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Impact of Diabetes on Inpatient Length of Stay in Adult Mental Health Services in a Community Hospital Setting: A Retrospective Cohort Study

Published:April 18, 2022DOI:https://doi.org/10.1016/j.jcjd.2022.03.012

      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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