Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study
Abstract Introduction The lifetime prevalence of PTSD ranges from 6 to 20% and is often associated with comorbid disorders. Despite the significant impact of PTSD, specific data on healthcare utilization related to PTSD remain limited. This study aims to characterize PTSD-related hospitalizations...
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Cambridge University Press
2025-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933824018108/type/journal_article |
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| author | Alice Demesmaeker Florian Dufrenois Chloé Saint-Dizier Guillaume Vaiva Antoine Lamer Mathilde Horn Fabien D’Hondt |
| author_facet | Alice Demesmaeker Florian Dufrenois Chloé Saint-Dizier Guillaume Vaiva Antoine Lamer Mathilde Horn Fabien D’Hondt |
| author_sort | Alice Demesmaeker |
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Abstract
Introduction
The lifetime prevalence of PTSD ranges from 6 to 20% and is often associated with comorbid disorders. Despite the significant impact of PTSD, specific data on healthcare utilization related to PTSD remain limited. This study aims to characterize PTSD-related hospitalizations in France over the past decade.
Methods
This nationwide longitudinal retrospective study analyzed PTSD-related hospitalizations in France from 2013 to 2022 using the French National Hospitals Database. Data included discharge records from general and psychiatric hospitals, detailing demographics, admission/discharge dates, ICD-10 diagnoses, and hospitalization specifics.
Results
Between 2013 and 2022, 69,108 patients underwent 125,349 hospitalizations with a PTSD diagnosis (0.4% of all inpatient cases) in France. Psychiatric facilities accounted for 74,988 hospitalizations (1% of all psychiatric inpatient cases in France), while general hospitals recorded 50,361 hospitalizations (0.02% of all non-psychiatric inpatient cases). The percentage of inpatients diagnosed with PTSD increased from 0.68 to 2.22% in psychiatric facilities and from 0.02 to 0.04% in general hospitals over the study period. Females were younger in both settings and had longer stays compared to males in psychiatric facilities. Over time, there was a decrease in median age and an increase in part-time hospitalizations in psychiatric facilities. Mood disorders, stress-related disorders, and substance use disorders were prevalent comorbidities in both settings.
Conclusions
This study highlights a rise in PTSD-related hospitalizations in France, particularly in psychiatric facilities and after 2019, with high rates among women and an increase in hospitalization of younger individuals. These findings highlight the necessity for improved care strategies tailored to the increasing number of younger patients with PTSD.
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| format | Article |
| id | doaj-art-c3097debbdc84cf9b7f65430b6f28615 |
| institution | Kabale University |
| issn | 0924-9338 1778-3585 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj-art-c3097debbdc84cf9b7f65430b6f286152025-01-22T07:19:38ZengCambridge University PressEuropean Psychiatry0924-93381778-35852025-01-016810.1192/j.eurpsy.2024.1810Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective studyAlice Demesmaeker0https://orcid.org/0000-0002-3455-3493Florian Dufrenois1https://orcid.org/0009-0002-3471-4258Chloé Saint-Dizier2https://orcid.org/0009-0004-5274-2943Guillaume Vaiva3https://orcid.org/0000-0003-2462-008XAntoine Lamer4https://orcid.org/0000-0002-9546-1808Mathilde Horn5https://orcid.org/0000-0001-8968-9454Fabien D’Hondt6https://orcid.org/0000-0001-5683-0490Univ. Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, Lille, France Centre national de ressources et de résilience (Cn2r), Lille-Paris, FranceFédération Régionale de Recherche en Santé Mentale et Psychiatrie des Hauts-de-France – F2RSM Psy, Saint-André-Lez-Lille, FranceFédération Régionale de Recherche en Santé Mentale et Psychiatrie des Hauts-de-France – F2RSM Psy, Saint-André-Lez-Lille, France Univ. Lille, CHU Lille, ULR 2694 – METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, Lille, FranceUniv. Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, Lille, France Centre national de ressources et de résilience (Cn2r), Lille-Paris, FranceFédération Régionale de Recherche en Santé Mentale et Psychiatrie des Hauts-de-France – F2RSM Psy, Saint-André-Lez-Lille, France Univ. Lille, CHU Lille, ULR 2694 – METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, Lille, FranceUniv. Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, Lille, FranceUniv. Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, Lille, France Centre national de ressources et de résilience (Cn2r), Lille-Paris, France Abstract Introduction The lifetime prevalence of PTSD ranges from 6 to 20% and is often associated with comorbid disorders. Despite the significant impact of PTSD, specific data on healthcare utilization related to PTSD remain limited. This study aims to characterize PTSD-related hospitalizations in France over the past decade. Methods This nationwide longitudinal retrospective study analyzed PTSD-related hospitalizations in France from 2013 to 2022 using the French National Hospitals Database. Data included discharge records from general and psychiatric hospitals, detailing demographics, admission/discharge dates, ICD-10 diagnoses, and hospitalization specifics. Results Between 2013 and 2022, 69,108 patients underwent 125,349 hospitalizations with a PTSD diagnosis (0.4% of all inpatient cases) in France. Psychiatric facilities accounted for 74,988 hospitalizations (1% of all psychiatric inpatient cases in France), while general hospitals recorded 50,361 hospitalizations (0.02% of all non-psychiatric inpatient cases). The percentage of inpatients diagnosed with PTSD increased from 0.68 to 2.22% in psychiatric facilities and from 0.02 to 0.04% in general hospitals over the study period. Females were younger in both settings and had longer stays compared to males in psychiatric facilities. Over time, there was a decrease in median age and an increase in part-time hospitalizations in psychiatric facilities. Mood disorders, stress-related disorders, and substance use disorders were prevalent comorbidities in both settings. Conclusions This study highlights a rise in PTSD-related hospitalizations in France, particularly in psychiatric facilities and after 2019, with high rates among women and an increase in hospitalization of younger individuals. These findings highlight the necessity for improved care strategies tailored to the increasing number of younger patients with PTSD. https://www.cambridge.org/core/product/identifier/S0924933824018108/type/journal_articlePosttraumatic stress disorderhospitalizationcomorbid disordersepidemiology |
| spellingShingle | Alice Demesmaeker Florian Dufrenois Chloé Saint-Dizier Guillaume Vaiva Antoine Lamer Mathilde Horn Fabien D’Hondt Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study European Psychiatry Posttraumatic stress disorder hospitalization comorbid disorders epidemiology |
| title | Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study |
| title_full | Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study |
| title_fullStr | Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study |
| title_full_unstemmed | Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study |
| title_short | Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study |
| title_sort | hospitalizations with post traumatic stress disorder in france between 2013 and 2022 a nationwide retrospective study |
| topic | Posttraumatic stress disorder hospitalization comorbid disorders epidemiology |
| url | https://www.cambridge.org/core/product/identifier/S0924933824018108/type/journal_article |
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