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Beitragstitel Prediction of Repeated Emergency Department Visits in Patients with Mental Disorders
Beitragscode P16
  1. Ksenija Slankamenac UniversitätsSpital Zürich Vortragender
  2. Raphael Heidelberger UniversitätsSpital Zürich
  3. Dagmar Keller UniversitätsSpital Zürich
Präsentationsform Poster
  • 10 - Epidemiologie/Versorgung
Abstract Background:
Patients with mental disorders are more likely to be frequent emergency department (ED) users than patients with medical diseases. There is little data about repeated ED visitors (≥4 ED visits/year for the same disorder) with mental disorders in Switzerland. Therefore, our aim was to investigate which mental disorders and risk factors were associated with repeated ED visits.

ED patients with mental disorders were consecutively enrolled and grouped in repeated ED visitors and patients visiting the ED twice or three times (control) within a year.

177 adult patients with mental disorders applied for 642 ED visits. 25.4% of patients were repeated ED users and 74.6% visited the ED twice or three times. Repeated ED visitors suffered more often from personality and behavior disorders (p=0.011), had a higher number of in-house admissions (p<0.001), suicide attempts (p=0.004), accidents (p=0.013) and were more often singles (p=0.045) compared to the control group. Although theses repeated ED visitors had more often a general physician or psychiatrist, they visited the ED more often within office hours (p<0.001) than the control group.

A quarter of frequent ED users with mental disorders are repeated ED visitors and were more likely to suffer from personality and behavior disorders. Therefore, a case management for repeated ED patients with mental disorders is needed to optimize the patient-centered care and to reduce the ED visit frequency.