Anxiety, depressive, or cognitive disorders in rehabilitation patients: effect on length of stay.

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State: Public
Version: author
Serval ID
serval:BIB_6FC419C810A7
Type
Article: article from journal or magazin.
Collection
Publications
Title
Anxiety, depressive, or cognitive disorders in rehabilitation patients: effect on length of stay.
Journal
American Journal of Physical Medicine and Rehabilitation
Author(s)
Clerc Bérod Annick, Klay Michaël, Santos-Eggimann Brigitte, Paccaud Fred
ISSN
0894-9115 (Print)
ISSN-L
0894-9115
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
79
Number
3
Pages
266-273
Language
english
Abstract
OBJECTIVE: To test the hypothesis that anxiety, depressive, or cognitive disorders are associated with an increase in length of stay of physical rehabilitation inpatients. DESIGN: Secondary analysis of a 1-yr prospective data recording. Three treatment and rehabilitation centers in the Canton of Vaud (Switzerland). Ninety-five percent of inpatients admitted from November 15, 1990, to November 14, 1991, agreed to participate. Apart from length of stay, data consisted of demographic and medical data results from the Hospital Anxiety and Depression Scale, Mini-Mental State Score, and Functional Autonomy Measurement System. Multivariate linear regression was used in the analysis. RESULTS: The presence of anxiety or depression altered length of stay in a bivariate analysis, although all effects disappeared in a multivariate approach. Factors that had an independent association with length of stay were gender, length of stay in an acute care hospital before hospitalization, treatment and rehabilitative centers, Functional Autonomy Measurement System mobility score, and Functional Autonomy Measurement System Activities of Daily Living score. Results concerning the association between cognition abilities and length were similar. CONCLUSIONS: Our results recognize that an influence of psychiatric disorders acted on length of stay through a relationship between the psychiatric status and the control variables. If mental state influences physical state, then early intervention studies are desirable. If somatic state induces mental alterations, then interventions directed toward the psychiatric sphere will bring mostly qualitative benefits (amelioration of well-being without remarkable effects on length of stay). [Authors]
Keywords
Aged, Anxiety Disorders/epidemiology, Cognition Disorders/epidemiology, Comorbidity, Depressive Disorder/epidemiology, Female, Humans, Length of Stay, Linear Models, Male, Middle Aged
Pubmed
Web of science
Create date
14/03/2008 11:20
Last modification date
20/08/2019 15:28
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