Background
Increasingly, big data derived from administrative hospital records can be subject
to analytics to provide clinical insights. The aim of this study was to determine
the impact of psychiatric comorbidity on length of hospital stay and number of hospital
admissions in cardiac patients utilising routinely collected hospitalisation records.
Methods
We routinely collected clinical and socio-demographic variables extracted from 37,580
cardiac patients, between 18 and 65 years old, admitted to South Australian hospitals
between 2001/02 to 2010/11 financial years with cardiac diagnoses used to derive patient
level and separation level variables used in the modelling. Multi-level models were
constructed to analyse the impact of psychiatric comorbidity on both length of stay
and the total number of hospitalisations, allowing for interactions between socioeconomic
status and the burden of disease. Possible confounders for these models were, sex,
age, indigenous status, country of birth, and rural status.
Results
For cardiac patients a mental health diagnosis was associated with an increase of
12.5% in the length of stay, and an increase in the number of stays by 20.0%.
Conclusions
This study demonstrates the potential utility of routinely collected hospitalisation
records to demonstrate the impact of psychiatric comorbidity on health service utilisation.
Keywords
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Article info
Publication history
Published online: January 23, 2019
Accepted:
December 15,
2018
Received in revised form:
November 30,
2018
Received:
May 25,
2017
Identification
Copyright
© 2019 Published by Elsevier B.V. on behalf of Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ).
