Depression Symptoms and Risk Factors in Adult Emergency Department Patients: A Multisite Cross-Sectional Prevalence Survey

Khav, Nancy; Weiland, Tracey; Jelinek, George A; Knott, Jonathan; Salzberg, Michael

doi:10.1155/2013/965103

Cited by 4 publications

(7 citation statements)

References 25 publications

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“…One study reported data on the presence of depression in ED patients with abdominal pain (without narrowing to undifferentiated or recurrent pain) 51 . Using the PHQ‐9 tool and a cutoff score of ≥10 to define positivity, Khav et al 51 reported that five of 48 (10.4%) patients screened positive for depression. Also, patients presenting with abdominal pain were not more likely to have a positive depression screen than other complaints (10.0% vs. 14.3%, p = 0.410) 51 …”

Section: Resultsmentioning

confidence: 99%

“…Using a cutoff of ≥5 for positivity, 42 of 83 (50.6%) were positive. One study reported data on the presence of depression in ED patients with abdominal pain (without narrowing to undifferentiated or recurrent pain) 51 . Using the PHQ‐9 tool and a cutoff score of ≥10 to define positivity, Khav et al 51 reported that five of 48 (10.4%) patients screened positive for depression.…”

Section: Resultsmentioning

confidence: 99%

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Depression and anxiety screening in emergency department patients with recurrent abdominal pain: An evidence synthesis for a clinical practice guideline

Silva

Prakken

Meltzer

et al. 2021

Academic Emergency Medicine

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Background Recurrent abdominal pain in the emergency department (ED) might represent an opportunity for screening of depression and/or anxiety. Methods We systematically searched five databases for studies evaluating the effect of screening for depression and/or anxiety in ED patients with recurrent and undifferentiated abdominal pain. Given paucity of direct evidence, we also searched for indirect evidence including studies that assessed prevalence of depression and/or anxiety in EDs (not necessarily recurrent abdominal pain), diagnostic accuracy of screening tools, effectiveness of screening in other settings, and outcomes such as repeat ED visits of patients with abdominal pain who were screened in the ED. Two methodologists evaluated certainty in the evidence using the GRADE approach. Results A total of 4,337 citations were reviewed, and zero studies were found on the effect of screening in patients with recurrent and undifferentiated abdominal pain in the ED. A total of 35 studies were included as relevant indirect evidence. In studies of ED patients with abdominal pain, depression ranged from 10% to 29%, while anxiety ranged from 18% to 50%. False positives appear to be an issue given relatively low specificity of screening tools. One randomized trial including ED patients with vague symptoms evaluated the effect of depression screening on a composite outcome of depression recognition, psychiatric consultation, or referral by the emergency physician (risk ratio = 1.49, 95% confidence interval [CI] = 0.49 to 4.53, very low certainty). One study reported that patients with undifferentiated abdominal pain who screened positive for depression have had increased ED recidivism (odds ratio = 3.17, 95% CI = 1.14 to 8.85, very low certainty). Conclusions We were unable to identify any evidence that confirms that depression or anxiety screening in ED patients with recurrent and undifferentiated abdominal pain improves outcomes or changes management downstream.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Depression and anxiety screening in emergency department patients with recurrent abdominal pain: An evidence synthesis for a clinical practice guideline

Silva

Prakken

Meltzer

et al. 2021

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…While the prevalence of depression in the general population is believed to be 2%-3%, it can be as high as 22%-32% in patients who present to the accident and emergency department (3,4). Identifying depression is important as it can contribute to the patient's presenting condition and can have a profound effect on their outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…In the current case, lumbosacral plexopathy was considered to have been caused owing to extensive edema and fluid present around the plexus, which was a consequence of rhabdomyolysis as a result of sustained pressure that occurred because of immobility caused by drug overdose. While the prevalence of depression in the general population is believed to be 2%-3%, it can be as high as 22%-32% in patients who present to the accident and emergency department (3,4). Identifying depression is important as it can contribute to the patient's presenting condition and can have a profound effect on their outcomes.…”

Section: Discussionmentioning

confidence: 99%

Concealed Cause of Lumbosacral Plexopathy

Jackson¹,

Webb²,

Bigsby³

2017

J Emerg Med Case Rep

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Case historyA 27-year-old Caucasian woman presented to the accident and emergency department in September 2014 with a 24-h history of left hip pain, difficult walking, and altered sensation in her leg. She was referred to the trauma and orthopedic teams. Pain was present in the groin and buttock, radiating down to the knee. There was no history of trauma. She had a past medical history of depression for which she took pregabalin and quetiapine, which was started 6 weeks before. She had no known drug allergies and lived alone.On examination, she was afebrile and hemodynamically stable. There was maximal tenderness over her left ischial tuberosity, with minor tenderness in the buttock but not in the groin. Passive hip movements were pain free. The abdomen was soft and non-tender. There was a graze on the extensor surface of her left elbow, with associated minor erythema but no tracking cel-69 ABSTRACT Introduction: Lumbosacral plexopathies are rare in patients who present to both primary care and the accident and emergency departments. Presenting symptoms are often non-specific, such as lower back pain, sciatica, or pelvic pain, making diagnosis difficult. Furthermore, there are numerous and diverse causes of lumbosacral plexopathy. Case Report: We present a case of a previously well 27-year-old female who presented to the accident and emergency department with hip pain, difficult walking, and altered sensation in her leg. She was referred to the orthopedic team, where magnetic resonance imaging (MRI) suggested that necrotizing fasciitis was a possible diagnosis because of abundant edema and muscle swelling and thus subsequently underwent surgical exploration. Following subsequent investigation, her symptoms and MRI features were determined to be a result of lumbosacral plexopathy secondary to immobility with rhabdomyolysis. Conclusion: This case highlights the importance of a robust initial clinical history accompanied with appropriate investigations to elicit an accurate diagnosis and also discusses lumbosacral plexopathies in general.

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“…Newly established EDs are increasing in the country and it is essential that our programs and policies be more sensitive to the patients' needs. Screening patients for MH disorders in the ED is recommended (21,22).…”

Section: Introductionmentioning

confidence: 99%

A Study on Knowledge, Attitude and Practices of Emergency Physicians in Management of Patients with Mental Health Disorders in the City of Hyderabad, India

Bhargav¹,

Subhan²,

Singh³

2017

EAJEM

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Depression Symptoms and Risk Factors in Adult Emergency Department Patients: A Multisite Cross-Sectional Prevalence Survey

Cited by 4 publications

References 25 publications

Depression and anxiety screening in emergency department patients with recurrent abdominal pain: An evidence synthesis for a clinical practice guideline

Depression and anxiety screening in emergency department patients with recurrent abdominal pain: An evidence synthesis for a clinical practice guideline

Concealed Cause of Lumbosacral Plexopathy

A Study on Knowledge, Attitude and Practices of Emergency Physicians in Management of Patients with Mental Health Disorders in the City of Hyderabad, India

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