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Rising Burden of Psychiatric and Behavioral Disorders and Their Adverse Impact on Health Care Expenditure in

Aravind Thavamani1, Jasmine Khatana2, Krishna Kishore Umapathi3

  • 1Division of Pediatric Gastroenterology, Hepatology and Nutrition, UH Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Pediatric Gastroenterology, Hepatology & Nutrition
|February 23, 2023
PubMed

Insights

The prevalence of psychiatric disorders in hospitalized pediatric inflammatory bowel disease (IBD) patients is rising. These conditions independently increase hospital stays and costs for IBD care.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychiatry
  • Health Services Research

Background:

  • Increasing incidence and prevalence of inflammatory bowel disease (IBD).
  • Rising rates of comorbid psychiatric and behavioral disorders in IBD patients.
  • Psychiatric disorders are independent predictors of quality of life in IBD.

Purpose of the Study:

  • To analyze the prevalence of psychiatric and behavioral disorders in hospitalized pediatric IBD patients.
  • To compare outcomes between IBD patients with and without psychiatric/behavioral disorders.
  • To assess the impact of these comorbidities on IBD severity, length of stay, and hospitalization charges.

Main Methods:

  • Analysis of non-overlapping years (2003-2016) from the National Inpatient Sample and Kids Inpatient Database.
  • Inclusion of all IBD-related hospitalizations for patients under 21 years of age.
  • Comparison of IBD patients with and without concomitant psychiatric/behavioral disorder diagnoses.

Main Results:

  • A total of 161,294 IBD hospitalizations were analyzed; 15.7% had psychiatric/behavioral disorders.
  • Prevalence of these disorders increased from 11.3% (2003) to 20.6% (2016) (p<0.001).
  • Psychiatric disorders were associated with increased IBD severity, longer hospital stays (1.17 additional days), and higher charges ($8473 additional).

Conclusions:

  • The prevalence of psychiatric and behavioral disorders in hospitalized pediatric IBD patients has significantly increased.
  • These comorbidities are independently associated with prolonged hospital stays.
  • Higher total hospitalization charges are linked to psychiatric and behavioral disorders in pediatric IBD patients.
Abstract

Keywords:
ChildEpidemiologyInflammatory bowel diseaseLength of stayMental disordersPediatrics

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