scholarly journals A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital's emergency department

BJPsych Open ◽  
2016 ◽  
Vol 2 (6) ◽  
pp. 394-399 ◽  
Author(s):  
Sarah Penfold ◽  
Dianne Groll ◽  
Dane Mauer-Vakil ◽  
Jennifer Pikard ◽  
Megan Yang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Personality Disorders ◽  
Healthcare Services ◽  
Support Staff ◽  
Emergency Department Visits ◽  
Psychiatric Diagnoses ◽  
Retrospective Data Analysis ◽  
Health Related ◽  
Extensive Involvement

BackgroundIndividuals with personality disorders often have extensive involvement with healthcare services including frequent utilisation of emergency departments.AimsThe aim of this study was to identify factors associated with emergency department presentations by individuals with personality disorders.MethodA 12-month retrospective data analysis of all mental-health-related emergency department visits was performed. Age, gender, time and season of presentation, length of stay, mode of arrival and discharge arrangements for individuals with personality disorders were compared to individuals with other psychiatric diagnoses.ResultsThere were 336 visits by individuals with personality disorders and 5290 visits by individuals with other psychiatric diagnoses.Individuals with personality disorders were significantly more likely to be female, young adults, brought in by police, arrive in the evening, discharged home and have a longer median length of stay.ConclusionKnowing what factors are associated with emergency department presentations by individuals with personality disorders can help ensure that appropriately trained support staff are available.

scholarly journals Emergency Department Visits for Mental Health Conditions Among US Children, 2001-2011

2014 ◽  
Vol 53 (14) ◽  
pp. 1359-1366 ◽  
Author(s):  
Alan E. Simon ◽  
Kenneth C. Schoendorf
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Emergency Department Visits ◽  
Health Issues ◽  
White Children ◽  
Mental Health Issues ◽  
Health Related ◽  
Care Survey ◽  
Ambulatory Medical Care ◽  
Us Children

We examined mental health–related visits to emergency departments (EDs) among children from 2001 to 2011. We used the National Hospital Ambulatory Medical Care Survey—Emergency Department, 2001-2011 to identify visits of children 6 to 20 years old with a reason-for-visit code or ICD-9-CM diagnosis code reflecting mental health issues. National percentages of total visits, visit counts, and population rates were calculated, overall and by race, age, and sex. Emergency department visits for mental health issues increased from 4.4% of all visits in 2001 to 7.2% in 2011. Counts increased 55 000 visits per year and rates increased from 13.6 visits/1000 population in 2001 to 25.3 visits/1000 in 2011 ( P < .01 for all trends). Black children (all ages) had higher visit rates than white children and 13- to 20-year-olds had higher visit rates than children 6 to 12 years old ( P < .01 for all comparisons). Differences between groups did not decline over time.

The Impact of Language on Emergency Department Visits, Hospitalizations, and Length of Stay Among Home Care Recipients

Medical Care ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Michael Reaume ◽  
Ricardo Batista ◽  
Emily Rhodes ◽  
Braden Knight ◽  
Haris Imsirovic ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Home Care ◽  
Emergency Department Visits ◽  
Care Recipients ◽  
The Impact

scholarly journals Mental Health–related Emergency Department Visits Associated With Cannabis in Colorado

2018 ◽  
Vol 25 (5) ◽  
pp. 526-537 ◽  
Author(s):  
Katelyn E. Hall ◽  
Andrew A. Monte ◽  
Tae Chang ◽  
Jacob Fox ◽  
Cody Brevik ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Emergency Department Visits ◽  
Health Related

scholarly journals Associations between hospital deaths (HSMR), readmission and length of stay (LOS): a longitudinal assessment of performance results and facility characteristics of teaching and large-sized hospitals in Canada between 2013–2014 and 2017–2018

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041648
Author(s):  
Omid Fekri ◽  
Edgar Manukyan ◽  
Niek Klazinga
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Acute Care ◽  
Hospital Performance ◽  
Emergency Department Visits ◽  
Outcome Indicators ◽  
Hospital Deaths ◽  
Resource Intensity ◽  
Performance Results ◽  
Hospital Characteristics

ObjectivesTo examine the association between hospital deaths (hospital standardised mortality ratio, HSMR), readmission, length of stay (LOS) and eight hospital characteristics.DesignLongitudinal observational study.SettingA total of 119 teaching and large-sized hospitals in Canada between fiscal years 2013–2014 and 2017–2018.ParticipantsAnalysis focused on indicator results and characteristics of individual Canadian hospitals.Primary and secondary outcomesHospital deaths (HSMR); all patients readmitted to hospital; average LOS and a series of eight hospital characteristic summary measures: number of acute care hospital stays; number of acute care beds; number of emergency department visits; average acute care resource intensity weight; total acute care resource intensity weight; hospital occupancy rate; patients admitted through the emergency department (%); patient days in alternate level of care (%).ResultsComparing 2013–2014 to 2017–2018, hospital deaths (HSMR) largely declined, while readmissions increased; 69% of hospitals decreased their hospital deaths (HSMR), while 65% of hospitals increased their readmissions rates. A greater proportion of community-large hospitals (31%, n=14) improved on both hospital deaths (HSMR) and readmission compared to Teaching hospitals (13.9%, n=5). Hospital deaths (HSMR), readmission and LOS largely showed very weak and non-significant correlations. LOS was largely positively and statistically significantly correlated with the suite of eight hospital characteristics. Hospital deaths (HSMR) was largely negatively (not statistically significantly) correlated with the hospital characteristics. Readmission was largely not statistically significantly correlated and showed no clear pattern of correlation (direction) with hospital characteristics.ConclusionsExamining publicly reported hospital performance results can reveal meaningful insights into the association among outcome indicators and hospital characteristics. Good or bad hospital performance in one care domain does not necessarily reflect similar performance in other care domains. Thus, caution is warranted in a narrow use of outcome indicators in the design and operationalisation of hospital performance measurement and governance models (namely pay-for-performance schemes). Analysis such as this can also inform quality improvement strategies and targeted efforts to address domains of care experiencing declining performance over time; further granular subdivision of the analyses, for example, by hospital peer-groups, can reveal notable differences in performance.

The role of health and non-health-related factors in repeat emergency department visits in an elderly urban population

2010 ◽  
Vol 27 (9) ◽  
pp. 683-687 ◽  
Author(s):  
C. Naughton ◽  
J. Drennan ◽  
P. Treacy ◽  
G. Fealy ◽  
M. Kilkenny ◽  
...  
Keyword(s):  
Emergency Department ◽  
Urban Population ◽  
Emergency Department Visits ◽  
Related Factors ◽  
Health Related
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