Methamphetamine-Related Emergency Department Visits Requiring Psychiatric Admission: A Retrospective Cohort Study.
Objectives: The aim of this study was to determine if certain clinical or sociodemographic characteristics were associated with a higher likelihood of psychiatric admission for stimulant-related emergency department (ED) visits. Methods: Using administrative data collected by the Kingston Health Sci...
| Publicado en: | International Journal of Mental Health & Addiction Vol. 19; no. 4; pp. 1362 - 1372 |
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| Formato: | Artículo |
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Springer Nature
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=151759680&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 151759680 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Aug2021 vid: 19 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 151759680 10.1007/s11469-020-00230-2 ppf: 1362 ppct: 10 formats: fmt: @attributes: type: P size: 399KB tig: atl: Methamphetamine-Related Emergency Department Visits Requiring Psychiatric Admission: A Retrospective Cohort Study. aug: au: Bahji, Anees affil: Department of Psychiatry, Queen's University, Kingston, Ontario, Canada Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada su: Cohort analysis Retrospective studies Forecasting Hospital emergency services Odds ratio Psychiatric emergencies sug: subj: Cohort analysis Retrospective studies Forecasting Hospital emergency services Odds ratio Psychiatric emergencies ab: Objectives: The aim of this study was to determine if certain clinical or sociodemographic characteristics were associated with a higher likelihood of psychiatric admission for stimulant-related emergency department (ED) visits. Methods: Using administrative data collected by the Kingston Health Sciences Centre Emergency Department Information System was used to assemble a retrospective cohort study. The primary outcome measure was ED disposition (admission vs. discharge), while covariates included age, sex, primary ED diagnosis, mode of ED arrival, and length of ED stay. Statistical analysis was conducted using bivariate and multivariate logistic regression in SAS. Key Findings: Over a 4-year period, 915 stimulant-related presentations were recorded (64.5% male, mean age 32.8 years). Nearly 15% of all visits required psychiatric admission. Time trend analysis showed a significant increase in the number of visits by fiscal year. The most common stimulant-related presentations were stimulant intoxication (32.8%) and stimulant-induced psychosis (23.0%). Significant predictors of psychiatric admission were arrival by police (adjusted odds ratio [AOR] = 1.90), older age (AOR = 1.03), longer length of ED stay (AOR = 1.03), and more severe triage score (AOR = 0.4). Conclusions: Certain clinical and sociodemographic characteristics are associated with psychiatric admission among individuals who present to the ED with methamphetamine-related chief complaints. These characteristics could later be used to improve clinical risk profiles and ED triage algorithms that can help identify patients who may require enhanced community care and those who may benefit from psychiatric admission. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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