Analysis of emergency department length of stay for mental health visits: A case study of a Canadian academic hospital

CJEM
Deyvison T Baia MedeirosDionne M Aleman

Abstract

The objective of this study was to examine temporal trends in mental health visits to the emergency department (ED) and to determine differences in length of stay (LOS) between mental health visits and visits for non-mental health conditions. A population-based retrospective study was conducted for patients who visited the ED of an academic hospital located in Toronto, ON, between fiscal years 2012 and 2016. Trends in the number of visits and descriptive statistics were calculated for both mental health and non-mental health groups. Quantile regression was used to compare the median and 90th percentile LOS. In five years, the absolute increase in the number of mental health visits to the ED was 55.7%. The 90th percentile LOS was similar for mental and non-mental health visits that were internally transferred (10.7 hours v. 8.3 hours) but significantly higher for those who were discharged (11.4 hours v. 7.3 hours), admitted (52.6 hours v. 29.3 hours), and externally transferred (21.9 hours v. 10.0 hours). After adjusting for other variables, the 90th percentile LOS was 3.3 hours longer for mental health visits resulting in discharge (p<0.001), 24.5 hours longer for those admitted (p<0.001), and 12.7 hours longer for those ...Continue Reading

References

Jul 3, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Peter C Austin, Michael J Schull
Jun 9, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Gregory Luke LarkinCarlos A Camargo
Jan 24, 2007·Public Health Reports·Jacqueline Grupp-PhelanKelly J Kelleher
Mar 14, 2007·International Journal of Mental Health Nursing·Diana E ClarkeLinda Hughes
Mar 28, 2008·The Journal of Clinical Psychiatry·Rebecca P SmithSteven M Southwick
Oct 1, 2009·CJEM·Amanda S NewtonTerry P Klassen
Jul 31, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ru DingScott L Zeger
Sep 8, 2010·Health Affairs·Vidhya AlakesonMichael Ludwig
Mar 31, 2012·The Western Journal of Emergency Medicine·Ashley StoneAlexis Lieser
Aug 14, 2012·Emergency Medicine International·B A Nicks, D M Manthey
Nov 14, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Clare L AtzemaPeter C Austin
Nov 2, 2013·CJEM·Andrew AffleckHoward J Ovens
Feb 21, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Zachary E Pittsenbarger, Rebekah Mannix
Jul 19, 2014·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Jason M NolanMary A Blegen
Jul 31, 2014·The Journal of Emergency Medicine·Robert J StephensEmily S Patterson
Jun 3, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Sima GandhiPaul Kurdyak

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Citations

Jul 10, 2019·Journal of Healthcare Engineering·Deyvison T Baia MedeirosErin O'Connor
Mar 29, 2020·The American Journal of Emergency Medicine·Chien-Hua ChenJyh-Horng Jeng

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