Journal article
Psychiatric Medication Changes Associated With Increased Rate of Medical Readmissions in Patients With Serious Mental Illness
JOURNAL OF NERVOUS AND MENTAL DISEASE, v 209(3), pp 166-173
Mar 2021
PMID: 33315795
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To identify the impact of postdischarge psychiatric medication changes on general medical readmissions among patients with serious mental illness (SMI; bipolar disorder, major depressive disorder, and schizophrenia), claims from a 5% national sample of Medicare fee-for-service (FFS) beneficiaries hospitalized between 2013 and 2016 were studied. A total of 165,490 Medicare FFS beneficiaries with SMI 18 years or older with at least 1 year of continuous Medicare enrollment were identified. Within 30 days of discharge from index admission, 47.4% experienced a psychiatric medication change-including 75,892 beneficiaries experiencing a deletion and 55,713 experiencing an addition. After adjusting for potential confounders, those with a medication change experienced an 10% increase in the odds of 30-day readmission (odds ratio, 1.10; SE, 0.019; p < 0.001). Comorbid drug use disorder was also associated with an increased odds of readmission after controlling for other covariates. These findings suggest important factors that clinicians should be aware of when discharging patients with SMI.
Metrics
Details
- Title
- Psychiatric Medication Changes Associated With Increased Rate of Medical Readmissions in Patients With Serious Mental Illness
- Publication Details
- JOURNAL OF NERVOUS AND MENTAL DISEASE, v 209(3), pp 166-173
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS; PHILADELPHIA
- Number of pages
- 7
- Grant note
- Dr Germack and Dr Weissinger were supported by an Advancing Early Research Opportunities (AERO) grant from the Rita and Alex Hillman Foundation. This work does not necessarily represent the views of the funders. The remaining authors declare no conflict of interest.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000656580400005
- Scopus ID
- 2-s2.0-85102221898
- Other Identifier
- 991021860754404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Psychiatry