Prevalence of comorbidities and correlates of hospital readmission rate in patients with acute mania: A one-year retrospective data from a tertiary care

Perspect Psychiatr Care. 2020 Oct;56(4):753-759. doi: 10.1111/ppc.12464. Epub 2019 Dec 11.

Abstract

Objective: To assess the prevalence of medical comorbidities in acute manic patients over a period of 1 year, and to evaluate correlates of the readmission rate.

Design/methods: A retrospective observational study was conducted on 158 acute manic patients from 2016 to 2017.

Results: The most common physical comorbidity was obesity (36.1%) followed by cardiovascular disorders (15.2%) and liver dysfunctions (9.3%). Male gender was associated with higher readmission rate (Beta = -0.260), while taking anticholinergic drugs (Beta = -0.338) and having a family history of psychiatric disorders (Beta = -0.222) were associated with lower readmission rate.

Practical implications: The study results may help physicians and other clinicians understand the burden of illness recurrence in bipolar disorder type I patients and adopt effective strategies to prevent relapse, taking into account all comorbidities.

Keywords: acute mania; comorbidity; hospital readmission rates; management; psychosis.

MeSH terms

  • Adult
  • Bipolar Disorder / epidemiology*
  • Comorbidity
  • Female
  • Humans
  • Male
  • Mania / epidemiology*
  • Patient Readmission / statistics & numerical data*
  • Prevalence
  • Retrospective Studies
  • Tertiary Healthcare*