Mental health disorders influence admission rates for pain in children with sickle cell disease
Background Patients with sickle cell disease (SCD) experience a broad range of mental health disorders placing them at risk for more complicated hospitalizations for pain. The current study examined the impact of mental health disorders on admission rates and hospital length of stay (LOS) for vaso‐o...
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| Veröffentlicht in: | Pediatric blood & cancer 2013-07, Vol.60 (7), p.1211-1214 |
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| creator | Myrvik, Matthew P. Burks, Lisa M. Hoffman, Raymond G. Dasgupta, Mahua Panepinto, Julie A. |
| description | Background
Patients with sickle cell disease (SCD) experience a broad range of mental health disorders placing them at risk for more complicated hospitalizations for pain. The current study examined the impact of mental health disorders on admission rates and hospital length of stay (LOS) for vaso‐occlusive pain events (VOE) in pediatric patients with SCD.
Procedure
Patients (5–18 years old) with a primary discharge diagnosis of SCD with crisis were acquired through the Pediatric Health Information System and categorized by history of mental health disorders (mood disorder, anxiety disorder, disruptive behavior disorder, and substance use disorder). Using a retrospective cohort design, hospital admission rates for VOE were examined as the primary outcome and LOS as a secondary outcome.
Results
A total of 5,825 patients accounted for 23,561 admissions for SCD with crisis with approximately 8% of the patients having a mental health diagnosis. Longer LOS was found among patients with a history of any mental health diagnosis (P |
| doi_str_mv | 10.1002/pbc.24394 |
| format | Article |
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Patients with sickle cell disease (SCD) experience a broad range of mental health disorders placing them at risk for more complicated hospitalizations for pain. The current study examined the impact of mental health disorders on admission rates and hospital length of stay (LOS) for vaso‐occlusive pain events (VOE) in pediatric patients with SCD.
Procedure
Patients (5–18 years old) with a primary discharge diagnosis of SCD with crisis were acquired through the Pediatric Health Information System and categorized by history of mental health disorders (mood disorder, anxiety disorder, disruptive behavior disorder, and substance use disorder). Using a retrospective cohort design, hospital admission rates for VOE were examined as the primary outcome and LOS as a secondary outcome.
Results
A total of 5,825 patients accounted for 23,561 admissions for SCD with crisis with approximately 8% of the patients having a mental health diagnosis. Longer LOS was found among patients with a history of any mental health diagnosis (P < 0.0001) and within the mood disorder (P < 0.0001), anxiety disorder (P < 0.0001), and substance use disorder (P = 0.01) subtypes. Hospital admissions rates for VOE were higher among patients with a history of any mental health diagnosis (P < 0.0001) and within the mood disorder (P < 0.0001), anxiety disorder (P < 0.0001), disruptive behavior disorder (P = 0.002), and substance use disorder (P < 0.0001) subtypes.
Conclusions
Pediatric patients with SCD and a history of a mental health diagnosis have longer LOS and higher admission rates for management of VOE. Ultimately, these findings suggest that mental health pose a challenge to the management of sickle cell pain. Pediatr Blood Cancer 2013; 60: 1211–1214. © 2012 Wiley Periodicals, Inc.]]></description><identifier>ISSN: 1545-5009</identifier><identifier>EISSN: 1545-5017</identifier><identifier>DOI: 10.1002/pbc.24394</identifier><identifier>PMID: 23151972</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Anemia, Sickle Cell - complications ; Anemia, Sickle Cell - psychology ; Child ; Cohort Studies ; Female ; healthcare utilization ; Hematology ; Hospitalization - statistics & numerical data ; Humans ; Length of Stay ; Male ; mental health ; Oncology ; pain ; Pain - etiology ; Pediatrics ; Retrospective Studies ; sickle cell</subject><ispartof>Pediatric blood & cancer, 2013-07, Vol.60 (7), p.1211-1214</ispartof><rights>Copyright © 2012 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3914-4330803fd7a22321f6866dd2b55ed4d681413953811ae584c6188607604f98573</citedby><cites>FETCH-LOGICAL-c3914-4330803fd7a22321f6866dd2b55ed4d681413953811ae584c6188607604f98573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpbc.24394$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpbc.24394$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23151972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Myrvik, Matthew P.</creatorcontrib><creatorcontrib>Burks, Lisa M.</creatorcontrib><creatorcontrib>Hoffman, Raymond G.</creatorcontrib><creatorcontrib>Dasgupta, Mahua</creatorcontrib><creatorcontrib>Panepinto, Julie A.</creatorcontrib><title>Mental health disorders influence admission rates for pain in children with sickle cell disease</title><title>Pediatric blood & cancer</title><addtitle>Pediatr. Blood Cancer</addtitle><description><![CDATA[Background
Patients with sickle cell disease (SCD) experience a broad range of mental health disorders placing them at risk for more complicated hospitalizations for pain. The current study examined the impact of mental health disorders on admission rates and hospital length of stay (LOS) for vaso‐occlusive pain events (VOE) in pediatric patients with SCD.
Procedure
Patients (5–18 years old) with a primary discharge diagnosis of SCD with crisis were acquired through the Pediatric Health Information System and categorized by history of mental health disorders (mood disorder, anxiety disorder, disruptive behavior disorder, and substance use disorder). Using a retrospective cohort design, hospital admission rates for VOE were examined as the primary outcome and LOS as a secondary outcome.
Results
A total of 5,825 patients accounted for 23,561 admissions for SCD with crisis with approximately 8% of the patients having a mental health diagnosis. Longer LOS was found among patients with a history of any mental health diagnosis (P < 0.0001) and within the mood disorder (P < 0.0001), anxiety disorder (P < 0.0001), and substance use disorder (P = 0.01) subtypes. Hospital admissions rates for VOE were higher among patients with a history of any mental health diagnosis (P < 0.0001) and within the mood disorder (P < 0.0001), anxiety disorder (P < 0.0001), disruptive behavior disorder (P = 0.002), and substance use disorder (P < 0.0001) subtypes.
Conclusions
Pediatric patients with SCD and a history of a mental health diagnosis have longer LOS and higher admission rates for management of VOE. Ultimately, these findings suggest that mental health pose a challenge to the management of sickle cell pain. Pediatr Blood Cancer 2013; 60: 1211–1214. © 2012 Wiley Periodicals, Inc.]]></description><subject>Adolescent</subject><subject>Anemia, Sickle Cell - complications</subject><subject>Anemia, Sickle Cell - psychology</subject><subject>Child</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>healthcare utilization</subject><subject>Hematology</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>mental health</subject><subject>Oncology</subject><subject>pain</subject><subject>Pain - etiology</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>sickle cell</subject><issn>1545-5009</issn><issn>1545-5017</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10M1OGzEUBWALFQEFFrwAssSmXQzx_3iWkDYUkRYWIKpuLGd8RzE4M6k9I8rb12lCFkhd2YvvHF0dhE4oOaeEsNFyVp8zwSuxgw6oFLKQhJYftn9S7aOPKT1lqojUe2ifcSppVbIDZL5D29uA52BDP8fOpy46iAn7tgkDtDVg6xY-Jd-1ONoeEm66iJfWt5ngeu6Di9DiF5_TydfPAXANIayawCY4QruNDQmON-8heph8vR9_K6a3V9fji2lR84qKQnBONOGNKy1jnNFGaaWcYzMpwQmnNBWUV5JrSi1ILWpFtVakVEQ0lZYlP0Sf1r3L2P0eIPUmH706xLbQDclQLqXQVGmd6dk7-tQNsc3XrRSXSnNGsvq8VnXsUorQmGX0CxtfDSVmtbrJq5t_q2d7umkcZgtwW_k2cwajNXjxAV7_32TuLsdvlcU64VMPf7YJG5-NKnkpzeOPKzOpxl9-3fy8N5z_BaGFmIE</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Myrvik, Matthew P.</creator><creator>Burks, Lisa M.</creator><creator>Hoffman, Raymond G.</creator><creator>Dasgupta, Mahua</creator><creator>Panepinto, Julie A.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201307</creationdate><title>Mental health disorders influence admission rates for pain in children with sickle cell disease</title><author>Myrvik, Matthew P. ; Burks, Lisa M. ; Hoffman, Raymond G. ; Dasgupta, Mahua ; Panepinto, Julie A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3914-4330803fd7a22321f6866dd2b55ed4d681413953811ae584c6188607604f98573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Anemia, Sickle Cell - complications</topic><topic>Anemia, Sickle Cell - psychology</topic><topic>Child</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>healthcare utilization</topic><topic>Hematology</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>mental health</topic><topic>Oncology</topic><topic>pain</topic><topic>Pain - etiology</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>sickle cell</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Myrvik, Matthew P.</creatorcontrib><creatorcontrib>Burks, Lisa M.</creatorcontrib><creatorcontrib>Hoffman, Raymond G.</creatorcontrib><creatorcontrib>Dasgupta, Mahua</creatorcontrib><creatorcontrib>Panepinto, Julie A.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric blood & cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Myrvik, Matthew P.</au><au>Burks, Lisa M.</au><au>Hoffman, Raymond G.</au><au>Dasgupta, Mahua</au><au>Panepinto, Julie A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental health disorders influence admission rates for pain in children with sickle cell disease</atitle><jtitle>Pediatric blood & cancer</jtitle><addtitle>Pediatr. Blood Cancer</addtitle><date>2013-07</date><risdate>2013</risdate><volume>60</volume><issue>7</issue><spage>1211</spage><epage>1214</epage><pages>1211-1214</pages><issn>1545-5009</issn><eissn>1545-5017</eissn><abstract><![CDATA[Background
Patients with sickle cell disease (SCD) experience a broad range of mental health disorders placing them at risk for more complicated hospitalizations for pain. The current study examined the impact of mental health disorders on admission rates and hospital length of stay (LOS) for vaso‐occlusive pain events (VOE) in pediatric patients with SCD.
Procedure
Patients (5–18 years old) with a primary discharge diagnosis of SCD with crisis were acquired through the Pediatric Health Information System and categorized by history of mental health disorders (mood disorder, anxiety disorder, disruptive behavior disorder, and substance use disorder). Using a retrospective cohort design, hospital admission rates for VOE were examined as the primary outcome and LOS as a secondary outcome.
Results
A total of 5,825 patients accounted for 23,561 admissions for SCD with crisis with approximately 8% of the patients having a mental health diagnosis. Longer LOS was found among patients with a history of any mental health diagnosis (P < 0.0001) and within the mood disorder (P < 0.0001), anxiety disorder (P < 0.0001), and substance use disorder (P = 0.01) subtypes. Hospital admissions rates for VOE were higher among patients with a history of any mental health diagnosis (P < 0.0001) and within the mood disorder (P < 0.0001), anxiety disorder (P < 0.0001), disruptive behavior disorder (P = 0.002), and substance use disorder (P < 0.0001) subtypes.
Conclusions
Pediatric patients with SCD and a history of a mental health diagnosis have longer LOS and higher admission rates for management of VOE. Ultimately, these findings suggest that mental health pose a challenge to the management of sickle cell pain. Pediatr Blood Cancer 2013; 60: 1211–1214. © 2012 Wiley Periodicals, Inc.]]></abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>23151972</pmid><doi>10.1002/pbc.24394</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Anemia, Sickle Cell - complications Anemia, Sickle Cell - psychology Child Cohort Studies Female healthcare utilization Hematology Hospitalization - statistics & numerical data Humans Length of Stay Male mental health Oncology pain Pain - etiology Pediatrics Retrospective Studies sickle cell |
| title | Mental health disorders influence admission rates for pain in children with sickle cell disease |
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