PMID: 9189192Jun 1, 1997Paper

Psychosocial difficulties and emergency department use

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
S Pilossoph-GelbS C Yang

Abstract

To determine whether psychosocial difficulties are more prevalent among ambulatory patients using the ED for nonemergent complaints as compared with ambulatory patients having emergent complaints. A survey of noncritical ED patients was performed using anonymous questionnaires addressing psychosocial difficulties: psychiatric illness, educational level, homelessness, alcohol and/or drug dependency (CAGE and DAST surveys), and depression (DSM-III criteria). Three independent physicians ranked each patient's chief complaint as either emergent or appropriate for primary care. The majority ranking was used to determine whether the complaint was emergent. Groups with and without specific psychosocial difficulties were compared for their proportion of emergent vs primary care complaints. Of 700 patients, 367 (52%) met criteria for > or = 1 psychosocial difficulty [acute psychosis-36 (5%), illiteracy-139 (20%), homelessness-45 (6%), alcohol dependency-111 (16%), drug dependency-66 (9%), and depression-130 (19%)]. There were 379 (54%) ED visits considered emergent. Patient groups with vs without > or = 1 psychosocial difficulty had similar rates of emergent visits (58% vs 50%, p = 0.04). Emergent visit rates also were similar for subgr...Continue Reading

References

Jul 1, 1991·Public Health·S RichmanT Lissauer
Aug 1, 1991·Hospital & Community Psychiatry·D K Padgett, E L Struening
Aug 1, 1989·American Journal of Public Health·J B Reuler
Oct 12, 1984·JAMA : the Journal of the American Medical Association·J A Ewing
Jan 1, 1984·Soins; la revue de référence infirmière·E Guillibert
Jan 1, 1982·Addictive Behaviors·H A Skinner
Aug 1, 1995·Annals of Emergency Medicine·C J Cherpitel
Mar 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S B Abbuhl, R A Lowe
Mar 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·G M O'BrienM D Stein
Feb 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·B J Zink

❮ Previous
Next ❯

Citations

Apr 7, 2005·Journal of Community Health·Victoria M RizzoKristen Kirkland
Nov 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L D Richardson, U Hwang
Mar 22, 2006·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Rade B Vukmir
Sep 19, 2016·Atencion primaria·Angel L Arricivita-AmoUNKNOWN resto de investigadores colaboradores del grupo PSISOSUR

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.