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Factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis
BACKGROUND: Psychiatric emergency patients have great relevance in the interdisciplinary emergency department. Emergency physicians in this setting often have to make decisions under time pressure based on incomplete information regarding the patient’s further treatment. The aim of this study was to...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647959/ https://www.ncbi.nlm.nih.gov/pubmed/36352413 http://dx.doi.org/10.1186/s12991-022-00421-2 |
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author | Kirchner, Heribert Schaefer, Martin Ullrich, Heiko Hulsmans, Nik Juckel, Georg Brzoska, Patrick Pajonk, Frank-Gerald Bernhard |
author_facet | Kirchner, Heribert Schaefer, Martin Ullrich, Heiko Hulsmans, Nik Juckel, Georg Brzoska, Patrick Pajonk, Frank-Gerald Bernhard |
author_sort | Kirchner, Heribert |
collection | PubMed |
description | BACKGROUND: Psychiatric emergency patients have great relevance in the interdisciplinary emergency department. Emergency physicians in this setting often have to make decisions under time pressure based on incomplete information regarding the patient’s further treatment. The aim of this study was to identify possible predictors associated with an increased likelihood of inpatient psychiatric admission. METHODS: A retrospective cross-sectional study of all psychiatric emergency contacts in an interdisciplinary emergency department (ED) of a general hospital in a large German city was conducted for 2015. A binary regression analysis was performed to identify possible predictors. RESULTS: In 2015, a total of 21421 patient contacts were reported in the emergency department, of which 1733 were psychiatric emergencies. Psychiatric emergency was the fourth most common cause presenting to the ED. The most common diagnosis given was mental and behavioral disorders due to the use of psychotropic substances (F1). Factors associated with an increased probability of inpatient psychiatric admission were previously known patients, patients under a legal care order (guardianship), and previous outpatient medical contact. No association for gender or age was found. Data demonstrated a negative relationship between a neurotic, stress-related and somatoform disorder diagnosis and admission. CONCLUSIONS: The present study shows some significant characteristics associated with an increased likelihood of emergency admission. Independent of the health care system, the predictors found seem to be relevant with regard to the probability of admission, when compared internationally. To improve the treatment of patients in emergency units, these factors should be taken into account. |
format | Online Article Text |
id | pubmed-9647959 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-96479592022-11-15 Factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis Kirchner, Heribert Schaefer, Martin Ullrich, Heiko Hulsmans, Nik Juckel, Georg Brzoska, Patrick Pajonk, Frank-Gerald Bernhard Ann Gen Psychiatry Research BACKGROUND: Psychiatric emergency patients have great relevance in the interdisciplinary emergency department. Emergency physicians in this setting often have to make decisions under time pressure based on incomplete information regarding the patient’s further treatment. The aim of this study was to identify possible predictors associated with an increased likelihood of inpatient psychiatric admission. METHODS: A retrospective cross-sectional study of all psychiatric emergency contacts in an interdisciplinary emergency department (ED) of a general hospital in a large German city was conducted for 2015. A binary regression analysis was performed to identify possible predictors. RESULTS: In 2015, a total of 21421 patient contacts were reported in the emergency department, of which 1733 were psychiatric emergencies. Psychiatric emergency was the fourth most common cause presenting to the ED. The most common diagnosis given was mental and behavioral disorders due to the use of psychotropic substances (F1). Factors associated with an increased probability of inpatient psychiatric admission were previously known patients, patients under a legal care order (guardianship), and previous outpatient medical contact. No association for gender or age was found. Data demonstrated a negative relationship between a neurotic, stress-related and somatoform disorder diagnosis and admission. CONCLUSIONS: The present study shows some significant characteristics associated with an increased likelihood of emergency admission. Independent of the health care system, the predictors found seem to be relevant with regard to the probability of admission, when compared internationally. To improve the treatment of patients in emergency units, these factors should be taken into account. BioMed Central 2022-11-09 /pmc/articles/PMC9647959/ /pubmed/36352413 http://dx.doi.org/10.1186/s12991-022-00421-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Kirchner, Heribert Schaefer, Martin Ullrich, Heiko Hulsmans, Nik Juckel, Georg Brzoska, Patrick Pajonk, Frank-Gerald Bernhard Factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis |
title | Factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis |
title_full | Factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis |
title_fullStr | Factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis |
title_full_unstemmed | Factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis |
title_short | Factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis |
title_sort | factors predicting admission of psychiatric emergency contacts after presenting to the emergency department: results of a regression analysis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647959/ https://www.ncbi.nlm.nih.gov/pubmed/36352413 http://dx.doi.org/10.1186/s12991-022-00421-2 |
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