Depression Is Associated with Repeat Emergency Department Visits in Patients with Non-specific Abdominal Pain

Autor: Andrew Charles Meltzer, Benjamin Bregman, Janice Blanchard
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Western Journal of Emergency Medicine, Vol 15, Iss 3, Pp 325-328 (2014)
Druh dokumentu: article
ISSN: 1936-900X
DOI: 10.5811/westjem.2013.7.15635
Popis: Introduction: Patients with abdominal pain often return multiple times despite no definitive diagnosis. Our objective was to determine if repeat emergency department (ED) use among patients with non-specific abdominal pain might be associated with a diagnosis of moderate to severe depressive disorder. Methods: We screened 987 ED patients for major depression during weekday daytime hours from June 2011 through November 2011 using a validated depression screening tool, the PHQ-9. Each subject was classified as either no depression, mild depression or moderate/ severe depression based on the screening tool. Within this group, we identified 83 patients with non-specific abdominal pain by either primary or secondary diagnosis. Comparing depressed patients versus non-depressed patients, we analyzed demographic characteristics and number of prior ED visits in the past year. Results: In patients with non-specific abdominal pain, 61.9% of patients with moderate or severe depression (PHQ9≥10) had at least one visit to our ED for the same complaint within a 365-day period, as compared to 29.2% of patients with no depression (PHQ9
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