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Australas Psychiatry. 2010 Aug;18(4):326-9. doi: 10.3109/10398562.2010.498051.

Characteristics of admissions to a recently opened Psychiatric Emergency Care Centre.

Author information

1
Discipline of Psychiatry, Sydney Medical School-Nepean, University of Sydney, Sydney, NSW, Australia. vbrakoulias@bigpond.com

Abstract

OBJECTIVE:

The Psychiatric Emergency Care Centre (PECC) is a relatively recent service development that aims to improve emergency care of psychiatric patients. The goal of this paper was to report on the characteristics of admissions to a recently established PECC.

METHOD:

Several key characteristics of admissions to the PECC were documented for each of 376 patients in the first 6 months of its operation. These characteristics were then compared to the characteristics of admissions of 299 patients in the 'virtual' PECC (a PECC within the general emergency department) in the 6 months prior to the opening of the PECC.

RESULTS:

The most common presenting symptom in the PECC was suicidal ideation (47.6%, n = 179) and the most frequent diagnosis made in the PECC was adjustment disorder (35.9%, n = 135). When comparing admissions to the 'virtual' PECC, PECC admissions were characterized by a significantly less frequent use of physical restraint and haloperidol and midazolam as pro re nata (prn) medications.

CONCLUSIONS:

Although further study is needed, one possible advantage of the PECC may be a less frequent use of physical restraint and certain prn medications (i.e. haloperidol and midazolam) for agitated and aggressive patients.

PMID:
20645898
DOI:
10.3109/10398562.2010.498051
[Indexed for MEDLINE]
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