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Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management

Medically Unexplained Physical Symptoms (MUPS) are physical symptoms without a medical explanation. This study collected data from hospitalized patients presenting MUPS, aiming to draw a clinical and socio-demographic profile of patients with MUPS, to explore psychopathological correlations of Somat...

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Autores principales: Poloni, Nicola, Caselli, Ivano, Ielmini, Marta, Mattia, Michele, De Leo, Alessandra, Di Sarno, Marco, Isella, Celeste, Bellini, Alessandro, Callegari, Camilla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6680508/
https://www.ncbi.nlm.nih.gov/pubmed/31331103
http://dx.doi.org/10.3390/bs9070080
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author Poloni, Nicola
Caselli, Ivano
Ielmini, Marta
Mattia, Michele
De Leo, Alessandra
Di Sarno, Marco
Isella, Celeste
Bellini, Alessandro
Callegari, Camilla
author_facet Poloni, Nicola
Caselli, Ivano
Ielmini, Marta
Mattia, Michele
De Leo, Alessandra
Di Sarno, Marco
Isella, Celeste
Bellini, Alessandro
Callegari, Camilla
author_sort Poloni, Nicola
collection PubMed
description Medically Unexplained Physical Symptoms (MUPS) are physical symptoms without a medical explanation. This study collected data from hospitalized patients presenting MUPS, aiming to draw a clinical and socio-demographic profile of patients with MUPS, to explore psychopathological correlations of Somatic Symptoms Disorder (SSD) diagnosis, and to estimate economic costs related to hospital management for MUPS. The cross-sectional study consisted in the evaluation of data referring to hospitalized patients admitted between 2008 and 2018 in a teaching hospital in Northern Italy. A total of 273 patients presenting MUPS have been hospitalized. The sample showed a prevalence of female, married and employed patients. The most frequent wards involved are Neurology, Internal Medicine and Short Unit Stay. The most common symptoms found are headache, pain, syncope and vertigo. There is no evidence that a history of medical disease is associated with a diagnosis of SSD. A personality disorder diagnosis in patients with MUPS was associated with increased probability of having a diagnosis of SSD. A marginally significant positive association emerged with anxiety disorders, but not with depressive disorder. The overall estimated cost of hospitalization for patients with MUPS is 475′409.73 €. The study provides the investigation of a large number of patients with MUPS and a financial estimate of related hospitalization costs.
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spelling pubmed-66805082019-08-09 Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management Poloni, Nicola Caselli, Ivano Ielmini, Marta Mattia, Michele De Leo, Alessandra Di Sarno, Marco Isella, Celeste Bellini, Alessandro Callegari, Camilla Behav Sci (Basel) Article Medically Unexplained Physical Symptoms (MUPS) are physical symptoms without a medical explanation. This study collected data from hospitalized patients presenting MUPS, aiming to draw a clinical and socio-demographic profile of patients with MUPS, to explore psychopathological correlations of Somatic Symptoms Disorder (SSD) diagnosis, and to estimate economic costs related to hospital management for MUPS. The cross-sectional study consisted in the evaluation of data referring to hospitalized patients admitted between 2008 and 2018 in a teaching hospital in Northern Italy. A total of 273 patients presenting MUPS have been hospitalized. The sample showed a prevalence of female, married and employed patients. The most frequent wards involved are Neurology, Internal Medicine and Short Unit Stay. The most common symptoms found are headache, pain, syncope and vertigo. There is no evidence that a history of medical disease is associated with a diagnosis of SSD. A personality disorder diagnosis in patients with MUPS was associated with increased probability of having a diagnosis of SSD. A marginally significant positive association emerged with anxiety disorders, but not with depressive disorder. The overall estimated cost of hospitalization for patients with MUPS is 475′409.73 €. The study provides the investigation of a large number of patients with MUPS and a financial estimate of related hospitalization costs. MDPI 2019-07-19 /pmc/articles/PMC6680508/ /pubmed/31331103 http://dx.doi.org/10.3390/bs9070080 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Poloni, Nicola
Caselli, Ivano
Ielmini, Marta
Mattia, Michele
De Leo, Alessandra
Di Sarno, Marco
Isella, Celeste
Bellini, Alessandro
Callegari, Camilla
Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management
title Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management
title_full Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management
title_fullStr Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management
title_full_unstemmed Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management
title_short Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management
title_sort hospitalized patients with medically unexplained physical symptoms: clinical context and economic costs of healthcare management
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6680508/
https://www.ncbi.nlm.nih.gov/pubmed/31331103
http://dx.doi.org/10.3390/bs9070080
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