CoChat
Sign Up
Cited by 204Psychiatric care and mental health servicesIntensive Care Unit Cognitive DisordersMental Health Treatment and Access

The DOI matches its Crossref record, with a small difference in title or year; 1 of the 1 references it cites were found in a registry or an index.

Psychiatric Comorbidity and Length of Stay in the General Hospital

Saravay, Stephen M., lavin, Michael·1994·Psychosomatics
DOI 10.1016/s0033-3182(94)71772-2
Open this paper in CoChat — free account

Abstract

The authors critically reviewed 26 international and American outcome studies that assessed the effect of psychiatric comorbidity on length of stay for medical/surgical inpatients. Three generations of American studies were defined according to the rigorousness of the methodology. Eighty-nine percent of all studies with sample sizes greater than 110 and 75% of the prospective, rigorously controlled, American studies found a significant association between psychiatric comorbidity and increased length of stay. The findings lead to the conclusion that impaired cognition associated with delirium and dementia, depressed mood, and other personality variables contributes to prolonged hospital stays and greater utilization of hospitals and other health resources after discharge. Recommendations for future research are suggested.

Overview

Integrity signals

Registry

Crossref · 10.1016/s0033-3182(94)71772-2

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 1 references

Research works printed but not linked: 43

  1. Ford, 1988, Principles of screening applied to psychiatric disorders, Gen Hosp Psychiatry, 10, 177, 10.1016/0163-8343(88)90017-5 · DOI
  2. Saravay, 1991, Psychological comorbidity and length of stay in the general hospital, Am J Psychiatry, 148, 324, 10.1176/ajp.148.3.324 · DOI
  3. Sheppeard, 1980, A review of early mortality and morbidity in elderly patients following Charnley total hip replacement, Arch Orthop Trauma Surg, 97, 243, 10.1007/BF00380704 · DOI
  4. Johnston, 1987, Cognitive impairment, emotional disorder, and length of stay of elderly patients in a district general hospital, Br J Med Psychol, 60, 133, 10.1111/j.2044-8341.1987.tb02723.x · DOI
  5. Rockwood, 1988, Elderly long-stay surgical patients, Can J Surg, 31, 62
  6. Erkinjuntti, 1986, Dementia among medical inpatients: evaluation of 2,000 consecutive admissions, Arch Intern Med, 146, 1923, 10.1001/archinte.1986.00360220067013 · DOI
  7. Maguire, 1986, Elderly patients in acute medical wards: factors predicting length of stay in hospital, BMJ, 292, 1251, 10.1136/bmj.292.6530.1251 · DOI
  8. Gustafson, 1988, Acute confusional states in elderly patients treated for femoral neck fracture, Journal of the American Geriatric Society, 36, 525, 10.1111/j.1532-5415.1988.tb04023.x · DOI
  9. Morris, 1990, Impact of psychiatric comorbidity on length of hospital stay in gastroenterology patients, Gen Hosp Psychiatry, 12, 77, 10.1016/0163-8343(90)90018-8 · DOI
  10. Rockwood, 1990, Delays in the discharge of elderly patients, J Clin Epidemiol, 43, 971, 10.1016/0895-4356(90)90080-9 · DOI
  11. Mayou, 1991, Psychiatric problems among medical admissions, Int J Psychiatry Med, 21, 71, 10.2190/NDPB-YCW9-BETA-AYJE · DOI
  12. Incalzi, 1992, Predicting mortality and length of stay of geriatric patients in an acute care general hospital, J Gerontol, 47, 35, 10.1093/geronj/47.2.M35 · DOI
  13. Billings, 1941, Value of psychiatry to the general hospital, Hospitals, 15, 30
  14. Dvoredsky, 1986, Comparative severity of illness in patients with combined medical and psychiatric diagnoses, Psychosomatics, 27, 625, 10.1016/S0033-3182(86)72631-5 · DOI
  15. Fulop, 1987, Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: a preliminary report, Am J Psychiatry, 144, 878, 10.1176/ajp.144.7.878 · DOI
  16. Lyons, 1988, Psychiatric comorbidities and patients with head and spinal cord trauma: effects on acute hospital care, Gen Hosp Psychiatry, 10, 292, 10.1016/0163-8343(88)90038-2 · DOI
  17. Ackerman, 1988, The impact of coexisting depression and timing of psychiatric consultation on medical patients’ length of stay, Hosp Community Psychiatry, 39, 173
  18. Cushman, 1988, Secondary neuropsychiatric complications in stroke: implications for acute care, Arch Phys Med Rehabil, 69, 877
  19. Brezel, 1988, Burns in substance abusers and in neurologically and mentally impaired patients, J Burn Care Rehabil, 9, 169, 10.1097/00004630-198803000-00009 · DOI
  20. Lyons, 1989, Psychosocial services for AIDS patients in the general hospital, Int J Psychiatry Med, 19, 385, 10.2190/WT4N-H32Y-5D6D-TUA3 · DOI
  21. Marcus, 1987, Factors associated with the use of psychiatric consultations in short-term general hospitals, Psychosom Med, 49, 508, 10.1097/00006842-198709000-00007 · DOI
  22. Wallen, 1987, Psychiatric consultations in short-term general hospitals, Arch Gen Psychiatry, 44, 163, 10.1001/archpsyc.1987.01800140073010 · DOI
  23. Mojet, 1989, Length of hospital stay of medical and surgical inpatients referred for psychiatric consultation: a retrospective study, Int J Psychiatry Med, 19, 227, 10.2190/9MWU-T52M-GEC2-GQCE · DOI
  24. Levenson, 1986, Psychopathology in medical inpatients and its relationship to length of hospital stay: a pilot study, Int J Psychiatry Med, 16, 231, 10.2190/K51B-H0VH-CF2K-D0WJ · DOI
  25. Fields, 1986, Cognitive impairment: can it predict the course of hospitalized patients?, Journal of the American Geriatric Society, 34, 579, 10.1111/j.1532-5415.1986.tb05763.x · DOI
  26. Narain, 1988, Predictors of immediate and 6-month outcomes in hospitalized elderly patients: the importance of functional status, Journal of the American Geriatric Society, 36, 775, 10.1111/j.1532-5415.1988.tb04259.x · DOI · Paper page
  27. Thomas, 1988, A prospective study of delirium and prolonged hospital stay, Arch Gen Psychiatry, 45, 937, 10.1001/archpsyc.1988.01800340065009 · DOI
  28. Rogers, 1989, Delirium after elective orthopedic surgery: risk factors and natural history, Int J Psychiatry Med, 19, 109, 10.2190/2Q3V-HYT4-NN49-BPR4 · DOI
  29. Levenson, 1990, Relation of psychopathology in general medical inpatients to use and cost of services, Am J Psychiatry, 147, 1498, 10.1176/ajp.147.11.1498 · DOI
  30. Francis, 1990, A prospective study of delirium in hospitalized elderly, JAMA, 263, 1097, 10.1001/jama.1990.03440080075027 · DOI
  31. Gelenberg, 1991, The clinicians’ challenge: strategies for treatment of depression in the 1990s, J Clin Psychiatry, 52, 3
  32. Levitan, 1981, Clinical and cost benefits of liaison psychiatry, Am J Psychiatry, 138, 790, 10.1176/ajp.138.6.790 · DOI
  33. Strain, 1991, Cost offset from a psychiatric consultation-liaison intervention with elderly hip fracture patients, Am J Psychiatry, 148, 1044, 10.1176/ajp.148.8.1044 · DOI
  34. Beresford, 1978, Alcoholism consultation and general hospital psychiatry, Gen Hosp Psychiatry, 1, 293, 10.1016/0163-8343(79)90003-3 · DOI
  35. Mclntosh, 1982, Alcohol-related disabilities in general hospital patients, Int J Addict, 17, 609, 10.3109/10826088209053007 · DOI
  36. Burton, 1991, Psychiatric consultations for psychoactive substance disorders in the general hospital, Gen Hosp Psychiatry, 13, 83, 10.1016/0163-8343(91)90018-R · DOI
  37. Hill, 1992, Psychosocial interventions in adult patients with coronary heart disease and cancer: a literature review, Gen Hosp Psychiatry, I4S, 28S, 10.1016/0163-8343(92)90116-R · DOI
  38. Schleifer, 1989, The nature and course of depression following myocardial infarction, Arch Intern Med, 149, 1785, 10.1001/archinte.1989.00390080059014 · DOI
  39. Lyons, 1985, Consultation-liaison psychiatry and cost-effectiveness research: a review of methods, Gen Hosp Psychiatry, 7, 302, 10.1016/0163-8343(85)90042-8 · DOI
  40. Levenson, 1990, Methodology in consultation-liaison research: a clarification of biases, Psychosomatics, 31, 367, 10.1016/S0033-3182(90)72131-7 · DOI
  41. Boaz, 1979, Utilization review and containment of hospital utilization: some implications of providing care in the “most appropriate setting”, Med Care, 17, 315, 10.1097/00005650-197904000-00001 · DOI
  42. Rock, 1990, Psychosocial factors as predictors of length of stay of Medicare patients under the prospective payment system, Journal of Health and Social Policy, 2, 1, 10.1300/J045v02n02_01 · DOI
  43. Epstein, 1988, The association of patients” socioeconomic characteristics with the length of hospital stay and hospital charges within diagnosis-related groups, N Engl J Med, 318, 1579, 10.1056/NEJM198806163182405 · DOI

Cited by

Sorted by citations

Metadata

Authors
Saravay, S. M., & lavin, M.
Affiliations
Long Island Jewish Medical Center (US)
Corresponding author
Saravay, Stephen M.
Venue
Psychosomatics
Publisher
Elsevier BV
Published
1994-05
Volume
35
Issue
3
Pages
233-252
ISSN
0033-3182 (ISSN-L)
DOI
10.1016/s0033-3182(94)71772-2
OpenAlex
W162770890
Cited by
204
References
1
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 5 · 2019: 7 · 2018: 10 · 2017: 2 · 2016: 8 · 2015: 6 · 2014: 4 · 2013: 5 · 2012: 9
FWCI
13.40
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords
psychiatric comorbidity, length of hospital stay, medical inpatients, surgical inpatients, delirium, dementia, depression, personality disorders, hospital utilization, health resource utilization, cognitive impairment
MeSH terms
Mental Disorders, Hospitals, General, Humans, Length of Stay, Comorbidity

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review