Sociodemographic characteristics and clinical outcomes for people presenting to emergency departments with mental health diagnoses.

Autor: Stubbs JM; Epidemiology and Health Analytics, Western Sydney Local Health District, North Parramatta, NSW, Australia. Electronic address: joanne.stubbs@health.nsw.gov.au., Chong S; Epidemiology and Health Analytics, Western Sydney Local Health District, North Parramatta, NSW, Australia. Electronic address: shanley.chong@health.nsw.gov.au., Achat HM; Epidemiology and Health Analytics, Western Sydney Local Health District, North Parramatta, NSW, Australia. Electronic address: helen.achat@health.nsw.gov.au., Brakoulias V; Mental Health Service, Western Sydney Local Health District, Westmead, NSW, Australia; School of Medicine and Translational Health Research Institute (THRI), Western Sydney University, Sydney, NSW, Australia; Specialty of Psychiatry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. Electronic address: vlasios.brakoulias@health.nsw.gov.au.
Jazyk: angličtina
Zdroj: International emergency nursing [Int Emerg Nurs] 2023 Nov; Vol. 71, pp. 101372. Date of Electronic Publication: 2023 Oct 16.
DOI: 10.1016/j.ienj.2023.101372
Abstrakt: Background: Hospital emergency departments (EDs) are experiencing a growth in presentations with mental health (MH) diagnoses.
Aim: Describe and compare sociodemographic characteristics and clinical outcomes for people with MH and non-MH diagnoses.
Methods: A retrospective study examined routinely collected data for ED presentations in a health district in western Sydney, Australia from 2016 to 2019. Regression models examined variables according to MH status, overall and by age.
Results: Individuals with MH diagnoses accounted for 3.4% of 647,787 ED presentations. MH presentations were most commonly female (51.5%), aged 16-39 years (62.5%), arrived after hours (60.3%) and via ambulance (52.8%). MH presentations were more likely to be triaged category 2 (OR = 1.58,95%CI = 1.54-1.63) and not seen on time (OR = 1.20,95%CI = 1.17-1.24). They had higher odds of a longer ED stay (OR = 1.96,95%CI = 1.90-20.1), after which they were less likely to be admitted (OR = 0.56, 95%CI = 0.55-0.58) and more likely to be transferred (OR = 3.81,95%CI = 3.66-3.97) or leave before treatment was completed (OR = 1.83,95%CI = 1.74-1.92).
Conclusion: Characteristics and outcomes for people presenting to ED with a MH diagnosis significantly differ from those without a MH diagnosis. Provision of timely care is a particular concern. Identifying causes for delays within and external to the ED, and implementing targeted strategies to ameliorate them are required to optimise care.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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