Relationship Between Depression and/or Anxiety and Hospital Readmission Among Women After Childbirth
To examine the relationship between depression and/or anxiety and any psychiatric diagnosis and readmission after childbirth. Cross-sectional analysis of administrative data from patient discharge records. Urban academic medical center in the northeastern United States. Women admitted for childbirth...
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| Veröffentlicht in: | Journal of obstetric, gynecologic, and neonatal nursing gynecologic, and neonatal nursing, 2019-09, Vol.48 (5), p.552-562 |
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| container_title | Journal of obstetric, gynecologic, and neonatal nursing |
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| creator | Kumar, Aparna Rao, Aditi O’Rourke, Kathleen Hanrahan, Nancy |
| description | To examine the relationship between depression and/or anxiety and any psychiatric diagnosis and readmission after childbirth.
Cross-sectional analysis of administrative data from patient discharge records.
Urban academic medical center in the northeastern United States.
Women admitted for childbirth (N = 17,905).
Differences among participants with and without depression and/or anxiety present on admission were compared using t tests and chi-square tests. Risk-adjusted logistic regression models were used to examine the effects of depression and/or anxiety and any psychiatric diagnosis on 7-, 30-, 60-, 90-, and 180-day readmissions after childbirth.
Significant differences were noted between participants with (n = 1,169) and without (n = 16,736) depression and/or anxiety. Participants with these diagnoses had a higher mean age and a longer mean length of stay during hospitalization for childbirth. A greater proportion of these participants were White, were single, had cesarean births, and were discharged with home health services. The presence of depression and/or anxiety was not significantly associated with readmission. The effect of having any psychiatric diagnosis was significantly associated with a greater risk of readmission at 7 (odds ratio [OR] = 1.51, p = .100), 30 (OR = 1.45, p = .030), 60 (OR = 1.45, p = .026), 90 (OR = 1.56, p = .004), and 180 days (OR =1.74, p < .001) following discharge after childbirth.
In this sample, women with a psychiatric diagnosis, but not depression and/or anxiety alone, were at increased risk for readmission after childbirth.
The presence of a psychiatric diagnosis may increase the odds of hospital readmission among women admitted for childbirth. |
| doi_str_mv | 10.1016/j.jogn.2019.07.001 |
| format | Article |
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Cross-sectional analysis of administrative data from patient discharge records.
Urban academic medical center in the northeastern United States.
Women admitted for childbirth (N = 17,905).
Differences among participants with and without depression and/or anxiety present on admission were compared using t tests and chi-square tests. Risk-adjusted logistic regression models were used to examine the effects of depression and/or anxiety and any psychiatric diagnosis on 7-, 30-, 60-, 90-, and 180-day readmissions after childbirth.
Significant differences were noted between participants with (n = 1,169) and without (n = 16,736) depression and/or anxiety. Participants with these diagnoses had a higher mean age and a longer mean length of stay during hospitalization for childbirth. A greater proportion of these participants were White, were single, had cesarean births, and were discharged with home health services. The presence of depression and/or anxiety was not significantly associated with readmission. The effect of having any psychiatric diagnosis was significantly associated with a greater risk of readmission at 7 (odds ratio [OR] = 1.51, p = .100), 30 (OR = 1.45, p = .030), 60 (OR = 1.45, p = .026), 90 (OR = 1.56, p = .004), and 180 days (OR =1.74, p < .001) following discharge after childbirth.
In this sample, women with a psychiatric diagnosis, but not depression and/or anxiety alone, were at increased risk for readmission after childbirth.
The presence of a psychiatric diagnosis may increase the odds of hospital readmission among women admitted for childbirth.</description><identifier>ISSN: 0884-2175</identifier><identifier>ISSN: 1552-6909</identifier><identifier>EISSN: 1552-6909</identifier><identifier>DOI: 10.1016/j.jogn.2019.07.001</identifier><identifier>PMID: 31356766</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Anxiety - diagnosis ; Anxiety - epidemiology ; Anxiety - therapy ; Chi-Square Distribution ; Cross-Sectional Studies ; Databases, Factual ; Delivery, Obstetric - methods ; Delivery, Obstetric - psychology ; Depression - diagnosis ; Depression - epidemiology ; Depression - therapy ; Female ; Hospitals, General ; Humans ; Incidence ; Infant, Newborn ; Length of Stay ; mental health ; New England ; Parturition - psychology ; Patient Discharge - statistics & numerical data ; Patient Readmission - statistics & numerical data ; pregnancy ; readmissions ; Risk Assessment ; Urban Population ; Young Adult</subject><ispartof>Journal of obstetric, gynecologic, and neonatal nursing, 2019-09, Vol.48 (5), p.552-562</ispartof><rights>2019</rights><rights>Copyright © 2019. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-85ac7518ea3412ea69959f5cff1868d6469ac1d581af39ef03b31eb495536dd43</citedby><cites>FETCH-LOGICAL-c400t-85ac7518ea3412ea69959f5cff1868d6469ac1d581af39ef03b31eb495536dd43</cites><orcidid>0000-0002-2828-7010</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31356766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kumar, Aparna</creatorcontrib><creatorcontrib>Rao, Aditi</creatorcontrib><creatorcontrib>O’Rourke, Kathleen</creatorcontrib><creatorcontrib>Hanrahan, Nancy</creatorcontrib><title>Relationship Between Depression and/or Anxiety and Hospital Readmission Among Women After Childbirth</title><title>Journal of obstetric, gynecologic, and neonatal nursing</title><addtitle>J Obstet Gynecol Neonatal Nurs</addtitle><description>To examine the relationship between depression and/or anxiety and any psychiatric diagnosis and readmission after childbirth.
Cross-sectional analysis of administrative data from patient discharge records.
Urban academic medical center in the northeastern United States.
Women admitted for childbirth (N = 17,905).
Differences among participants with and without depression and/or anxiety present on admission were compared using t tests and chi-square tests. Risk-adjusted logistic regression models were used to examine the effects of depression and/or anxiety and any psychiatric diagnosis on 7-, 30-, 60-, 90-, and 180-day readmissions after childbirth.
Significant differences were noted between participants with (n = 1,169) and without (n = 16,736) depression and/or anxiety. Participants with these diagnoses had a higher mean age and a longer mean length of stay during hospitalization for childbirth. A greater proportion of these participants were White, were single, had cesarean births, and were discharged with home health services. The presence of depression and/or anxiety was not significantly associated with readmission. The effect of having any psychiatric diagnosis was significantly associated with a greater risk of readmission at 7 (odds ratio [OR] = 1.51, p = .100), 30 (OR = 1.45, p = .030), 60 (OR = 1.45, p = .026), 90 (OR = 1.56, p = .004), and 180 days (OR =1.74, p < .001) following discharge after childbirth.
In this sample, women with a psychiatric diagnosis, but not depression and/or anxiety alone, were at increased risk for readmission after childbirth.
The presence of a psychiatric diagnosis may increase the odds of hospital readmission among women admitted for childbirth.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - therapy</subject><subject>Chi-Square Distribution</subject><subject>Cross-Sectional Studies</subject><subject>Databases, Factual</subject><subject>Delivery, Obstetric - methods</subject><subject>Delivery, Obstetric - psychology</subject><subject>Depression - diagnosis</subject><subject>Depression - epidemiology</subject><subject>Depression - therapy</subject><subject>Female</subject><subject>Hospitals, General</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Length of Stay</subject><subject>mental health</subject><subject>New England</subject><subject>Parturition - psychology</subject><subject>Patient Discharge - statistics & numerical data</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>pregnancy</subject><subject>readmissions</subject><subject>Risk Assessment</subject><subject>Urban Population</subject><subject>Young Adult</subject><issn>0884-2175</issn><issn>1552-6909</issn><issn>1552-6909</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UE1LxDAQDaLouvoHPEiPXlqTpkkb8LKunyAIongM2WTqZmmbmmT9-Pe2rnp0YBhmeO8x7yF0RHBGMOGnq2zlXrosx0RkuMwwJltoQhjLUy6w2EYTXFVFmpOS7aH9EFZ4LCp20R4llPGS8wkyD9CoaF0XlrZPziG-A3TJBfQeQhjOierMqfPJrPuwED_HNblxobdRNckDKNPaDW7Wuu4leXbtQJ_VEXwyX9rGLKyPywO0U6smwOHPnKKnq8vH-U16d399O5_dpbrAOKYVU7pkpAJFC5KD4kIwUTNd16TileEFF0oTwyqiaiqgxnRBCSwKwRjlxhR0ik42ur13r2sIUQ7faWga1YFbB5nnvMSD9aGnKN9AtXcheKhl722r_KckWI7pypUc05VjuhKXEn-Tjn_014sWzB_lN84BcLYBwODyzYKXQVvoNBjrQUdpnP1P_wvCuYvr</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Kumar, Aparna</creator><creator>Rao, Aditi</creator><creator>O’Rourke, Kathleen</creator><creator>Hanrahan, Nancy</creator><general>Elsevier Inc</general><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>7X8</scope><orcidid>https://orcid.org/0000-0002-2828-7010</orcidid></search><sort><creationdate>201909</creationdate><title>Relationship Between Depression and/or Anxiety and Hospital Readmission Among Women After Childbirth</title><author>Kumar, Aparna ; Rao, Aditi ; O’Rourke, Kathleen ; Hanrahan, Nancy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-85ac7518ea3412ea69959f5cff1868d6469ac1d581af39ef03b31eb495536dd43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Anxiety - diagnosis</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - therapy</topic><topic>Chi-Square Distribution</topic><topic>Cross-Sectional Studies</topic><topic>Databases, Factual</topic><topic>Delivery, Obstetric - methods</topic><topic>Delivery, Obstetric - psychology</topic><topic>Depression - diagnosis</topic><topic>Depression - epidemiology</topic><topic>Depression - therapy</topic><topic>Female</topic><topic>Hospitals, General</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Length of Stay</topic><topic>mental health</topic><topic>New England</topic><topic>Parturition - psychology</topic><topic>Patient Discharge - statistics & numerical data</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>pregnancy</topic><topic>readmissions</topic><topic>Risk Assessment</topic><topic>Urban Population</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kumar, Aparna</creatorcontrib><creatorcontrib>Rao, Aditi</creatorcontrib><creatorcontrib>O’Rourke, Kathleen</creatorcontrib><creatorcontrib>Hanrahan, Nancy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of obstetric, gynecologic, and neonatal nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kumar, Aparna</au><au>Rao, Aditi</au><au>O’Rourke, Kathleen</au><au>Hanrahan, Nancy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship Between Depression and/or Anxiety and Hospital Readmission Among Women After Childbirth</atitle><jtitle>Journal of obstetric, gynecologic, and neonatal nursing</jtitle><addtitle>J Obstet Gynecol Neonatal Nurs</addtitle><date>2019-09</date><risdate>2019</risdate><volume>48</volume><issue>5</issue><spage>552</spage><epage>562</epage><pages>552-562</pages><issn>0884-2175</issn><issn>1552-6909</issn><eissn>1552-6909</eissn><abstract>To examine the relationship between depression and/or anxiety and any psychiatric diagnosis and readmission after childbirth.
Cross-sectional analysis of administrative data from patient discharge records.
Urban academic medical center in the northeastern United States.
Women admitted for childbirth (N = 17,905).
Differences among participants with and without depression and/or anxiety present on admission were compared using t tests and chi-square tests. Risk-adjusted logistic regression models were used to examine the effects of depression and/or anxiety and any psychiatric diagnosis on 7-, 30-, 60-, 90-, and 180-day readmissions after childbirth.
Significant differences were noted between participants with (n = 1,169) and without (n = 16,736) depression and/or anxiety. Participants with these diagnoses had a higher mean age and a longer mean length of stay during hospitalization for childbirth. A greater proportion of these participants were White, were single, had cesarean births, and were discharged with home health services. The presence of depression and/or anxiety was not significantly associated with readmission. The effect of having any psychiatric diagnosis was significantly associated with a greater risk of readmission at 7 (odds ratio [OR] = 1.51, p = .100), 30 (OR = 1.45, p = .030), 60 (OR = 1.45, p = .026), 90 (OR = 1.56, p = .004), and 180 days (OR =1.74, p < .001) following discharge after childbirth.
In this sample, women with a psychiatric diagnosis, but not depression and/or anxiety alone, were at increased risk for readmission after childbirth.
The presence of a psychiatric diagnosis may increase the odds of hospital readmission among women admitted for childbirth.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31356766</pmid><doi>10.1016/j.jogn.2019.07.001</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2828-7010</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age Factors Anxiety - diagnosis Anxiety - epidemiology Anxiety - therapy Chi-Square Distribution Cross-Sectional Studies Databases, Factual Delivery, Obstetric - methods Delivery, Obstetric - psychology Depression - diagnosis Depression - epidemiology Depression - therapy Female Hospitals, General Humans Incidence Infant, Newborn Length of Stay mental health New England Parturition - psychology Patient Discharge - statistics & numerical data Patient Readmission - statistics & numerical data pregnancy readmissions Risk Assessment Urban Population Young Adult |
| title | Relationship Between Depression and/or Anxiety and Hospital Readmission Among Women After Childbirth |
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