A 7 Year Summary of Emergency Department Visits by Patients With Mental Health Disorders.

Autor:	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.; Carolina Center for Health Informatics, University of North Carolina, Chapel Hill, NC, United States., Gaynes BN; Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, United States.; Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States., Stemerman R; Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States., Deselm TM; Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States., Bischof JJ; Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States.; Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, 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, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in psychiatry [Front Psychiatry] 2022 Feb 09; Vol. 13, pp. 831843. Date of Electronic Publication: 2022 Feb 09 (Print Publication: 2022).
DOI:	10.3389/fpsyt.2022.831843
Abstrakt:	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. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Brathwaite, Waller, Gaynes, Stemerman, Deselm, Bischof, Tintinalli, Brice and Bush.)
Databáze:	MEDLINE
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