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{
    "pk": 9784,
    "title": "ED Patients with Prolonged Complaints and Repeat ED Visits Have an Increased Risk of Depression",
    "subtitle": null,
    "abstract": "Introduction: \nThe objective of this study was to explore associations between presenting chief complaints of prolonged symptomatology, patient usage of the emergency department (ED), and underlying depression so that emergency physicians may better target patients for depression screening.\n \nMethods:\n A convenience sample of ED patients were administered the Beck Depression Inventory-II (BDI-II) to assess for depression. We correlated completed BDI-II surveys to patient information including demographics, pertinent history of present illness information, and past medical history.\n \nResults: \nOut of 425 participants screened, we identified complaints of two weeks or longer in 92 patients (22%). Of these patients, mild to severe depression was recognized in over half of the population (47), yet only nine patients reported a prior depression diagnosis. These 92 patients also visited the ED three times as frequently as those patients with more acute complaints (p<0.001). Finally, our study showed that patients with mild to severe depression had three times as many ED visits compared to patients with minimal or no depression (p<0.001).\n \n \n \nConclusion: \nPatients with complaints of symptomatology two weeks or longer are more likely to have underlying depression when presenting to the ED. Patients with three or more ED visits within the past year also have a greater incidence of underlying depression. We found a strong correlation between complaints with symptomatology of two weeks or longer and multiple ED visits, in which underlying depression may have contributed to these patients’ ED visits. [West J Emerg Med. 2016;17(5)613-616.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Medicine, Depression Screening"
        }
    ],
    "section": "Behavioral Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9fd0b90r",
    "frozenauthors": [
        {
            "first_name": "Kris",
            "middle_name": "R.",
            "last_name": "Brickman, MD",
            "name_suffix": "",
            "institution": "University of Toledo Medical Center, Department of Emergency Medicine, Toledo, Ohio",
            "department": "None"
        },
        {
            "first_name": "Rajiv",
            "middle_name": "",
            "last_name": "Bahl, MD, MBA",
            "name_suffix": "",
            "institution": "University of Toledo Medical Center, Department of Emergency Medicine, Toledo, Ohio",
            "department": "None"
        },
        {
            "first_name": "Nathan",
            "middle_name": "F.",
            "last_name": "Marcinkowski, MS",
            "name_suffix": "",
            "institution": "University of Toledo Medical Center, Department of Emergency Medicine, Toledo, Ohio",
            "department": "None"
        },
        {
            "first_name": "Katelyn",
            "middle_name": "R.",
            "last_name": "Ammons, MS",
            "name_suffix": "",
            "institution": "University of Toledo Medical Center, Department of Emergency Medicine, Toledo, Ohio",
            "department": "None"
        },
        {
            "first_name": "Peter",
            "middle_name": "",
            "last_name": "Akpunonu, MD",
            "name_suffix": "",
            "institution": "University of Toledo Medical Center, Department of Emergency Medicine, Toledo, Ohio",
            "department": "None"
        }
    ],
    "date_submitted": "2016-05-04T13:45:46Z",
    "date_accepted": "2016-05-04T13:45:46Z",
    "date_published": "2016-08-08T22:55:55Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9784/galley/5401/download/"
        }
    ]
}