Five-Year Outcomes Following Psychiatric Consultation to a Tertiary Care Emergency Room
Hospitals, Psychiatric
Male
Hospitals, Veterans
Substance-Related Disorders
Mental Disorders
Middle Aged
United States
3. Good health
Hospitalization
03 medical and health sciences
0302 clinical medicine
Diagnosis, Dual (Psychiatry)
Outcome Assessment, Health Care
Humans
Female
Prospective Studies
Emergency Service, Hospital
Referral and Consultation
Follow-Up Studies
DOI:
10.1176/appi.ajp.160.7.1350
Publication Date:
2003-06-29T18:14:13Z
AUTHORS (3)
ABSTRACT
The authors prospectively examined inpatient psychiatric hospitalization and mortality rates of psychiatric patients seen in the emergency room of a large Department of Veterans Affairs medical center.Charts of 504 patients receiving evening psychiatric consultation during a 13-month period were assessed 5 years after the consultation to determine rates of psychiatric hospitalization and mortality.Patients with multiple psychiatric diagnoses, including comorbid addiction disorders, had significantly higher rates of psychiatric hospitalization 5 years after an emergency room visit. Comorbid psychiatric disorders increased the rate of inpatient psychiatric hospitalization across diagnoses. Seventy-eight patients died during the study period.These findings reveal relationships between diagnostic profiles and future psychiatric hospitalization and mortality rates. This information could focus psychiatric and medical interventions for high-risk patients.
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CITATIONS (21)
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