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{
    "pk": 17104,
    "title": "Emergency Department Patients with Psychiatric Complaints Return at Higher Rates than Controls",
    "subtitle": null,
    "abstract": "Study objective: At our 35,000 visit/year emergency department (ED), we studied whether patients presenting to the ED with psychiatric complaints were admitted to the hospital at a higher rate than non-psychiatric patients, and whether these patients had a higher rate of reevaluation in the ED within 30 days following the index visit.\n\n\nMethods: We reviewed the electronic records of all ED patients receiving a psychiatric evaluation from January to February 2007 and compared these patients to 300 randomly selected patients presenting during the study period for non-psychiatric complaints. Patients were followed for 30 days, and admission rates and return visits were compared.\n\n\nResults: Two hundred thirty-four patients presented to the ED and were evaluated for psychiatric complaints during the study period. Twenty-four point seven percent of psychiatric patients were admitted upon initial presentation versus 20.7% of non-psychiatric patients (p = 0.258). Twenty-one percent of discharged psychiatric patients returned to the ED within 30 days versus 13.4% of discharged non-psychiatric patients (p=0.041). Patients returning to the ED within 30 days had a 17.1% versus 21.6% admission rate for the psychiatric and non-psychiatric groups, respectively (p=0.485).\n\n\nConclusion: Patients presenting to this ED with psychiatric complaints were not admitted at a significantly higher rate than non-psychiatric patients. These psychiatric patients did, however, have a significantly higher return rate to the ED when compared to non-psychiatric patients.\n\n\n[West J Emerg Med. 2009;10(4):268-272.]",
    "language": "en",
    "license": {
        "name": "none",
        "short_name": "none",
        "text": "",
        "url": "http://google.com"
    },
    "keywords": [
        {
            "word": "psychiatric"
        },
        {
            "word": "emergency department"
        },
        {
            "word": "Return Visits"
        },
        {
            "word": "overcrowding"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Article",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5d8683v6",
    "frozenauthors": [
        {
            "first_name": "Troy",
            "middle_name": "E.",
            "last_name": "Madsen",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Anne",
            "middle_name": "",
            "last_name": "Bennett",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Steven",
            "middle_name": "",
            "last_name": "Groke",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Anne",
            "middle_name": "",
            "last_name": "Zink",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Christy",
            "middle_name": "",
            "last_name": "McCowan",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Alex",
            "middle_name": "",
            "last_name": "Hernandez",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Stuart",
            "middle_name": "",
            "last_name": "Knapp",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Deepthi",
            "middle_name": "",
            "last_name": "Byreddy",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Scott",
            "middle_name": "",
            "last_name": "Mattsson",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        },
        {
            "first_name": "Nichole",
            "middle_name": "",
            "last_name": "Quick",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "None"
        }
    ],
    "date_submitted": "2008-11-06T08:00:00Z",
    "date_accepted": "2008-11-06T08:00:00Z",
    "date_published": "2009-11-01T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17104/galley/8644/download/"
        }
    ]
}