Pattern of healthcare resource utilization and direct costs associated with manic episodes in Spain

Tafalla, Monica; Salvador-Carulla, Luis; Saiz-Ruiz, Jerónimo; Diez, Teresa; Cordero, Luis
January 2010
BMC Psychiatry;2010, Vol. 10, p31
Academic Journal
Background: Although some studies indicate that bipolar disorder causes high health care resources consumption, no study is available addressing a cost estimation of bipolar disorder in Spain. The aim of this observational study was to evaluate healthcare resource utilization and the associated direct cost in patients with manic episodes in the Spanish setting. Methods: Retrospective descriptive study was carried out in a consecutive sample of patients with a DSM-IV diagnosis of bipolar type I disorder with or without psychotic symptoms, aged 18 years or older, and who were having an active manic episode at the time of inclusion. Information regarding the current manic episode was collected retrospectively from the medical record and patient interview. Results: Seven hundred and eighty-four evaluable patients, recruited by 182 psychiatrists, were included in the study. The direct cost associated with healthcare resource utilization during the manic episode was high, with a mean cost of nearly €4,500 per patient, of which approximately 55% corresponded to the cost of hospitalization, 30% to the cost of psychopharmacological treatment and 10% to the cost of specialized care. Conclusions: Our results show the high cost of management of the patient with a manic episode, which is mainly due to hospitalizations. In this regard, any intervention on the management of the manic patient that could reduce the need for hospitalization would have a significant impact on the costs of the disease.


Related Articles

  • Twin study of symptom dimensions in psychoses. Cardno, Alastair G.; Sham, Pak C.; Murray, Robin M.; McGuffin, Peter; Cardno, A G; Sham, P C; Murray, R M; McGuffin, P // British Journal of Psychiatry;Jul2001, Vol. 179, p39 

    Background: Symptomatology in psychoses can be summarised as quantitative symptom dimensions, but their genetic basis is unknown.Aims: To investigate whether genes make an important contribution to symptom dimensions.Method: A total of 224 probandwise twin...

  • Specificity of psychosis, mania and major depression in a contemporary family study. Vandeleur, C L; Merikangas, K R; Strippoli, M-P F; Castelao, E; Preisig, M // Molecular Psychiatry;Feb2014, Vol. 19 Issue 2, p209 

    There has been increasing attention to the subgroups of mood disorders and their boundaries with other mental disorders, particularly psychoses. The goals of the present paper were (1) to assess the familial aggregation and co-aggregation patterns of the full spectrum of mood disorders (that is,...

  • Mentally ill patients who were accompanied and those who weren't on their first visit to the Mental Health Center of Peristeri. Papadopoulos, Panagiotis; Panagoulias, Efstathios; Stergioula, Magda // Annals of General Psychiatry;2008 Supplement 1, Vol. 7, Special section p1 

    Background The purpose of this study was to spot differences between the two above groups in relation to a variety of demographic and clinical variables. Materials and methods 285 patients took part in this study. 45 of them were accompanied whereas 240 weren't. All these patients visited our...

  • First admission incidence study of mania, 1975-1981. Daly, Ian; Webb, Marcus; Kaliszer, Michael; Daly, I; Webb, M; Kaliszer, M // British Journal of Psychiatry;Oct95, Vol. 167, p463 

    Background: A previous cross-national epidemiological study of first admission rates in London and in Aarhus, Denmark, found that the incidence of mania was virtually identical for both centres. This study sought to examine the corresponding rate for a defined catchment area in...

  • De la euforía a la DEPRESIÓN. Rodríguez, Elsa // Entrepreneur Mexico;jun2007, Vol. 15 Issue 6, p212 

    No abstract available.

  • Benefits and problems of routine laboratory investigations in adult psychiatric admissions. White, Anthony J.; Barraclough, Brian; White, A J; Barraclough, B // British Journal of Psychiatry;Jul89, Vol. 155, p65 

    A survey of laboratory investigations in the management of 1007 non-geriatric admissions to a district general hospital adult psychiatric unit showed a wide variation in the number of tests performed, and in the abnormal proportion between test types. Despite a policy of screening on admission,...

  • Fenomenología del trastorno bipolar con ciclos rápidos: datos de los primeros 500 participantes del Systematic Treatment Enhancement Program. Schneck, Christopher D.; Miklowitz, David J.; Calabrese, Joseph R.; Allen, Michael H.; Thomas, Marshall R.; Wisniewski, Stephen R.; Miyahara, Sachiko; Shelton, Melvin D.; Ketter, Terence A.; Goldberg, Joseph F.; Bowden, Charles L.; Sachs, Gary S. // American Journal of Psychiatry - Edición Española;Jan2005, Vol. 8 Issue 1, p54 

    No abstract available.

  • Sulfasalazine plus Chloroquine-Induced Mood Disorder in a Patient with Rheumatoid Arthritis. Gulec, Gulcan; Yenilmez, Cinar; Ayranci, Unal // Iranian Journal of Medical Sciences;Mar2009, Vol. 34 Issue 1, p72 

    Rheumatoid arthritis is a chronic systemic inflammatory disease that affects approximately 0.5-1% of the world population. The current approach to this disease is to start an intensive treatment without delay once the disease has developed. Various studies in the literature have shown that...

  • A case of recurrent mania with recurrent hyperthyroidism. Corn, Timothy H.; Checkley, Stuart A.; Corn, T H; Checkley, S A // British Journal of Psychiatry;Jul83, Vol. 143, p74 

    The article presents a case report of recurrent mania with recurrent hyerperthyroidism in a Jewish female who has a family history of thyroid disorder. The probability of two relatively common illnesses occurring together by chance is not small and this case cannot be interpreted as suggesting a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics