The Characteristics and Prevalence of Agitation in an Urban County Emergency Department

Annals of Emergency Medicine
James R MinerJeffrey D Ho

Abstract

We seek to determine the characteristics and prevalence of agitation among patients in an urban county emergency department (ED). This was a prospective observational study of ED patients at an urban Level I trauma center. All ED patients were screened during daily randomized 8-hour enrollment periods. Adult agitated patients, defined as having an altered mental status score greater than 1, were included. Trained research volunteers collected demographics and baseline data, including the presenting altered mental status score, use and type of restraints, and whether any initial sedative was given. The altered mental status score, vital signs, and any medications or treatments given were recorded every 5 minutes thereafter until the patient had an altered mental status score less than 1. Providers were asked to describe clinical events resulting in an intervention occurring during the patient course, including hypotension, vomiting, increased monitoring, use of supplemental oxygen or airway adjunct, or intubation. The provider also completed a checklist to determine the presence of delirium symptoms. A total of 43,838 patients were screened (45.1% women; median age 33 years; range 0 to 102 years). The prevalence of agitation was...Continue Reading

Citations

Mar 16, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jacob A LebinMarie C Vrablik
Jul 3, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Celene Y L YapUNKNOWN Sedation for Acute Agitation in Emergency Department Patients: Targeting Adverse Events (SIESTA) Collaborative Study Group
Jan 25, 2020·JAMA Network Open·Ambrose H WongAnthony J Pavlo
Jan 31, 2020·The Western Journal of Emergency Medicine·Hanjie MoStephen W Meldon
Jul 30, 2020·The Western Journal of Emergency Medicine·Ambrose H WongJohn S Rozel
Aug 23, 2020·Forensic Science, Medicine, and Pathology·Ellen M F StrömmerMichael D Freeman
Dec 15, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jon B ColeMichael P Wilson
May 3, 2019·Prehospital and Disaster Medicine·Jeffrey D HoJames R Miner
Sep 12, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R Andrew TaylorAmbrose H Wong
Sep 6, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marc L MartelJon B Cole
Jan 14, 2021·The American Journal of Emergency Medicine·Jamie L StangBrian E Driver
May 13, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rowen O JinRohini J Haar
Jun 26, 2021·Annals of Emergency Medicine·Lauren R Klein, Jon B Cole
Nov 26, 2021·Journal of the American Geriatrics Society·Maura KennedyCarlos A Camargo
Dec 22, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Colin M SmithJane P Gagliardi

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