Detection of Diabetes and Hypertension Comorbidities Among Adult Psychiatric Inpatients.

INTRODUCTION

This study examined adult psychiatric inpatients diagnosed with diabetes or hypertension before admission who then had these diagnoses missing from discharge records.

METHODS

We analyzed Medicaid records for adults admitted to inpatient psychiatry in New York State hospitals between 2012 and 2013. We included 6,381 patients with records indicating preexisting diabetes or hypertension in the 12 months before admission. Logistic regression analyses identified factors at the patient, hospital, and system levels related to detection or omission of the diagnosis of diabetes or hypertension upon hospital discharge.

RESULTS

Preexisting diabetes or hypertension was missed in 29% and 36% among inpatients, respectively. Diagnoses were more frequently missed in people who were younger, experiencing homelessness, with fewer claims and with claims longer than 30 days before admission.

CONCLUSIONS

These findings underscore the importance of comprehensive admission processes in inpatient psychiatric settings to ensure appropriate detection and treatment of medical comorbidities.