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Panic disorder and emergency services utilization.

Richard D Zane1, Andrew T McAfee, Summer Sherburne

  • 1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. rzane@partners.org

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|October 4, 2003
PubMed
Summary
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Patients with panic disorder frequently use emergency services and emergency departments. This study found a higher prevalence of panic disorder screening in emergency departments than previously reported.

Area of Science:

  • Emergency Medicine
  • Psychiatry
  • Public Health

Background:

  • Characteristics of emergency department (ED) patients with panic disorder are not well understood.
  • This study aimed to characterize ED patients with panic disorder and compare their demographic and healthcare utilization patterns.

Purpose of the Study:

  • To compare demographic information and emergency care use between patients with a high likelihood of panic disorder and those who screened negative.
  • To determine the prevalence of panic disorder screening in an urban emergency department population.

Main Methods:

  • Prospective cross-sectional study of 813 adult patients presenting to an urban ED.
  • Participants completed the PRIME-MD screening questionnaire for panic disorder and a survey on prior year medical service utilization.

Related Experiment Videos

  • Exclusion criteria included age 18 or younger, instability, or inability to speak English or Spanish.

    • Main Results:

    • 12.3% of patients screened positive for panic disorder.
    • Patients with Medicare were 2.84 times more likely to screen positive than uninsured patients.
    • Increased frequency of ED visits (4-7 or 8+ visits) and 911 activations (2-10 or 11+ times) were associated with higher likelihood of screening positive for panic disorder.

    Conclusions:

    • Patients screening positive for panic disorder exhibit higher utilization of emergency medical services and ED services.
    • The prevalence of screening positive for panic disorder in ED settings appears to be higher than previously estimated.