• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

伴有精神疾病合并症的急诊科患者的处置情况：2004年国家医院门诊医疗调查结果

Disposition of emergency department patients with psychiatric comorbidity: results from the 2004 National Hospital Ambulatory Medical Care Survey.

作者信息

Kunen S, Prejean C, Gladney B, Harper D, Mandry C V

机构信息

Louisiana State University Emergency Medicine Residency Program, Earl K Long Medical Center, Baton Rouge, LA 70806, USA.

出版信息

Emerg Med J. 2006 Apr;23(4):274-5. doi: 10.1136/emj.2005.027367.

DOI:10.1136/emj.2005.027367
PMID:16549572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2579500/
Abstract

BACKGROUND

Few emergency department (ED) studies have examined how psychiatric comorbidity relates to hospitalisation decisions.

METHODS

We assessed the relationship of psychiatric comorbidity to hospitalisation decisions among ED patients in the 2004 National Hospital Ambulatory Medical Care Survey.

RESULTS

Patients with psychiatric comorbidity were five times more likely to be hospitalised than patients with a single psychiatric diagnosis. The most frequent psychiatric comorbidities involved substance use disorders (SUDs).

CONCLUSIONS

Psychiatric disorders are underdiagnosed among ED patients. We believe that this underdiagnosis may be partly responsible for the high hospitalisation rates of ED patients with SUDs.

摘要

背景

很少有急诊科（ED）研究探讨精神疾病共病与住院决策之间的关系。

方法

我们在2004年全国医院门诊医疗调查中评估了急诊科患者精神疾病共病与住院决策之间的关系。

结果

患有精神疾病共病的患者住院可能性是单一精神疾病诊断患者的五倍。最常见的精神疾病共病涉及物质使用障碍（SUDs）。

结论

急诊科患者中精神疾病诊断不足。我们认为这种诊断不足可能部分导致了患有物质使用障碍的急诊科患者的高住院率。

相似文献

1
Disposition of emergency department patients with psychiatric comorbidity: results from the 2004 National Hospital Ambulatory Medical Care Survey.伴有精神疾病合并症的急诊科患者的处置情况：2004年国家医院门诊医疗调查结果
Emerg Med J. 2006 Apr;23(4):274-5. doi: 10.1136/emj.2005.027367.
2
Emergency treatment of young people following deliberate self-harm.青少年蓄意自伤后的紧急治疗。
Arch Gen Psychiatry. 2005 Oct;62(10):1122-8. doi: 10.1001/archpsyc.62.10.1122.
3
National study of US emergency department visits for attempted suicide and self-inflicted injury, 1997-2001.1997 - 2001年美国急诊科因自杀未遂和自残伤害就诊情况的全国性研究。
Ann Emerg Med. 2005 Oct;46(4):369-75. doi: 10.1016/j.annemergmed.2005.04.018.
4
Emergency department use of persons with comorbid psychiatric and substance abuse disorders.急诊科对患有精神疾病和药物滥用合并症患者的使用情况。
Ann Emerg Med. 2003 May;41(5):659-67. doi: 10.1067/mem.2003.154.
5
Psychiatric patients in the pediatric emergency department undergoing routine urine toxicology screens for medical clearance: results and use.儿科急诊科的精神科患者接受常规尿液毒理学筛查以获得医疗许可：结果与应用
Pediatr Emerg Care. 2009 Jun;25(6):387-92. doi: 10.1097/PEC.0b013e3181a79305.
6
Comorbidity patterns in routine psychiatric practice: is there evidence of underdetection and underdiagnosis?常规精神科诊疗中的共病模式：是否存在漏诊和诊断不足的证据？
Compr Psychiatry. 2006 Jul-Aug;47(4):258-64. doi: 10.1016/j.comppsych.2005.08.007. Epub 2006 Apr 19.
7
Psychiatry in the emergency department: factors associated with treatment and disposition.急诊科的精神病学：与治疗及处置相关的因素
Am J Emerg Med. 1984 Jul;2(4):309-14. doi: 10.1016/0735-6757(84)90125-6.
8
Epidemiology and characteristics of emergency departments visits by US adults with psychiatric disorder and antipsychotic mention from 2000 to 2004.2000年至2004年美国患有精神疾病并提及使用抗精神病药物的成年人急诊科就诊情况的流行病学及特征
Curr Med Res Opin. 2007 Jun;23(6):1375-85. doi: 10.1185/030079907X187900.
9
Child and adolescent mental health problems and substance use presentations to an emergency department.儿童和青少年心理健康问题及物质使用情况在急诊科的表现。
Australas Psychiatry. 2011 Dec;19(6):521-5. doi: 10.3109/10398562.2011.603329. Epub 2011 Oct 20.
10
The association of alcohol dependence with general practice attendance.酒精依赖与全科医疗就诊率的关联。
Drug Alcohol Rev. 2009 Mar;28(2):154-9. doi: 10.1111/j.1465-3362.2008.00019.x.

引用本文的文献

1
Prolonged Emergency Department Length of Stay for US Pediatric Mental Health Visits (2005-2015).美国儿科心理健康就诊的急诊停留时间延长（2005-2015 年）。
Pediatrics. 2021 May;147(5). doi: 10.1542/peds.2020-030692. Epub 2021 Apr 5.
2
Weekday and seasonal patterns in psychiatric referrals in three major London A&E departments, 2012-2014.2012年至2014年伦敦三大急诊科精神科转诊的工作日及季节性模式
BJPsych Bull. 2018 Feb;42(1):5-9. doi: 10.1192/bjb.2017.4.
3
Patterns of Psychiatric Outpatient Practice in Taiwan: A Nationwide Survey.台湾精神科门诊医疗模式：一项全国性调查。
Int J Environ Res Public Health. 2016 Sep 28;13(10):955. doi: 10.3390/ijerph13100955.
4
The 23-Hour Observation Unit Admissions Within the Emergency Service at a National Tertiary Psychiatric Hospital: Clarifying Clinical Profiles, Outcomes, and Predictors of Subsequent Hospitalization.一家国立三级精神病医院急诊科内的23小时观察单元收治情况：明确临床特征、结局及后续住院的预测因素
Prim Care Companion CNS Disord. 2015 Jul 16;17(4). doi: 10.4088/PCC.15m01789. eCollection 2015.
5
Characteristics and Needs of Psychiatric Patients With Prolonged Hospital Stay.长期住院精神科患者的特征与需求
Can J Psychiatry. 2015 Apr;60(4):181-8. doi: 10.1177/070674371506000405.
6
[The situation of emergency psychiatry in Germany].[德国的急诊精神病学状况]
Nervenarzt. 2015 Sep;86(9):1081-90. doi: 10.1007/s00115-014-4146-z.
7
Gaps in survey data on cancer in American Indian and Alaska Native populations: examination of US population surveys, 1960-2010.美国印第安人和阿拉斯加原住民人群癌症调查数据的差距：对 1960-2010 年美国人口调查的分析。
Prev Chronic Dis. 2013;10:E39. doi: 10.5888/pcd10.120258.
8
[Psychiatric care in emergency departments].[急诊科的精神科护理]
Anaesthesist. 2012 Mar;61(3):215-23. doi: 10.1007/s00101-012-1991-7. Epub 2012 Mar 21.

本文引用的文献

1
Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity.躯体化增加了医疗利用率和费用，且与精神疾病和躯体疾病共病无关。
Arch Gen Psychiatry. 2005 Aug;62(8):903-10. doi: 10.1001/archpsyc.62.8.903.
2
Race disparities in psychiatric rates in emergency departments.急诊科精神科就诊率的种族差异。
J Consult Clin Psychol. 2005 Feb;73(1):116-26. doi: 10.1037/0022-006X.73.1.116.
3
Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions.物质使用障碍与独立的心境和焦虑障碍的患病率及共病情况：来自国家酒精及相关状况流行病学调查的结果
Arch Gen Psychiatry. 2004 Aug;61(8):807-16. doi: 10.1001/archpsyc.61.8.807.
4
National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary.国家医院门诊医疗护理调查：2002年急诊科总结
Adv Data. 2004 Mar 18(340):1-34.
5
History of multiple suicide attempts as a behavioral marker of severe psychopathology.多次自杀未遂史作为严重精神病理学的行为标志物。
Am J Psychiatry. 2004 Mar;161(3):437-43. doi: 10.1176/appi.ajp.161.3.437.
6
Emergency department use of persons with comorbid psychiatric and substance abuse disorders.急诊科对患有精神疾病和药物滥用合并症患者的使用情况。
Ann Emerg Med. 2003 May;41(5):659-67. doi: 10.1067/mem.2003.154.
7
Comorbidity of obsessive-compulsive disorder and depression: prevalence, symptom severity, and treatment effect.强迫症与抑郁症的共病：患病率、症状严重程度及治疗效果。
J Clin Psychiatry. 2002 Dec;63(12):1106-12. doi: 10.4088/jcp.v63n1204.
8
The co-occurrence of psychiatric and substance use diagnoses in adolescents in different service systems: frequency, recognition, cost, and outcomes.
J Behav Health Serv Res. 2000 Nov;27(4):417-30. doi: 10.1007/BF02287823.
9
Lifetime panic-depression comorbidity in the National Comorbidity Survey. Association with symptoms, impairment, course and help-seeking.
Br J Psychiatry. 2000 Mar;176:229-35. doi: 10.1192/bjp.176.3.229.
10
Impairment in pure and comorbid generalized anxiety disorder and major depression at 12 months in two national surveys.两项全国性调查中12个月时单纯性和共病性广泛性焦虑障碍及重度抑郁症的损害情况。
Am J Psychiatry. 1999 Dec;156(12):1915-23. doi: 10.1176/ajp.156.12.1915.