Anxiety and depression are unrecognised in emergency patients admitted to the observation care unit

Perruche, F.; Elie, Caroline; d’Ussel, Marguerite; Ray, Patrick; Thys, Frédéric; Bleichner, G; Roy, Pierre‐Marie; Schmidt, Jeannot; Gayet, A.; Pateron, Dominique; Joubioux, E. Le; Porcher, Nicolas; Gamand, P.; Claessens, Yann-Érick

doi:10.1136/emj.2009.089961

Cited by 19 publications

(24 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The BDI-II in our study classified 42% of the patients presenting to the UTMC-ED as having mild, moderate or severe depression. This figure is within range of other studies estimating the prevalence of depression using the BDI-II and the Hospital Anxiety and Depression Scales (HADS) questionnaires 4,5…”

Section: Discussionsupporting

confidence: 83%

See 1 more Smart Citation

ED Patients with Prolonged Complaints and Repeat ED Visits Have an Increased Risk of Depression

Brickman

Bahl

Marcinkowski

et al. 2016

WestJEM

View full text Add to dashboard Cite

IntroductionThe objective of this study was to explore associations between presenting chief complaints of prolonged symptomatology, patient usage of the emergency department (ED), and underlying depression so that emergency physicians may better target patients for depression screening.MethodsA convenience sample of ED patients were administered the Beck Depression Inventory-II (BDI-II) to assess for depression. We correlated completed BDI-II surveys to patient information including demographics, pertinent history of present illness information, and past medical history.ResultsOut of 425 participants screened, we identified complaints of two weeks or longer in 92 patients (22%). Of these patients, mild to severe depression was recognized in over half of the population (47), yet only nine patients reported a prior depression diagnosis. These 92 patients also visited the ED three times as frequently as those patients with more acute complaints (p<0.001). Finally, our study showed that patients with mild to severe depression had three times as many ED visits compared to patients with minimal or no depression (p<0.001).ConclusionPatients with complaints of symptomatology two weeks or longer are more likely to have underlying depression when presenting to the ED. Patients with three or more ED visits within the past year also have a greater incidence of underlying depression. We found a strong correlation between complaints with symptomatology of two weeks or longer and multiple ED visits, in which underlying depression may have contributed to these patients’ ED visits.

show abstract

Section: Discussionsupporting

confidence: 83%

“…Studies estimate that 23–30% of ED patients have an underlying factor of depression and greater than 60% of patients with depression are unidentified 4,5,6. In a 2012 report, 79.7% of adults reported visiting the ED due to lack of access to other providers.…”

Section: Discussionmentioning

confidence: 99%

ED Patients with Prolonged Complaints and Repeat ED Visits Have an Increased Risk of Depression

Brickman

Bahl

Marcinkowski

et al. 2016

WestJEM

View full text Add to dashboard Cite

show abstract

“…Marchesi et al 19 reported that female ED patients had a higher level of general psychological distress than male ED patients. This was also true for specific psychological distress such as depression and anxiety in most studies 12 18 19 23. Higher frequencies in women were also found for symptoms of anxiety 9 23.…”

Section: Resultsmentioning

confidence: 57%

“…This was also true for specific psychological distress such as depression and anxiety in most studies 12 18 19 23. Higher frequencies in women were also found for symptoms of anxiety 9 23. Furthermore, psychologically distressed ED patients were more likely to be separated, divorced or widowed than non-psychologically distressed ED patients 19.…”

Section: Resultsmentioning

confidence: 67%

See 1 more Smart Citation

Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review

et al. 2015

View full text Add to dashboard Cite

show abstract

A standardized information procedure does not improve patients’ comprehension in emergency observation units

Claessens

Trabattoni

Eche

et al. 2017

Ann. Fr. Med. Urgence

View full text Add to dashboard Cite

Anxiety and depression are unrecognised in emergency patients admitted to the observation care unit

Abstract: Although patients presenting to the ED often experience anxiety and depression, these symptoms are poorly detected by ED physicians.

Cited by 19 publications

References 25 publications

ED Patients with Prolonged Complaints and Repeat ED Visits Have an Increased Risk of Depression

ED Patients with Prolonged Complaints and Repeat ED Visits Have an Increased Risk of Depression

Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review

A standardized information procedure does not improve patients’ comprehension in emergency observation units

Contact Info

Product

Resources

About