Factors associated with a change in disposition for mental health patients boarding in an urban Paediatric emergency department

• DOI: 10.1111/eip.13188
• Publication Date: 2021-07-16T00:03:06Z
• Authors: Erin P. O'Donnell; Larisa E. Breden; Vasu Munjapara; Leticia M. Ryan; Lisa Yanek; Elizabeth K. Reyn...; Thuy Ngo
• Keywords: Disposition; Gee

Paediatric emergency departments (ED) nationwide experience a shared burden of boarding mental health patients. Whilst boarding, some patients have change in disposition from hospitalization to discharge home. This phenomenon raises concern because EDs often scarce resources for We sought understand which patient and clinical factors are associated with outcome.A nested age-sex-race frequency-matched case-control study was conducted including paediatric who presented an urban PED healthcare over 36-month period. Control included admitted inpatient psychiatric facility, whilst case were those discharged Descriptive statistics multivariable logistic regression analyses performed compare groups.Case more likely receive intramuscular Haloperidol (OR 2.2 [CI 1.1-4.4]) agitation consult 2.3 [1.4-3.9]) boarding. Case also present behavioural concerns 1.8 1.1-3.1]) additional complexities such as medical comorbidities 1.1-2.9]) or suicidal ideation/attempt 2.6 1.1-6.1]). Amongst the most common themes improved status (58.8%).These findings suggest that different outcomes thus may benefit patient-specific treatment interventions. Given patients' statuses during period prompting home, focus should be directed developing brief evidence-based practises implemented ED effectively bridge gap outpatient services.