Most common reasons for emergency department presentation among patients with psychiatric disorders: A United States nationwide analysis.

Journal: Journal of affective disorders

Volume: 331

Issue: 

Year of Publication: 2023

Affiliated Institutions:  Department of Mental Health, University of Benin Teaching Hospital, Benin, Nigeria. Electronic address: precious.eseaton@yahoo.com. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Department of Psychiatry, McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA. College of Medicine, University of Benin, Benin, Nigeria. Department of Medicine, Loma Linda University Health, Loma Linda, CA, USA.

Abstract summary 

There is a scarcity of national United States (U.S.) data on emergency department (ED) utilization among patients with psychiatric disorders (PD). This study aims to determine the most common reasons for ED visits among patients with PD, and baseline characteristics of patients who present to the ED due to PD.We obtained data from the Nationwide Emergency department Sample (NEDS), the largest all-payer ED database in U.S. Each ED visit in NEDS 2018, can have only 1 "principal" diagnosis, which is the main reason for the visit and up to 34 "secondary" diagnoses. We abstracted data for all ED visits with "any" diagnosis of a PD, using the ICD-10 code "F". We highlighted the 10 most common "principal" diagnoses based on organ-system involved, and most specific "principal" diagnoses for all ED visits by patients with "any" diagnosis of PD. We then highlighted baseline characteristics of ED visits with a "principal" diagnosis of PD.A total of 38.4 million ED visits for patients with PD, among these, 5,911,984 had PD as the principal diagnosis. Patients who presented principally due to PD were more likely to come from lower income household. Mental disorders and injuries and poisoning were the most common principal diagnosis by organ system categories for patients with PD.Possibility of coding errors and absence of date on race.Anxiety disorder, alcohol intoxication and major depressive disorder (MDD) were the most common specific psychiatric "principal" diagnosis for ED presentation among patients with PD.

Authors & Co-authors:  Eseaton Precious Obehi PO Oladunjoye Adeolu Funso AF Anugwom Gibson G Onyeaka Henry H Ediae Eseosa Jennifer EJ Edigin Ehizogie E

Study Outcome 

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Statistics
Citations : 
Authors :  6
Identifiers
Doi : 10.1016/j.jad.2023.03.041
SSN : 1573-2517
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Alcohol intoxication and major depressive disorder;Anxiety;Emergency department;Injuries and poisoning;Nationwide Emergency department Sample;Psychiatric disorder
Study Design
Study Approach
Country of Study
Publication Country
Netherlands