Diagnostic and demographic factors of pediatric and adult catatonia hospitalizations: A 2016–2020 National Inpatient Sample Study

IF 5.3 2区 医学 Q1 PSYCHIATRY Acta Psychiatrica Scandinavica Pub Date : 2024-08-08 DOI:10.1111/acps.13744
James Luccarelli, Mark Kalinich, Gregory Fricchione, Felicia Smith, Scott R. Beach, Joshua R. Smith
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Abstract

Objective

Catatonia is a neuropsychiatric disorder that can occur in patients of any age, but it is uncertain whether patient demographics or underlying diagnoses differ between pediatric and adult patients. This study investigates patients of all ages diagnosed with catatonia during acute care hospitalizations in the United States over a 5-year period.

Method

The National Inpatient Sample, an all-payors database of acute care hospital discharges, was queried for patients with a discharge diagnosis of catatonia between 2016 and 2020 with patients stratified by age as pediatric (≤18 years) or adult (>18 years).

Results

Among 174,776,205 hospitalizations recorded in the NIS from 2016 to 2020, 61,990 (95% CI: 60,257 to 63,723; 0.035%) involved a diagnosis of catatonia. Of these, 3255 were for pediatric patients and 58,735 were for adult patients. Compared with adult patients, pediatric catatonia patients were more likely to be male and non-White. Diagnostically, psychotic disorders, encephalitis, and neurodevelopmental disorders were more common primary discharge diagnoses in pediatric patients, while adult patients more frequently were diagnosed with mood disorders. Length of stay was not significantly different between pediatric and adult catatonia hospitalizations. Physical restraints were commonly applied for patients with catatonia.

Conclusion

Pediatric and adult catatonia patients differed in sex, race, and diagnosis, although hospital length of stay was not different between pediatric and adult catatonia hospitalizations. These results may inform catatonia diagnosis in the hospital setting and point to disparities that could be targets of quality improvement efforts.

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儿童和成人紧张症住院患者的诊断和人口统计因素:2016-2020年全国住院患者样本研究》。
目的:紧张症是一种神经精神疾病,可发生在任何年龄段的患者身上,但尚不确定儿童患者和成人患者的人口统计学特征或潜在诊断是否存在差异。本研究调查了 5 年内在美国急诊住院期间被诊断为紧张症的各年龄段患者:方法:对全国住院患者样本(一个包含所有付费者的急症护理出院患者数据库)进行了查询,以了解 2016 年至 2020 年期间出院诊断为紧张症的患者的情况,并将患者按年龄分为儿科(≤18 岁)和成人(>18 岁):2016年至2020年,在国家统计研究所记录的174776205例住院病例中,61990例(95% CI:60257至63723;0.035%)涉及紧张症诊断。其中,3255 例为儿科患者,58735 例为成人患者。与成人患者相比,儿童紧张症患者更可能是男性和非白人。在诊断上,儿科患者出院时的主要诊断更常见的是精神障碍、脑炎和神经发育障碍,而成人患者则更多地被诊断为情绪障碍。儿童和成人紧张性精神障碍患者的住院时间没有明显差异。结论:儿童和成人紧张症患者的住院时间没有明显差异:结论:儿童和成人紧张症患者在性别、种族和诊断方面存在差异,但儿童和成人紧张症患者的住院时间并无不同。这些结果可为医院对紧张症的诊断提供参考,并指出了可作为质量改进目标的差异。
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来源期刊
Acta Psychiatrica Scandinavica
Acta Psychiatrica Scandinavica 医学-精神病学
CiteScore
11.20
自引率
3.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers. Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.
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