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A 7 Year Summary of Emergency Department Visits by Patients With Mental Health Disorders.
Brathwaite, Danielle; Waller, Anna E; Gaynes, Bradley N; Stemerman, Rachel; Deselm, Tracy M; Bischof, Jason J; Tintinalli, Judith; Brice, Jane H; Bush, Montika.
Afiliación
  • Brathwaite D; Department of Health Policy and Management, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States.
  • Waller AE; Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
  • Gaynes BN; Carolina Center for Health Informatics, University of North Carolina, Chapel Hill, NC, United States.
  • Stemerman R; Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
  • Deselm TM; Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States.
  • Bischof JJ; Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
  • Tintinalli J; Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
  • Brice JH; Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
  • Bush M; Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Front Psychiatry ; 13: 831843, 2022.
Article en En | MEDLINE | ID: mdl-35222127
OBJECTIVES: Emergency departments (EDs) have been increasingly utilized over time for psychiatric care. While multiple studies have assessed these trends in nationally representative data, few have evaluated these trends in state-level data. This investigation seeks to understand the mental health-related ED burden in North Carolina (NC) by describing trends in ED visits associated with a mental health diagnosis (MHD) over time. METHODS: Using data from NC DETECT, this investigation describes trends in NC ED visits from January 1, 2008 through December 31, 2014 by presence of a MHD code. A visit was classified by the first listed MHD ICD-9-CM code in the surveillance record and MHD codes were grouped into related categories for analysis. Visits were summarized by MHD status and by MHD category. RESULTS: Over 32 million ED visits were recorded from 2008 to 2014, of which 3,030,746 (9.4%) were MHD-related visits. The average age at presentation for MHD-related visits was 50 years (SD 23.5) and 63.9% of visits were from female patients. The proportion of ED visits with a MHD increased from 8.3 to 10.2% from 2008 to 2014. Annually and overall, the largest diagnostic category was stress/anxiety/depression. Hospital admissions resulting from MHD-related visits declined from 32.2 to 18.5% from 2008 to 2014 but remained consistently higher than the rate of admissions among non-MHD visits. CONCLUSION: Similar to national trends, the proportion of ED visits associated with a MHD in NC has increased over time. This indicates a need for continued surveillance, both stateside and nationally, in order to inform future efforts to mitigate the growing ED burden.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Psychiatry Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Psychiatry Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza