Detaillierte Beitrags-Information
| Beitragstitel | Prediction of Repeated Emergency Department Visits in Patients with Mental Disorders |
|---|---|
| Beitragscode | P16 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| 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. Methods: 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. Results: 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. Conclusion: 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. |