Academic Journal
Prevalence and impact of psychiatric disorders on hospitalized pediatric patients with chronic pancreatitis.
| Τίτλος: | Prevalence and impact of psychiatric disorders on hospitalized pediatric patients with chronic pancreatitis. |
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| Συγγραφείς: | Thavamani A; Department of Pediatrics (Division of Pediatric Gastroenterology), UH Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA. Electronic address: Aravind.Thavamani@UHhospitals.org., Sterling N; Department of Pediatrics, Baylor College of Medicine, Houston, TX, 77030, USA. Electronic address: neya.sterling@bcm.edu., Umapathi KK; Department of Pediatrics, West Virginia University, Charleston, WV, 25304, USA. Electronic address: Krishnakishoreumapathi@gmail.com., Sankararaman S; Department of Pediatrics (Division of Pediatric Gastroenterology), UH Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA. Electronic address: S.Sankararaman@UHhospitals.org. |
| Πηγή: | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] [Pancreatology] 2023 Sep; Vol. 23 (6), pp. 574-581. Date of Electronic Publication: 2023 Jun 21. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier India Country of Publication: Switzerland NLM ID: 100966936 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1424-3911 (Electronic) Linking ISSN: 14243903 NLM ISO Abbreviation: Pancreatology Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2012- : New Delhi : Elsevier India Original Publication: Basel ; New York : Karger, c2001- |
| Ιατρικοί όροι (MeSH): | Mental Disorders*/epidemiology , Pancreatitis, Chronic*/complications , Pancreatitis, Chronic*/epidemiology, Humans ; Child ; Prevalence ; Quality of Life ; Hospitalization ; Length of Stay |
| Περίληψη: | Background: Patients with chronic pancreatitis (CP) often have a debilitating clinical course characterized by high disease burden, and poor quality of life and these factors adversely affect mental health. However, there is paucity of literature on the prevalence and impact of psychiatric disorders on hospitalized pediatric patients with CP. Method: ology: We analyzed the Kids Inpatient Database, and National Inpatient Sample, between 2003 and 2019 and included patients up to 21 years of age. Pediatric CP patients with psychiatric disorders were compared with patients without any of the psychiatric disorders using the ICD diagnostic codes. Various demographic and clinical factors were compared between the groups. Length of hospitalization and total hospital charges were used as surrogates to compare the hospital resource utilization between the groups. Results: We analyzed a total of 9,808 hospitalizations with CP and the overall prevalence rate of psychiatric disorders was 19.8%. The prevalence rate increased from 19.1% in 2003 to 23.4% in 2019, p = 0.006. The peak prevalence rate of 37.2% was noted at 20 years of age. Depression was noted at 7.6% of the total hospitalizations followed by substance abuse (6.5%), and anxiety (4.4%). Multivariate linear regression analysis showed that among CP patients, psychiatric disorders were independently associated with 1.3 additional days of stay and incurred $15,965 higher charges. Conclusions: The prevalence of psychiatric disorders is increasing in pediatric CP. The concomitant presence of psychiatric disorders was found to be associated with prolonged hospital stay and incurred higher healthcare charges than those CP patients without psychiatric disorders. (Copyright © 2023 IAP and EPC. Published by Elsevier B.V. All rights reserved.) |
| Competing Interests: | Declaration of competing interest All authors report no disclosures. |
| Contributed Indexing: | Keywords: Chronic pancreatitis; Epidemiology; Outcomes; Prevalence; Psychiatric disorders |
| Entry Date(s): | Date Created: 20230630 Date Completed: 20230911 Latest Revision: 20230911 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.pan.2023.06.012 |
| PMID: | 37391358 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1424-3911 |
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| DOI: | 10.1016/j.pan.2023.06.012 |