Hospital Costs Associated With Agitation in the Acute Care Setting

Psychiatr Serv. 2016 Jan;67(1):124-7. doi: 10.1176/appi.ps.201400508. Epub 2015 Aug 3.

Abstract

Objective: The study determined hospital costs associated with a diagnosis of agitation among patients at 14 general hospitals in Spain.

Methods: Data from discharge records of adult patients (2008-2012) with a diagnosis of agitation (ICD-9-CM code 293.0) were analyzed. Incremental hospital costs for agitated patients and a control group of patients without agitation were quantified, and the adjusted cost and incremental cost for both groups were compared by use of a recycled-predictions approach.

Results: The analysis included 355,496 hospital discharges, 5,334 of which were of patients with a diagnosis of agitation. Among patients with a diagnosis of agitation, hospital stays were significantly longer (12 days versus nine days). A significant difference in mean costs of €472 (95% confidence interval [CI]=€351-€593) was noted between patients with agitation and those in the control group. A recycled-predictions approach showed a difference of €1,593(CI=€1,556-€1,631).

Conclusions: Findings indicate that agitation increased the use of hospital resources by at least 8%.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Hospital Costs / statistics & numerical data*
  • Humans
  • International Classification of Diseases
  • Length of Stay / economics*
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Psychomotor Agitation / diagnosis*
  • Psychomotor Agitation / economics*
  • Spain
  • Young Adult