Young children with psychiatric complaints in the pediatric emergency department
| Autor: | Karli Parlette, Miryah Chen, Brian G Chen, Melanie M Randall, Ellen T. Reibling, Lance Brown, Frank Randall |
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| Rok vydání: | 2020 |
| Předmět: |
Pediatric emergency
Male Restraint Physical medicine.medical_specialty Discharge home 03 medical and health sciences 0302 clinical medicine Chart review medicine Complaint Humans Psychiatry Adverse Childhood Experiences Child Retrospective Studies Aggression business.industry Mental Disorders 030208 emergency & critical care medicine General Medicine Emergency department Length of Stay Hospitals Pediatric Psychiatric consultation Child Preschool Emergency Medicine Female medicine.symptom business Emergency Service Hospital |
| Zdroj: | The American journal of emergency medicine. 46 |
| ISSN: | 1532-8171 |
| Popis: | Introduction Children are increasingly diagnosed with mental illnesses and self-harm behaviors. They present frequently to the emergency department (ED) for evaluation. The aim of this study is to describe the youngest children in the ED with psychiatric issues. Methods This is a retrospective chart review of all consecutive children less than 10 years of age with a psychiatric complaint who received a psychiatric consultation in the pediatric emergency department in the last four years. Results The number of children with psychiatric issues increased over the study period. The ED length of stay also increased. Violent behavior and aggression were the most common chief complaints, and some children required chemical or physical restraint in the ED. Many children had pre-existing psychiatric issues and a history of adverse childhood experiences. Half of patients were deemed safe for discharge home by psychiatric consultation. Conclusion The number of young children with psychiatric complaints presenting to the ED has increased. However, a large number are found to be stable for discharge home. Increase in urgent outpatient psychiatric resources could help decrease ED utilization. |
| Databáze: | OpenAIRE |
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