scholarly journals Impact of initial COVID-19 restrictions on psychiatry presentations to the emergency department of a large academic teaching hospital

2020 ◽  
pp. 1-8 ◽  
Author(s):  
Joseph McAndrew ◽  
Julia O’Leary ◽  
David Cotter ◽  
Mary Cannon ◽  
Siobhan MacHale ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mental Illness ◽  
Anxiety Disorders ◽  
Teaching Hospital ◽  
Age Group ◽  
Current Crisis ◽  
Chi Square ◽  
Academic Teaching ◽  
Emergency Presentation ◽  
Academic Teaching Hospital

Abstract Objectives: To determine if the initial COVID-19 societal restrictions, introduced in Ireland in March 2020, impacted on the number and nature of psychiatry presentations to the emergency department (ED) of a large academic teaching hospital. Methods: We examined anonymised clinical data of psychiatry presentations to the ED during the initial 8-week period of COVID-19 restrictions. Data from corresponding 8-week periods in 2018 and 2019 were also extracted for comparison. Results: Psychiatry presentations to ED reduced by 21% during the COVID-19 restrictions, from 24/week to 19/week when compared with corresponding periods in 2018/2019 (Poisson’s Rate Test estimate of difference −5.2/week, 95% CI 1.3–9.1, p = 0.012). Numbers attending for out-of-hours assessment remained unchanged (81 v. 80), but numbers seeking assessment during normal hours decreased (71 v. 114). We observed increased presentations from the <18 age group, but decreased presentations from the 18 to 29 age group (Pearson’s Chi-Square 20.363, df = 6, p = 0.002). We recorded an increase in anxiety disorders during the initial COVID-19 restrictions (31 v. 23), and a reduction in alcohol disorders (28 v. 52). The proportion of presentations with suicidal ideation (SI) or self-harm as factors remained unchanged. Conclusions: Rates of emergency presentation with mental illness reduced during the initial COVID-19 restrictions. This may represent an unmet burden of mental health needs. Younger people may be experiencing greater distress and mental illness during the current crisis. More people sought help for anxiety disorders during the COVID-19 restrictions compared with corresponding data from 2018 and 2019.

scholarly journals Patient satisfaction with the emergency department services at an academic teaching hospital

2021 ◽  
Vol 10 (4) ◽  
pp. 1718
Author(s):  
Humariya Heena ◽  
Ghassan Abass ◽  
Ali Asery ◽  
Ahmed Al Badr ◽  
Adnan AlMaghlouth ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Teaching Hospital ◽  
Academic Teaching ◽  
Academic Teaching Hospital

Simulation-Based Education Improves Quality of Care During Cardiac Arrest Team Responses at an Academic Teaching Hospital

CHEST Journal ◽  
2008 ◽  
Vol 133 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Diane B. Wayne ◽  
Aashish Didwania ◽  
Joe Feinglass ◽  
Monica J. Fudala ◽  
Jeffrey H. Barsuk ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Quality Of Care ◽  
Teaching Hospital ◽  
Academic Teaching ◽  
Simulation Based ◽  
Academic Teaching Hospital ◽  
Cardiac Arrest Team

scholarly journals Agreement between Impression of Stroke in the Emergency Department and Diagnosis at the Neurology Department

2019 ◽  
Vol 7 (3) ◽  
pp. 7
Author(s):  
Samad Shams-Vahdati ◽  
Alireza Ala ◽  
Eliar Sadeghi-Hokmabad ◽  
Neda Parnianfard ◽  
Maedeh Gheybi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Ischemic Stroke ◽  
Statistical Significance ◽  
Retrospective Chart Review ◽  
Chi Square ◽  
Prevention Therapy ◽  
Significant Difference ◽  
Chi Square Test ◽  
Academic Teaching Hospital ◽  
The Mean

Background: Missing to detect an ischemic stroke in the emergency department leads to miss acute interventions and treatment with secondary prevention therapy. Our study examined the diagnosis of stroke in the emergency department (ED) and neurology department of an academic teaching hospital. Methods and Materials: A retrospective chart review was performed from March 2017 to March 2018. ED medical document (chart) were reviewed by a stroke neurologist to collect the clinical diagnosis and characteristics of ischemic stroke patients. For determining the cases of misdiagnosed and over diagnosed data, the administrative data codes were compared with the chart adjudicated diagnosis. The adjusted estimate of effect was estimated through testing the significant variables in a multivariable model. The comparisons were done with chi square test. Statistical significance was considered at P < 0.05. Results: Of 861 patients of the study, 54% were males and 43% were females; and the mean age of them was 66.51 ± 15.70. We find no statically significant difference between patient’s Glasgow Coma Scale (GCS) in the emergency department (12.87±3.25) and patients GCS in the neurology department (11.77±5.15). There were 18 (2.2%) overdiagnosed of ischemic stroke, 8 (0.9%) misdiagnosed of ischemic stroke and 36 (4.1%) misdiagnosed of hemorrhagic strokes in the emergency department. Conclusion: There was no significant difference between impression of stroke in the emergency department and diagnosis at the neurology department.

scholarly journals Retrospective Study of Self Esteem in Patients with Pityriasis Versicolor

2020 ◽  
Vol 32 (2) ◽  
pp. 93
Author(s):  
Bagus Meurah Suropati ◽  
Eko Budi Koendhori ◽  
Sawitri Sawitri ◽  
Evy Ervianti
Keyword(s):  
Sex Education ◽  
Teaching Hospital ◽  
Outpatient Clinic ◽  
Basic Education ◽  
Skin Surface ◽  
Self Esteem ◽  
Pityriasis Versicolor ◽  
Academic Teaching ◽  
Education Levels ◽  
Academic Teaching Hospital

Background: Pityriasis Versicolor (PV) is a fungal infection of the skin, caused by the Malassezia sp., a genus of fungi. Patients commonly present with bordered skin patches of white, grey, and sometimes brown on their skin surface. The prominent changing of skin colour in exposed areas of the skin may cause feelings of insecurity to the patients and become limelight for other people, impacting their self esteem. Purpose: To evaluate the self esteem profile in PV patients at the dermatovenereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital Surabaya. Methods: This was a retrospective descriptive study based on medical records of the dermatovenereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital Surabaya. The data were collected from June 2018 to May 2019. This research evaluates PV patients's profiles by age, sex, education level, occupation, residential environment, site of infection, duration of the infection, and self esteem. The patient's self esteem was assessed using the Rosenberg Self Esteem Scale (RSES). Result: Fiftythree PV patient’s self esteem values were successfully recorded. Of the 53 patients, the score was low in 3 people (5.67%), the normal score in 50 people (94.33%), and no one had a high score. Of the 3 people with low self esteem scores, 2 of them were men, consisting of 1 teenager and 2 adults, having basic education levels, who were students and housewives. The three patients had the infection for more than 3 months and they resided in Tambaksari, Wonocolo, and outside Surabaya. Conclusion: The majority of PV patients at the dermato-venereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital have normal self esteem scores.

Sign in / Sign up

Export Citation Format

Share Document