Cargando…
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...
Autores principales: | , , , , , , , , |
---|---|
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 |
_version_ | 1783441515930976256 |
---|---|
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. |
format | Online Article Text |
id | pubmed-6680508 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT poloninicola hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement AT caselliivano hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement AT ielminimarta hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement AT mattiamichele hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement AT deleoalessandra hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement AT disarnomarco hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement AT isellaceleste hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement AT bellinialessandro hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement AT callegaricamilla hospitalizedpatientswithmedicallyunexplainedphysicalsymptomsclinicalcontextandeconomiccostsofhealthcaremanagement |