Repeat Emergency Visits for Mental Health Patients: Before and during the Covid19 pandemic
Introduction Frequent users of Emergency Departments (EDs) are a diverse group accounting for disproportionate EDs visits. Psychiatric patients are more likely to visit EDs (Slankamenac, 2020). EDs utilisation by psychiatric patients increased by 4.4% during COVID-19 pandemic. Objectives to determ...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822007076/type/journal_article |
| _version_ | 1797617462854811648 |
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| author | R. Tempier E.M. Bouattane |
| author_facet | R. Tempier E.M. Bouattane |
| author_sort | R. Tempier |
| collection | DOAJ |
| description |
Introduction
Frequent users of Emergency Departments (EDs) are a diverse group accounting for disproportionate EDs visits. Psychiatric patients are more likely to visit EDs (Slankamenac, 2020). EDs utilisation by psychiatric patients increased by 4.4% during COVID-19 pandemic.
Objectives
to determine frequent users characteristics within an Ottawa University Hospital, and assess Covid19 impact on overutilization of EDs compared to other hospitals.
Methods
Retrospective study of repeat visits characteristics, data extracted from EMR database. Repeat visits defined as no less than 30 days first visit to any EDs. Period of observation: March 1st, 2018 - February 28th, 2021 Results.
Results
64% EDS visits for MH, 35% for addictions. More men (57%), age groups: 16-34 y.o. (41%), 34-64 y.o. (51%), 65 +y.o. (8%).
Top presenting reasons: suicidality, self-harm, depression (40.5%). Anxiety, situational crisis (16%), bizarre behavior (12%).
Most prevalent diagnoses: schizophrenia (28.7%), stress and anxiety (25.2%), personality disorders (13.5%) and depressive episode (10.6%). Only 35.1% admitted after repeat ED visits, 35.1% came by ambulance. Increase during peak pandemic exceeding 20%. Clearly pandemic created more pressures for MH services needs.
Conclusions
Schizophrenia and personality disorders made most prevalent diagnostic groups. Even when patients are in acute needs, they do not always require hospitalization. Investigating what MH conditions that got more stressed by the Covid19 pandemic will be of interest.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:56:25Z |
| format | Article |
| id | doaj.art-11ac3c7490ef4bdeb1381dbb91e7b485 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:56:25Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-11ac3c7490ef4bdeb1381dbb91e7b4852023-11-17T05:05:41ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S276S27610.1192/j.eurpsy.2022.707Repeat Emergency Visits for Mental Health Patients: Before and during the Covid19 pandemicR. Tempier0E.M. Bouattane1University of Ottawa, Psychiatry, Ottawa, CanadaMontfort Hospital, Administration, ottawa, Canada Introduction Frequent users of Emergency Departments (EDs) are a diverse group accounting for disproportionate EDs visits. Psychiatric patients are more likely to visit EDs (Slankamenac, 2020). EDs utilisation by psychiatric patients increased by 4.4% during COVID-19 pandemic. Objectives to determine frequent users characteristics within an Ottawa University Hospital, and assess Covid19 impact on overutilization of EDs compared to other hospitals. Methods Retrospective study of repeat visits characteristics, data extracted from EMR database. Repeat visits defined as no less than 30 days first visit to any EDs. Period of observation: March 1st, 2018 - February 28th, 2021 Results. Results 64% EDS visits for MH, 35% for addictions. More men (57%), age groups: 16-34 y.o. (41%), 34-64 y.o. (51%), 65 +y.o. (8%). Top presenting reasons: suicidality, self-harm, depression (40.5%). Anxiety, situational crisis (16%), bizarre behavior (12%). Most prevalent diagnoses: schizophrenia (28.7%), stress and anxiety (25.2%), personality disorders (13.5%) and depressive episode (10.6%). Only 35.1% admitted after repeat ED visits, 35.1% came by ambulance. Increase during peak pandemic exceeding 20%. Clearly pandemic created more pressures for MH services needs. Conclusions Schizophrenia and personality disorders made most prevalent diagnostic groups. Even when patients are in acute needs, they do not always require hospitalization. Investigating what MH conditions that got more stressed by the Covid19 pandemic will be of interest. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822007076/type/journal_article |
| spellingShingle | R. Tempier E.M. Bouattane Repeat Emergency Visits for Mental Health Patients: Before and during the Covid19 pandemic European Psychiatry |
| title | Repeat Emergency Visits for Mental Health Patients: Before and during the Covid19 pandemic |
| title_full | Repeat Emergency Visits for Mental Health Patients: Before and during the Covid19 pandemic |
| title_fullStr | Repeat Emergency Visits for Mental Health Patients: Before and during the Covid19 pandemic |
| title_full_unstemmed | Repeat Emergency Visits for Mental Health Patients: Before and during the Covid19 pandemic |
| title_short | Repeat Emergency Visits for Mental Health Patients: Before and during the Covid19 pandemic |
| title_sort | repeat emergency visits for mental health patients before and during the covid19 pandemic |
| url | https://www.cambridge.org/core/product/identifier/S0924933822007076/type/journal_article |
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