title: [Frequency and coding of psychiatric care of short-stay patients].
abstract: BACKGROUND
  The objective of this study was to describe the frequency and coding of the psychiatric management of short-stay patients admitted to Nice University Hospital in 2013.
  
  
  METHODS
  Various parameters were measured : percentage of outpatient psychiatric procedures or psychiatric diagnosis codes ; coding practice differences between the Programme de médicalisation des systèmes d’information (Medical Information System Programme) for medicine, surgery and obstetrics and psychiatric medical data records, and the impact of coding on diagnosis-related groups.
  
  
  RESULTS
  Twenty-four per cent of hospitalised patients received psychiatric management (either outpatient care or a psychiatric diagnosis) and 3.9% received both psychiatric management and a psychiatric diagnosis. Liaison psychiatrists more commonly used codes for neurotic and psychosomatic disorders (28% vs 16%), while somatic physicians more commonly used codes for psychoactive substance use-related disorders (26% vs 16%).The presence of psychiatric comorbidity had an impact on the DRG classification or the level of severity for 0.5% of standardized discharge summaries.
  
  
  CONCLUSIONS
  This study illustrates the importance of the active involvement of psychiatry personnel in the management of short-stay patients. The importance of psychosomatic medicine in a short-stay institution could be improved by establishing a clearer definition of coding rules for these diseases and revising and identifying wards or beds devoted to psychosomatic disorders.
authors.forename: Claire
authors.initials: C
authors.lastname: Bourdais-Mannone
authors.forename: Yves
authors.initials: Y
authors.lastname: Gendreike
authors.forename: Aude
authors.initials: A
authors.lastname: Clamen
authors.forename: Julie
authors.initials: J
authors.lastname: Teadi
authors.forename: Frédéric
authors.initials: F
authors.lastname: Jover
authors.forename: Renaud
authors.initials: R
authors.lastname: David
authors.forename: Faredj
authors.initials: F
authors.lastname: Cherikh
authors.forename: Pascal
authors.initials: P
authors.lastname: Staccini
mesh_terms: D059019:Clinical Coding; D003953:Diagnosis-Related Groups; D006760:Hospitalization; D006785:Hospitals, University; D006801:Humans; D007902:Length of Stay; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy