Publication date: Available online 13 May 2017
Source:The Journal of Emergency Medicine
Author(s): Ryan K. Misek, Ashley D. Magda, Samantha Margaritis, Robert Long, Erik Frost
BackgroundPsychiatric patient boarding in the emergency department (ED) is a ubiquitous problem associated with increased morbidity and mortality.ObjectiveWe evaluate the effect of closing a public psychiatric facility in a major metropolitan area on the ED length of stay (LOS) of psychiatric patients.MethodsThis was a retrospective chart review at two metropolitan EDs of all patients assessed to require inpatient psychiatric hospitalization. The time of arrival, time of disposition, time of transfer, insurance status, and accepting facility type were collected prior to and following the closure of a local inpatient psychiatric facility.ResultsWe analyzed a total of 1107 patients requiring inpatient psychiatric hospitalization, with 671 patients who presented prior to the closure of the closest public psychiatric facility and 436 patients that presented following the facility closure. Following hospital closure, patients with private insurance (620 min before, 771 min after) and Medicare/Medicaid (642 min before, 718 min after) had statistically significantly longer ED LOS, as well as patients transferred to a private psychiatric hospital (664 min prior, 745 min after). However, overall ED length of stay following hospital closure for transfer of all psychiatric patients requiring inpatient hospitalization was not found to be statistically significant (1017 min prior, 967 min after).ConclusionThere was a statistically significant increase in ED LOS for patients with private insurance, Medicare/Medicaid, and for those patients transferred to a private psychiatric facility following closure of a public mental health hospital; however, overall, ED LOS was not increased for patients transferred to an inpatient psychiatric facility. This study highlights the significant impact that the closure of a single inpatient psychiatric facility can have on nearby EDs. We hope to bring attention to the need for increased psychiatric services during a time when there is a nationwide trend toward the reduction of available inpatient psychiatric beds.
from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2rdrEMM
via IFTTT
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Abstract Understanding the spatial distribution of PM 2.5 concentration and its contributing environmental variables is critical to devel...
-
Respiratory Polysomnographic Findings in Patients Treated Primarily for Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 201...
-
Résumé L'extrait hydrométhanolique des parties aériennes d' Origanum glandulosum Batt. et Trab. a été étudié pour sa composition ...
-
Abstract Cardiomyopathy, also known as heart muscle disease, is an unfavorable condition leading to alterations in myocardial contraction ...
-
http://ift.tt/2qKmhUL
-
Abstract Ethylene-octene copolymer (EOC)/organoclay nanocomposite was cured by peroxide in an internal mixer for different time periods. L...
-
Related Articles Approaching a global definition of family medicine: The Besrour Papers: a series on the state of family medicine in t...
-
Abstract The antibiotic doxycycline is used as an inducer of recombinase ( cre )-based conditional gene knockout in mice, which is a commo...
-
Abstract The molecular genetic modifications in multiple genes involved in folate and homocysteine metabolism play the pivotal role in the...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου