Table 2.
Associations between psychiatric diagnoses and delayed discharge after gastric bypass surgery, odds ratios (OR) with 95% confidence intervals (CI)
| Total | Hospital stay ≥ 90th percentile of number of postoperative days in somatic wardd | Crude OR conditioned on calendar year (95% CI) | Model 1b Adjusted OR (95% CI) | Model 2c Adjusted OR (95% CI) | ||
|---|---|---|---|---|---|---|
| Number | Number | % | ||||
| All | 22,539 | 2215 | 9.8 | |||
| None of the below mentioned diagnoses and no antidepressant medication prescribed since 2005 | 13,059 | 1118 | 8.6 | REF 1.00 | REF 1.00 | REF 1.00 |
| Diagnosis below or antidepressant medication | 9480 | 1097 | 11.6 | 1.43 (1.31–1.56) | 1.42 (1.30–1.56) | 1.47 (1.34–1.62) |
| Diagnosis below | ||||||
| Diagnoses since 1997 | ||||||
| Severe mental illness (Bipolar disorder/ Schizophrenia)a | 375 | 42 | 11.2 | 1.55 (1.10–2.17) | 0.96 (0.52–1.78) | 0.92 (0.48–1.75) |
| Depression a, e | 2100 | 275 | 13.1 | 1.68 (1.45–1.94) | 1.38 (1.11–1.71) | 1.43 (1.13–1.80) |
| Neurotic disorders f | 2769 | 358 | 12.9 | 1.68 (1.47–1.91) | 1.48 (1.23–1.78) | 1.47 (1.21–1.79) |
| Attention deficit hyperactivity disorder | 314 | 44 | 14.0 | 1.99 (1.42–2.79) | 1.51 (0.82–2.79) | 1.58 (0.83–3.00) |
| Substance use disorder or treatment for substance use disorder | 971 | 135 | 13.9 | 1.79 (1.47–2.18) | 1.39 (1.02–1.91) | 1.41 (1.01–1.97) |
| Eating disorder | 285 | 39 | 13.7 | 1.76 (1.23–2.50) | 1.72 (0.93–3.16) | 1.97 (1.04–3.71) |
| Personality disorder | 551 | 77 | 14.0 | 1.82 (1.41–2.36) | 1.29 (0.68–2.45) | 1.20 (0.60–2.37) |
| Self-harm | 1169 | 154 | 13.2 | 1.57 (1.31–1.89) | 1.16 (0.87–1.55) | 1.25 (0.92–1.69) |
| None of the above, but antidepressant medication prescribed after year 2005g | 4624 | 497 | 10.7 | 1.31 (1.17–1.46) | 1.24 (1.10–1.39) | 1.31 (1.16–1.48) |
aIn case of diagnoses of both severe mental illness and depression, severe mental illness was chosen.
bAdjusted for age, sex, conditioned on calendar year.
cAdjusted for age, sex, type of gastric bypass surgery, the other diagnoses since 1997 (including treatment for SUD, but not antidepressant medication) (reviewer #1, comment #4) and conditioned on calendar year.
d≥ 90th percentile of number of postoperative days was ≥6 days in 2008–2009, ≥5 days in 2010, and ≥4 days in 2011–2012.
eDoes not include the group prescribed antidepressants with no diagnosis of depression.
fAgoraphobia, anxiety disorders, obsessive-compulsive disorder, reaction to severe stress including post-traumatic stress syndrome, adjustment disorders, dissociative and conversion disorders, somatoform disorders, other nonpsychotic mental disorders (reviewer #2, comment #5)
gFilled prescription from the pharmacotherapeutic group N06A (according to the Anatomical Therapeutic Chemical classification system, ATC).