James Luccarelli1, Mark Kalinich2, Thomas H McCoy3, Carlos Fernandez-Robles3, Gregory Fricchione3, Felicia Smith3, Scott R Beach3. 1. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Department of Psychiatry, McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Electronic address: jluccarelli@partners.org. 2. Department of Psychiatry, Harvard Medical School, Boston, MA, USA. 3. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Abstract
OBJECTIVE: Catatonia is a neuropsychiatric disorder that can occur in the setting of many illnesses, but the frequency of catatonia diagnosis among hospitalized patients is poorly characterized. This study reports the occurrence of catatonia diagnosis among acute care hospital discharges in the United States and the cooccurring diagnoses of these patients. METHOD: The National Inpatient Sample, an all-payors database of acute care hospital discharges, was queried for patients older than 18 discharged with a diagnosis of catatonia in 2019. RESULTS: 13,630 encounters among the 30,080,038 adult hospitalizations in the NIS during the study year included a diagnosis of catatonia. Total hospital charges for these admissions were $1.15 billion, with 215,165 cumulative hospital days. In this sample, approximately 60% of admissions had a primary psychiatric discharge diagnosis, while 40% had a primary neurologic or medical discharge diagnosis. Procedures were performed in 36.7% of hospitalizations involving catatonia, of which electroconvulsive therapy was most common. CONCLUSIONS: Catatonia is a rare but costly discharge diagnosis among patients in acute care hospitals. It occurs across the age spectrum and is associated with a range of medical and psychiatric comorbidities. Further research is needed to better characterize the occurrence of catatonia and its optimal treatment.
OBJECTIVE: Catatonia is a neuropsychiatric disorder that can occur in the setting of many illnesses, but the frequency of catatonia diagnosis among hospitalized patients is poorly characterized. This study reports the occurrence of catatonia diagnosis among acute care hospital discharges in the United States and the cooccurring diagnoses of these patients. METHOD: The National Inpatient Sample, an all-payors database of acute care hospital discharges, was queried for patients older than 18 discharged with a diagnosis of catatonia in 2019. RESULTS: 13,630 encounters among the 30,080,038 adult hospitalizations in the NIS during the study year included a diagnosis of catatonia. Total hospital charges for these admissions were $1.15 billion, with 215,165 cumulative hospital days. In this sample, approximately 60% of admissions had a primary psychiatric discharge diagnosis, while 40% had a primary neurologic or medical discharge diagnosis. Procedures were performed in 36.7% of hospitalizations involving catatonia, of which electroconvulsive therapy was most common. CONCLUSIONS: Catatonia is a rare but costly discharge diagnosis among patients in acute care hospitals. It occurs across the age spectrum and is associated with a range of medical and psychiatric comorbidities. Further research is needed to better characterize the occurrence of catatonia and its optimal treatment.
Authors: Jo E Wilson; Richard Carlson; Maria C Duggan; Pratik Pandharipande; Timothy D Girard; Li Wang; Jennifer L Thompson; Rameela Chandrasekhar; Andrew Francis; Stephen E Nicolson; Robert S Dittus; Stephan Heckers; E Wesley Ely Journal: Crit Care Med Date: 2017-11 Impact factor: 7.598
Authors: James Luccarelli; Mark Kalinich; Carlos Fernandez-Robles; Gregory Fricchione; Scott R Beach Journal: Front Psychiatry Date: 2022-04-29 Impact factor: 5.435
Authors: Deidre M Anglin; Sabrina Ereshefsky; Mallory J Klaunig; Miranda A Bridgwater; Tara A Niendam; Lauren M Ellman; Jordan DeVylder; Griffin Thayer; Khalima Bolden; Christie W Musket; Rebecca E Grattan; Sarah Hope Lincoln; Jason Schiffman; Emily Lipner; Peter Bachman; Cheryl M Corcoran; Natália B Mota; Els van der Ven Journal: Am J Psychiatry Date: 2021-05-03 Impact factor: 18.112