Cargando…

Medical and Psychiatric Comorbidities in Bipolar Disorder: Insights from National Inpatient Population-based Study

Objectives The objective of this study was to analyze the differences in the prevalence and association of medical and psychiatric comorbidities in bipolar disorder (BD) patients versus the general inpatient population. Methods A cross-sectional analysis was conducted using the national inpatient sa...

Descripción completa

Detalles Bibliográficos
Autores principales: Hossain, Sadaf, Mainali, Pranita, Bhimanadham, Narmada Neerja, Imran, Sundus, Ahmad, Naveed, Patel, Rikinkumar S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6822913/
https://www.ncbi.nlm.nih.gov/pubmed/31700739
http://dx.doi.org/10.7759/cureus.5636
_version_ 1783464435428360192
author Hossain, Sadaf
Mainali, Pranita
Bhimanadham, Narmada Neerja
Imran, Sundus
Ahmad, Naveed
Patel, Rikinkumar S
author_facet Hossain, Sadaf
Mainali, Pranita
Bhimanadham, Narmada Neerja
Imran, Sundus
Ahmad, Naveed
Patel, Rikinkumar S
author_sort Hossain, Sadaf
collection PubMed
description Objectives The objective of this study was to analyze the differences in the prevalence and association of medical and psychiatric comorbidities in bipolar disorder (BD) patients versus the general inpatient population. Methods A cross-sectional analysis was conducted using the national inpatient sample (NIS). Using the international classification of diseases, ninth revision (ICD-9) diagnostic codes, we extracted the BD inpatients and then obtained information about comorbidities. The odds ratio (OR) of comorbidities in BD inpatients were evaluated using a logistic regression model. Results Hypertension (31.1%), asthma (11.7%) and diabetes, obesity, and hypothyroidism (11% each) were the prevalent medical comorbidities found in BD inpatients. Hypothyroidism, asthma, and migraine were seen in BD inpatients (OR 1.59, OR 1.37 and OR 1.23; respectively) compared to general inpatients. Drug abuse (33.5%), anxiety disorders (31.8%), and alcohol abuse (18.3%) were the most prevalent psychiatric comorbidities in BD inpatients. They had a seven-fold higher likelihood of comorbid borderline personality disorders compared to general inpatients. Among other psychiatric comorbidities, the odds of the association were higher for drug abuse (OR 4.33), ADHD (OR 3.06), and PTSD (2.44). Conclusion A higher burden of medical and psychiatric comorbidities is seen in BD inpatients compare to the general inpatient population. A collaborative care model is required for early diagnosis and management of these comorbidities to improve the health-related quality of life.
format Online
Article
Text
id pubmed-6822913
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-68229132019-11-07 Medical and Psychiatric Comorbidities in Bipolar Disorder: Insights from National Inpatient Population-based Study Hossain, Sadaf Mainali, Pranita Bhimanadham, Narmada Neerja Imran, Sundus Ahmad, Naveed Patel, Rikinkumar S Cureus Psychiatry Objectives The objective of this study was to analyze the differences in the prevalence and association of medical and psychiatric comorbidities in bipolar disorder (BD) patients versus the general inpatient population. Methods A cross-sectional analysis was conducted using the national inpatient sample (NIS). Using the international classification of diseases, ninth revision (ICD-9) diagnostic codes, we extracted the BD inpatients and then obtained information about comorbidities. The odds ratio (OR) of comorbidities in BD inpatients were evaluated using a logistic regression model. Results Hypertension (31.1%), asthma (11.7%) and diabetes, obesity, and hypothyroidism (11% each) were the prevalent medical comorbidities found in BD inpatients. Hypothyroidism, asthma, and migraine were seen in BD inpatients (OR 1.59, OR 1.37 and OR 1.23; respectively) compared to general inpatients. Drug abuse (33.5%), anxiety disorders (31.8%), and alcohol abuse (18.3%) were the most prevalent psychiatric comorbidities in BD inpatients. They had a seven-fold higher likelihood of comorbid borderline personality disorders compared to general inpatients. Among other psychiatric comorbidities, the odds of the association were higher for drug abuse (OR 4.33), ADHD (OR 3.06), and PTSD (2.44). Conclusion A higher burden of medical and psychiatric comorbidities is seen in BD inpatients compare to the general inpatient population. A collaborative care model is required for early diagnosis and management of these comorbidities to improve the health-related quality of life. Cureus 2019-09-12 /pmc/articles/PMC6822913/ /pubmed/31700739 http://dx.doi.org/10.7759/cureus.5636 Text en Copyright © 2019, Hossain et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Psychiatry
Hossain, Sadaf
Mainali, Pranita
Bhimanadham, Narmada Neerja
Imran, Sundus
Ahmad, Naveed
Patel, Rikinkumar S
Medical and Psychiatric Comorbidities in Bipolar Disorder: Insights from National Inpatient Population-based Study
title Medical and Psychiatric Comorbidities in Bipolar Disorder: Insights from National Inpatient Population-based Study
title_full Medical and Psychiatric Comorbidities in Bipolar Disorder: Insights from National Inpatient Population-based Study
title_fullStr Medical and Psychiatric Comorbidities in Bipolar Disorder: Insights from National Inpatient Population-based Study
title_full_unstemmed Medical and Psychiatric Comorbidities in Bipolar Disorder: Insights from National Inpatient Population-based Study
title_short Medical and Psychiatric Comorbidities in Bipolar Disorder: Insights from National Inpatient Population-based Study
title_sort medical and psychiatric comorbidities in bipolar disorder: insights from national inpatient population-based study
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6822913/
https://www.ncbi.nlm.nih.gov/pubmed/31700739
http://dx.doi.org/10.7759/cureus.5636
work_keys_str_mv AT hossainsadaf medicalandpsychiatriccomorbiditiesinbipolardisorderinsightsfromnationalinpatientpopulationbasedstudy
AT mainalipranita medicalandpsychiatriccomorbiditiesinbipolardisorderinsightsfromnationalinpatientpopulationbasedstudy
AT bhimanadhamnarmadaneerja medicalandpsychiatriccomorbiditiesinbipolardisorderinsightsfromnationalinpatientpopulationbasedstudy
AT imransundus medicalandpsychiatriccomorbiditiesinbipolardisorderinsightsfromnationalinpatientpopulationbasedstudy
AT ahmadnaveed medicalandpsychiatriccomorbiditiesinbipolardisorderinsightsfromnationalinpatientpopulationbasedstudy
AT patelrikinkumars medicalandpsychiatriccomorbiditiesinbipolardisorderinsightsfromnationalinpatientpopulationbasedstudy