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Emerg Med J. 2006 Apr;23(4):274-5.

Disposition of emergency department patients with psychiatric comorbidity: results from the 2004 National Hospital Ambulatory Medical Care Survey.

Author information

  • 1Louisiana State University Emergency Medicine Residency Program, Earl K Long Medical Center, Baton Rouge, LA 70806, USA. profsk@hotmail.com

Abstract

BACKGROUND:

Few emergency department (ED) studies have examined how psychiatric comorbidity relates to hospitalisation decisions.

METHODS:

We assessed the relationship of psychiatric comorbidity to hospitalisation decisions among ED patients in the 2004 National Hospital Ambulatory Medical Care Survey.

RESULTS:

Patients with psychiatric comorbidity were five times more likely to be hospitalised than patients with a single psychiatric diagnosis. The most frequent psychiatric comorbidities involved substance use disorders (SUDs).

CONCLUSIONS:

Psychiatric disorders are underdiagnosed among ED patients. We believe that this underdiagnosis may be partly responsible for the high hospitalisation rates of ED patients with SUDs.

PMID:
16549572
[PubMed - indexed for MEDLINE]
PMCID:
PMC2579500
Free PMC Article
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