2022
Received:
November 20,
2021
Identification
Copyright
© 2022 Canadian Diabetes Association.
