The General Hospital Emergency Room and Its Psychiatric Problems

Coleman, Jules V.; Errera, Paul

doi:10.2105/ajph.53.8.1294

Cited by 70 publications

(6 citation statements)

References 14 publications

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“…The small proportion of geriatric psychiatric emergency‐service patients has also made it difficult to understand their special psychosocial and psychiatric treatment needs. Although demographic, admission, and clinical studies of psychiatric emergency‐service admissions are available, 1–3 , 6–8 they do not provide comparative breakdowns by age and thus represent primarily the predominantly 20–40‐year‐old section of the study population. Consequently, there is very little information about the characteristics, treatments, and outcomes for geriatric psychiatric service admissions.…”

supporting

confidence: 93%

Geriatric Psychiatry in the Emergency Department: Characteristics of Geriatric and Non‐geriatric Admissions

Waxman

Carner

Dubin

et al. 1982

J American Geriatrics Society

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A study was made of the Emergency Department records of 49 elderly (65 years old or older) and 49 middle-aged (40-64 years old) patients seen in an urban hospital's psychiatric emergency service. The data were compared for demographic and admission information, psychiatric treatment history, presenting complaints, symptoms, diagnoses, and final disposition status. For the elderly patients, the referral was more likely to be their first contact with psychiatric treatment, and they were more likely to be referred (accompanied) by family or friends than to be self-referred. Among the middle-aged patients, "substance abuse" (e.g., drugs, alcohol) disorders and schizophrenic disorders were more common. The elderly, however, were much more likely to be regarded as having an organic brain syndrome of unspecified cause (34.7 per cent vs 0). Access to treatment was fairly consistent for both groups as measured by the hospital's priority code, total time spent in the emergency department, and final disposition. These results raise important issues concerning the unique psychosocial characteristics and psychiatric treatment needs of elderly patients. This applies particularly to the emergency-department medical clearance of elderly patients with symptoms of organic brain syndrome.

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supporting

confidence: 93%

Geriatric Psychiatry in the Emergency Department: Characteristics of Geriatric and Non‐geriatric Admissions

Waxman

Carner

Dubin

et al. 1982

J American Geriatrics Society

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“…These findings are similar in general to those reported in other studies. [4][5][6] The sources of "usual" medical care, as reported by this obviously nonrepresentative community sample, reflect a pattern which is far from ideal, in terms of either personal physician's care or use of emergency service facilities. The findings quite clearly indicate the extent to which the hospital emergency facility serves as a "backstop" for the incomplete medical care system outside its walls, as well as an ever-ready resource for the actual medical crises which need immediate and expert attention.…”

Section: Evaluation Of Urgencymentioning

confidence: 99%

Yale studies in ambulatory medical care. V. Determinants of use of hospital emergency services.

Weinerman¹,

Ratner²,

Robbins³

et al. 1966

Am J Public Health Nations Health

135

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A study is reported of some two thousand consecutive visits to the emergency service of the Yale-New Haven Hospital during a two-week period. The salient characteristics of those using the emergency service were defined. Patterns of medical care were analyzed in relation to urgency of need for emergency treatment and other indexes and factors. Findings modified hypotheses concerning those who use emergency service and their reasons for doing so.

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“…In American studies, however, there continues to be an inverse relationship between social class and E.D. patronage (9,12). An excess of divorced, separated and widowed patients might be anticipated, and the literature supports this expectation (I, 10).…”

Section: Commentsmentioning

confidence: 99%

Utilization of Emergency Departments for Psychiatric Treatment

1978

Canadian Psychiatric Association Journal

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A survey of four Edmonton hospital emergency department records for a one month period was carried out to determine the frequency of utilization by patients suffering from psychiatric disorders. Male attenders outnumbered females and the majority of patients fell into the 21 — 50 year age range. Alcohol-related illness was almost three times more frequent in males than females, whereas females were more frequently categorized as suffering “personal distress” or presented as suicide attempts. Overall, seventy-three percent of the patients were discharged; of those admitted, females outnumbered males. The changing pattern of emergency department utilization was compared by examining data from one hospital for the years 1972, 1974 and 1976. During this four-year period the annual number of visits by psychiatric patients increased by almost eighty percent, largely due to dramatic increases in alcohol related problems in males and those described as “personal distress” in females. The establishment of intoxication recovery centres in 1973 paralleled a drop in the proportion of patients admitted to inpatient wards for alcohol-related, street drugs and overdose problems. The results of the present survey are compared to those reported in the relevant literature, and the methodological problems encountered in carrying out a retrospective study of emergency services from clinical records are described.

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The General Hospital Emergency Room and Its Psychiatric Problems

Cited by 70 publications

References 14 publications

Geriatric Psychiatry in the Emergency Department: Characteristics of Geriatric and Non‐geriatric Admissions

Geriatric Psychiatry in the Emergency Department: Characteristics of Geriatric and Non‐geriatric Admissions

Yale studies in ambulatory medical care. V. Determinants of use of hospital emergency services.

Utilization of Emergency Departments for Psychiatric Treatment

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