TY - JOUR
T1 - Stability of admission diagnoses; data from a specialized in-patient treatment facility for dual diagnosis
AU - Düring, Signe Wegmann
AU - Nordgaard, Julie
AU - Mårtensson, Solvej
PY - 2021/1
Y1 - 2021/1
N2 - AIM: We investigated the stability of diagnoses during admission over an 11-year period in patients admitted to a highly specialized integrated dual diagnosis treatment facility in Denmark using diagnosis coded in patient charts.MATERIALS AND METHODS: Admission and discharge diagnoses from patient files were examined for stability of primary diagnosis and association with year of admission, age, sex, and duration of admission, in 1570 patients from 2007 to 2017.RESULTS: A vast proportion (69.6%) of the patients retained their diagnosis during a 3-month admission. Stability was highest for schizophrenia spectrum diagnoses and lowest for unspecified diagnosis. Type of primary diagnosis, age, and length of admission was associated with lower likelihood of a stable primary diagnosis.CONCLUSIONS: Long-term admission for psychiatric patients with substance use disorder (SUD) was significantly associated with stability of diagnosis. The finding calls for longer observation of dual diagnosis patients to ensure that relevant diagnosis is given, and consequently that the appropriate clinical treatment such as psychopharmacological as well as non-pharmacological intervention can be applied.
AB - AIM: We investigated the stability of diagnoses during admission over an 11-year period in patients admitted to a highly specialized integrated dual diagnosis treatment facility in Denmark using diagnosis coded in patient charts.MATERIALS AND METHODS: Admission and discharge diagnoses from patient files were examined for stability of primary diagnosis and association with year of admission, age, sex, and duration of admission, in 1570 patients from 2007 to 2017.RESULTS: A vast proportion (69.6%) of the patients retained their diagnosis during a 3-month admission. Stability was highest for schizophrenia spectrum diagnoses and lowest for unspecified diagnosis. Type of primary diagnosis, age, and length of admission was associated with lower likelihood of a stable primary diagnosis.CONCLUSIONS: Long-term admission for psychiatric patients with substance use disorder (SUD) was significantly associated with stability of diagnosis. The finding calls for longer observation of dual diagnosis patients to ensure that relevant diagnosis is given, and consequently that the appropriate clinical treatment such as psychopharmacological as well as non-pharmacological intervention can be applied.
KW - Diagnosis, Dual (Psychiatry)
KW - Hospitalization
KW - Humans
KW - Length of Stay
KW - Mental Disorders/diagnosis
KW - Patient Admission
KW - Schizophrenia/diagnosis
KW - Substance-Related Disorders/diagnosis
KW - Dual diagnosis
KW - psychopathology
KW - substance-related disorders
KW - length of stay (LOS)
UR - http://www.scopus.com/inward/record.url?scp=85088823136&partnerID=8YFLogxK
U2 - 10.1080/08039488.2020.1793381
DO - 10.1080/08039488.2020.1793381
M3 - Journal article
C2 - 32720838
SN - 0803-9488
VL - 75
SP - 54
EP - 62
JO - Nordic Journal of Psychiatry
JF - Nordic Journal of Psychiatry
IS - 1
ER -