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Child and Adolescent Psychiatry and Mental Health

, 5:27

First Online: 07 August 2011Received: 22 March 2011Accepted: 07 August 2011


BackgroundMood disorders including depression and bipolar disorders are a major cause of morbidity in childhood and adolescence, and hospitalizations for mood disorders are the leading diagnosis for all hospitalizations in general hospitals for children age 13 to 17. We describe characteristics of these hospitalizations in the U.S. focusing on duration of stay, charges, and geographic variation.

MethodsThe Kids- Inpatient Database was analyzed to calculate hospitalization rates for 2000, 2003, and 2006. For each year, information was available for over 2 million hospitalizations, representing 6.3 to 6.5 million hospital stays annually in acute care, non-psychiatric hospitals.

ResultsThe rate of pediatric hospitalizations with a principal diagnosis of a mood disorder was 12.4-10,000 in 2000, 13.0 in 2003, and 12.1 in 2006. In the same period, the incidence of hospitalizations for depressive disorders decreased from 9.1 to 6.4-10,000 children while the incidence of hospitalizations for bipolar disorders increased from 3.3 to 5.7-10,000 children. The mean length of stay increased from 7.1 to 7.7 days, while inflation-adjusted hospital charges increased from $10,600 in 2000, to $13,700 in 2003, to $16,300 in 2006. The proportion of mood disorder stays paid by government increased from 35.3% to 45.2%. The Western region experienced the lowest rates 9.9-10,000, 11.6 and 10.2 in 2000, 2003 and 2006 while the Midwest had the highest rates 26.4, 27.6, and 25.4.

ConclusionsMood disorders are a major reason for hospitalization during development, especially in adolescence. Mood disorder hospitalizations remained relatively constant from 2000-2006, but diagnoses of depressive disorders decreased while diagnoses of bipolar disorders increased. Hospitalization rates vary widely by region of the country.

Electronic supplementary materialThe online version of this article doi:10.1186-1753-2000-5-27 contains supplementary material, which is available to authorized users.

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Autor: Tamar Lasky - Aliza Krieger - Anne Elixhauser - Benedetto Vitiello


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