10-Year Trends of Emergency Department Visits, Wait Time, and Length of Stay among Adults with Mental Health and Substance use Disorders in the United States

2021 ◽  
Author(s):  
Eunji Nam ◽  
Eunkyung Lee ◽  
Hyemee Kim
Keyword(s):  
Mental Health ◽  
United States ◽  
Emergency Department ◽  
Substance Use ◽  
Length Of Stay ◽  
Substance Use Disorders ◽  
Wait Time ◽  
The United States ◽  
Emergency Department Visits

scholarly journals Nationwide estimate of emergency department visits in the United States related to caustic ingestion

2020 ◽  
Vol 33 (6) ◽  
Author(s):  
Yiting Li ◽  
James Langworthy ◽  
Lan Xu ◽  
Haifeng Cai ◽  
Yingwei Yang ◽  
...  
Keyword(s):  
United States ◽  
Emergency Department ◽  
Substance Use ◽  
Substance Use Disorders ◽  
The United States ◽  
Emergency Department Visits ◽  
Caustic Ingestion ◽  
Multivariable Logistic Regression Model ◽  
Systemic Complications ◽  
Ed Visits

Summary Introduction Caustic ingestion, whether intentional or unintentional, may result in significant morbidity. Our aim was to provide an estimate of the incidence and outcomes of caustic ingestion among emergency department (ED) visits across the United States. Methods The Nationwide Emergency Department Sample (NEDS) is part of the family of databases developed for the Healthcare Cost and Utilization Project. We analyzed NEDS for the period 2010–2014. Adults (≥18 years of age) with a diagnosis of caustic ingestion were identified by ICD-9 codes. The weighted frequencies and proportions of caustic ingestion-related ED visits by demographic characteristics and disposition status were examined. A weighted multivariable logistic regression model was performed to examine factors associated with inpatient admission for caustic ingestion-related visits. Results From 2010 to 2014, there were 40,844 weighted adult ED visits related to caustic ingestion among 533.8 million visits (7.65/100,000, 95% CI 7.58/100,000–7.73/100,000), resulting in over $47 million in annual cost. Among ED visits related to caustic ingestion, 28% had comorbid mental and substance use disorders. Local and systemic complications were rare. There was significant regional, gender, and insurance variability in the decision as to perform endoscopy. Males, insured patients, patients domiciled in the Southeast region of the United States, and patients with mental or substance use disorders had significantly higher percentages of receiving endoscopic procedures. Overall, 6,664 (16.27%) visits resulted in admission to the same hospital and 1,063 (2.60%) visits resulted in transfer to another hospital or facility. The risk factors for admission were increasing in age, male gender, local or systemic complications related to caustic ingestion, and comorbid mental and substance use disorders. A total of 161 (0.39%) patients died related to caustic ingestion. Conclusion Our results from NEDS provide national estimates on the incidence of caustic ingestions involving adults seen in US EDs. Further studies are needed to examine the standard management of caustic ingestion and investigate the factors causing variability of esophagogastroduodenoscopy performance and caustic ingestion care.

scholarly journals Seasonal Allergies and Psychiatric Disorders in the United States

2018 ◽  
Vol 15 (9) ◽  
pp. 1965 ◽  
Author(s):  
Hans Oh ◽  
Ai Koyanagi ◽  
Jordan DeVylder ◽  
Andrew Stickley
Keyword(s):  
Mental Health ◽  
United States ◽  
Eating Disorders ◽  
Substance Use ◽  
Psychiatric Disorders ◽  
Mood Disorders ◽  
Substance Use Disorders ◽  
Mental Health Problems ◽  
The United States ◽  
Seasonal Allergies

Seasonal allergies have been associated with mental health problems, though the evidence is still emergent, particularly in the United States. We analyzed data from the National Comorbidity Survey Replication and the National Latino and Asian American Survey (years 2001–2003). Multivariable logistic regression models were used to examine the relations between lifetime allergies and lifetime psychiatric disorders (each disorder in a separate model), adjusting for socio-demographic variables (including region of residence) and tobacco use. Analyses were also stratified to test for effect modification by race and sex. A history of seasonal allergies was associated with greater odds of mood disorders, anxiety disorders, and eating disorders, but not alcohol or substance use disorders, after adjusting for socio-demographic characteristics and tobacco use. The associations between seasonal allergies and mood disorders, substance use disorders, and alcohol use disorders were particularly strong for Latino Americans. The association between seasonal allergies and eating disorders was stronger for men than women. Seasonal allergies are a risk factor for psychiatric disorders. Individuals complaining of seasonal allergies should be screened for early signs of mental health problems and referred to specialized services accordingly.

scholarly journals The American Psychiatric Association

2005 ◽  
Vol 2 (9) ◽  
pp. 18-20
Author(s):  
Michelle B. Riba ◽  
Steven S. Sharfstein ◽  
Allan Tasman
Keyword(s):  
Mental Health ◽  
United States ◽  
Substance Use ◽  
Substance Use Disorders ◽  
American Psychiatric Association ◽  
Medical Specialty ◽  
The United States ◽  
Mental Illnesses ◽  
Specialty Society ◽  
Health Field

The American Psychiatric Association (APA) is a medical specialty society that represents nearly 36 000 psychiatrists from the United States and Canada, as well as around the globe. It is the longest serving medical specialty society. As a leader in the mental health field, the APA continually supports the diagnosis and treatment of patients with mental illnesses, including substance use disorders, and also supports prevention and research. The APA acts as an advocate for psychiatrists and their patients.

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