Trends in Visits and Costs for Mental Health Emergencies in a Pediatric Emergency Department, 2010-2016

Academic Pediatrics
Jennifer A HoffmannLois K Lee

Abstract

Analyze trends in visit numbers, length of stay (LOS), and costs of pediatric mental health emergency department (ED) visits over time. We conducted a cross-sectional, time-series analysis from 2010 to 2016 of mental health visits, identified by billing diagnosis codes, among children 5 to 18years old in a tertiary pediatric ED. We used Poisson regression to analyze trends in rates of mental health visits, patient-hours, and visits with LOS ≥ 24hours. We used time-series analysis to trend median costs per visit. From 2010 to 2016, there were 197,982 ED visits and 13,367 (6.7%) mental health visits. Mental health visits increased by 45% (from 1462 to 2119), compared to a 13% increase in non-mental health visits. The rate of mental health visits increased from 5.6 to 7.1 per 100 ED visits and increased 5.5% annually, compared to -0.4% annually for non-mental health visits (incidence rate ratio [IRR], 1.06; 95% confidence interval [CI], 1.05-1.07). Mental health patient-hours increased 186%, compared to an 18% increase in non-mental health patient-hours. The rate of mental health visits with LOS ≥ 24hours increased from 4.3 to 18.8 per 100 mental health visits and increased 22% annually (IRR, 1.22; 95% CI, 1.19-1.26). Median costs...Continue Reading

Citations

Feb 8, 2021·The American Journal of Emergency Medicine·Rachel LeveneHnin Khine
Sep 27, 2019·Pediatrics·Naomi S BardachMichael D Cabana
Sep 24, 2020·Pediatrics·Nicolaus W Glomb, Jacqueline Grupp-Phelan
Nov 16, 2021·Academic Pediatrics·Destiny G TolliverCaroline J Kistin
Jan 18, 2022·Community Mental Health Journal·Michael A HogeChristy Olezeski

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