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Five-year outcomes following psychiatric consultation to a tertiary care emergency room
Michael T Lambert1, James P LePage, Andrew L Schmitt
1Department of Psychiatry, University of Texas Southwestern Medical School at Dallas, TX 75216, USA. Michael.Lambert2@med.va.gov
Objective:
The authors prospectively examined inpatient psychiatric hospitalization and mortality rates of psychiatric patients seen in the emergency room of a large Department of Veterans Affairs medical center.
Method:
Charts of 504 patients receiving evening psychiatric consultation during a 13-month period were assessed 5 years after the consultation to determine rates of psychiatric hospitalization and mortality.
Results:
Patients with multiple psychiatric diagnoses, including comorbid addiction disorders, had significantly higher rates of psychiatric hospitalization 5 years after an emergency room visit. Comorbid psychiatric disorders increased the rate of inpatient psychiatric hospitalization across diagnoses. Seventy-eight patients died during the study period.
Conclusions:
These findings reveal relationships between diagnostic profiles and future psychiatric hospitalization and mortality rates. This information could focus psychiatric and medical interventions for high-risk patients.
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