Format

Send to

Choose Destination
J Pediatr. 2015 Oct;167(4):905-10. doi: 10.1016/j.jpeds.2015.07.004. Epub 2015 Aug 6.

Trends in Pediatric Emergency Department Utilization for Mental Health-Related Visits.

Author information

1
Division of Emergency Medicine, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada. Electronic address: mapelli.elisa@gmail.com.
2
Division of Child and Adolescent Psychiatry, Department of Psychiatry, BC Children's Hospital, Vancouver, British Columbia, Canada.
3
Division of Emergency Medicine, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada.

Erratum in

  • J Pediatr. 2015 Nov;167(5):1176.

Abstract

OBJECTIVE:

To describe trends in utilization of pediatric emergency department (PED) resources by patients with mental health concerns over the past 11 [corrected] years at a tertiary care hospital.

STUDY DESIGN:

We conducted a retrospective cohort study of tertiary PED visits from 2002 [corrected] to 2012. All visits with chief complaint or discharge diagnosis related to mental health were included. Variables analyzed included number and acuity of mental health-related visits, length of stay, waiting time, admission rate, and return visits, relative to non-mental health [corrected] PED visits. Descriptive statistics were used to summarize the results.

RESULTS:

We observed a 47% increase in the number of mental health presentations compared with a 27.5% [corrected] increase in the number of total visits to the PED over the study period. Return visits represented a significant proportion of all mental health-related visits (32.2% [corrected] yearly). The proportion of mental health visits triaged to a high acuity level has decreased whereas the proportion of visits triaged to the mid-acuity level has increased. Length of stay for psychiatric patients was significantly longer than for visits to the PED in general. We also observed a 53.7% [corrected] increase in the number of mental health-related visits resulting in admission.

CONCLUSION:

Mental health-related visits represent a significant and growing burden for the emergency department at a tertiary care PED. These results highlight the need to reassess the allocation of health resources to optimize acute management, risk assessment, and linkage to mental health services upon disposition from the PED.

PMID:
26256019
DOI:
10.1016/j.jpeds.2015.07.004
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center