Frequent Emergency Department Visits are More Prevalent in Psychiatric, Alcohol Abuse, and Dual Diagnosis Conditions than in Chronic Viral Illnesses Such as Hepatitis and Human Immunodeficiency Virus

Minassian, Arpi; Vilke, Gary M.; Wilson, Michael P.

doi:10.1016/j.jemermed.2013.05.007

Cited by 69 publications

(79 citation statements)

References 26 publications

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“…As a consequence of this separation, patients were expected to have completed treatment in one sector before entering the other, which unfortunately, could have resulted in a rejection and undertreatment of patients with comorbidity in either sector. The present study also revealed that patients with SUDs had a marginally greater number of contacts with emergency departments, which is a finding supported by other studies [49,50]. Treatment of these individuals was at risk of being emergency treatment, characterised by less consistent and continuous support and care than that obtainable in psychiatric hospitals and outpatient care units.…”

Section: Psychiatric Treatment Facility Utilisationsupporting

confidence: 89%

Prevalence of substance use disorders in psychiatric patients: a nationwide Danish population-based study

Toftdahl

Nordentoft

Hjorthøj

2015

Soc Psychiatry Psychiatr Epidemiol

165

116

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The study was the most comprehensive of its kind so far to estimate the prevalence of SUDs in an unselected population-based cohort, and it revealed remarkably high prevalence among the psychiatric patients. The results should encourage continuous focus on possible comorbidity of psychiatric patients, as well as specialised and integrated treatment along with increased support of patients with comorbid disorders.

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Section: Psychiatric Treatment Facility Utilisationsupporting

confidence: 89%

Prevalence of substance use disorders in psychiatric patients: a nationwide Danish population-based study

Toftdahl

Nordentoft

Hjorthøj

2015

Soc Psychiatry Psychiatr Epidemiol

165

116

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“…Before the implementation the number of frequent visitors' spontaneous visits to the ED simply clogged up the system due to the overload of patients' problems to be dealt with by the emergency duty nurse. Particularly given the fact that spontaneous visitors often had complex problems including psychosocial ones [3,7]. All patients in our study had a complex social situation not suitable for ED practices.…”

Section: Discussionmentioning

confidence: 99%

“…However, during the last decades the function of somatic hospital based ED has gradually changed, mainly due to the characteristics of today's patients visiting ED. For example, studies from Western countries point out that patients nowadays' more often use somatic hospital based ED for reasons that are beyond somatic concerns and are in fact based on psychological and social reasons [3,7,8]. Prior studies has shown that ED frequent visitors are a psychosocial vulnerable group with poor mental health, low level of perceived social support and heavy users of general practitioners and other primary care forms [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

A New Model for Dealing with Patients Who Frequently Arrive Spontaneously at Hospital Emergency Departments Requiring Health Care: A Pilot Study

Persson¹

2014

Int J Nurs Clin Pract

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Background: Patients who repeatedly seek care directly at hospital based somatic emergency departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive. The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients' health care utilization related to pilot testing the model and III), the team's experiences of implementing the model. Methods: A mixed method convergent parallel design was used. Results:The development of the model began as a top-down process and later on into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 73 visits (55%). Conclusion:The inference quality description is that a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. Increased communication between different professionals within the hospital and between different caregivers such as ED, primary health care and community social-and health-care, increases the possibility for the patients to be cared for in a sustainable and non-fragmented way.

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“…The number of repeated visits for the same patients recorded throughout the entire period should also be considered as a predictable finding, since it is well recognized that psychiatric patients, alongside with alcoholic ones, are likely to be frequent visitors. 61 …”

Section: Articlementioning

confidence: 99%

The number of emergency department visits for psychiatric emergencies is strongly associated with mean temperature and humidity variations. Results of a nine year survey

Cervellin¹,

Comelli²,

Lippi³

et al. 2014

Emerg Care J

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Several disorders, such as renal colics, stroke, atrial fibrillation and others, are epidemiologically associated with seasonality and microclimatic variations. Although evidence is still limited, an association between psychiatric emergencies and seasonality has also been previously described. In order to elucidate the possible association between weather and incidence of psychiatric emergencies in a country with temperate climate, we analyzed the influence of day by day climate changes on the number of visits for psychiatric emergencies in an urban emergency department (ED) of northern Italy. All ED visits for psychiatric emergencies were retrieved from the hospital database from 2002 to 2010. The total number of ED visits was 725,812 throughout the study period, 11,786 of which for emergency psychiatric problems. We found a strong seasonal distribution of emergency psychiatric visits, peaking in summer and at the beginning of spring. The linear regression analysis showed a strong positive association between number of daily emergency psychiatric visits and mean daily air temperature (R=0.82; P<0.001), and an inverse association with mean daily air humidity (R=-0.52; P<0.001). These findings suggest that psychiatric disorders follow a significant seasonal variation, so that it may be advisable to strengthen psychiatric emergency services during the hottest months.

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Frequent Emergency Department Visits are More Prevalent in Psychiatric, Alcohol Abuse, and Dual Diagnosis Conditions than in Chronic Viral Illnesses Such as Hepatitis and Human Immunodeficiency Virus

Cited by 69 publications

References 26 publications

Prevalence of substance use disorders in psychiatric patients: a nationwide Danish population-based study

Prevalence of substance use disorders in psychiatric patients: a nationwide Danish population-based study

A New Model for Dealing with Patients Who Frequently Arrive Spontaneously at Hospital Emergency Departments Requiring Health Care: A Pilot Study

The number of emergency department visits for psychiatric emergencies is strongly associated with mean temperature and humidity variations. Results of a nine year survey

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