S Kunen1, C Prejean, B Gladney, D Harper, C V Mandry. 1. Louisiana State University Emergency Medicine Residency Program, Earl K Long Medical Center, Baton Rouge, LA 70806, USA. profsk@hotmail.com
Abstract
BACKGROUND: Few emergency department (ED) studies have examined how psychiatric comorbidity relates to hospitalisation decisions. METHODS: We assessed the relationship of psychiatric comorbidity to hospitalisation decisions among ED patients in the 2004 National Hospital Ambulatory Medical Care Survey. RESULTS: Patients with psychiatric comorbidity were five times more likely to be hospitalised than patients with a single psychiatric diagnosis. The most frequent psychiatric comorbidities involved substance use disorders (SUDs). CONCLUSIONS: Psychiatric disorders are underdiagnosed among ED patients. We believe that this underdiagnosis may be partly responsible for the high hospitalisation rates of ED patients with SUDs.
BACKGROUND: Few emergency department (ED) studies have examined how psychiatric comorbidity relates to hospitalisation decisions. METHODS: We assessed the relationship of psychiatric comorbidity to hospitalisation decisions among ED patients in the 2004 National Hospital Ambulatory Medical Care Survey. RESULTS:Patients with psychiatric comorbidity were five times more likely to be hospitalised than patients with a single psychiatric diagnosis. The most frequent psychiatric comorbidities involved substance use disorders (SUDs). CONCLUSIONS:Psychiatric disorders are underdiagnosed among ED patients. We believe that this underdiagnosis may be partly responsible for the high hospitalisation rates of ED patients with SUDs.
Authors: Bridget F Grant; Frederick S Stinson; Deborah A Dawson; S Patricia Chou; Mary C Dufour; Wilson Compton; Roger P Pickering; Kenneth Kaplan Journal: Arch Gen Psychiatry Date: 2004-08
Authors: Daw San San Thinn; Carissa Nadia Kuswanto; Min Yi Sum; Suet Bin Chai; Hian Koh Doris Sok; Changqing Xu; Alex Hsin Chuan Su; Somnath Sengupta; Rajesh Jacob; Kang Sim Journal: Prim Care Companion CNS Disord Date: 2015-07-16