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ORIGINAL ARTICLE
Year : 2019  |  Volume : 22  |  Issue : 2  |  Page : 208-214

Frequency of psychiatric disorders in nonemergent admissions to emergency department


1 Department of Emergency, Eskisehir State Hospital, Eskişehir, Turkey
2 Department of Emergency Medicine, Eskisehir Osmangazi Unviersity, Eskişehir, Turkey
3 Department of Psychiatry, Eskisehir Osmangazi Unviersity, Eskişehir, Turkey
4 Department of Emergency, Van Education and Research Hospital, Van, Turkey
5 Department of Emergency, Agri State Hospital, Agri, Turkey
6 Department of Emergency, Siverek State Hospital, Şanlıurfa, Turkey

Correspondence Address:
Dr. M E Canakci
Department of Emergency, Eskisehir State Hospital, Eskişehir
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njcp.njcp_380_18

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Objectives: Repeated admissions of patients with undiagnosed psychiatric problems in emergency departments (ED) is a major contributor to patient unsatisfaction and overcrowding in EDs. We evaluated the presence of psychiatric disorders in non-emergent admissions in the ED of a tertiary care hospital. Materials and Methods: This cross-sectional study was carried out in Eskisehir Osmangazi University Hospital between December 2015 and March 2016. The study group consists of 4320 non-emergent patients (31% of all admissions to non-emergent ED). Psychiatric assessments of patients were done using the Primary Care Evaluation of Mental Disorders (PRIME-MD) scale prior to their discharge from the ED. The Mann-Whitney U, Kruskal-Wallis and Chi-square tests, as well as multivariate logistic regression, were performed for statistical analysis. Results: The mean age was 30 ± 11.7 years years ranging from 18 to 78 years. Among non-emergent cases, 44% had at least one psychiatric disorder. The most frequent psychiatric disorder was mood disorder (major and minor depression). Females with a comorbid disease and lower education level had increased risk for mood disorders, anxiety disorders, and somatoform disorders. Single males with a comorbid disease had increased risk for alcohol dependence. Conclusions: Undiagnosed patients with psychiatric disorders appear to be frequent users of medical emergency department services. These results might be helpful in developing more effective strategies to serve the mental health needs of the undiagnosed. People's awareness of psychiatric disorders should be increased.


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