Emergency Department, Royal Children's Hospital, Melbourne, Victoria, Australia.
Emerg Med J. 2011 Feb;28(2):159-60. doi: 10.1136/emj.2008.062745. Epub 2010 Sep 15.
To improve care of adolescents in mental health crisis, the role of routine follow-up calls in discharged patients with referral plans after emergency department (ED) presentation to a children's hospital was explored. Main outcome measure was patient attendance at referral sites. In 113 mental health patients with follow-up appointments, either patient/carers or corresponding referral services could be contacted. Median age was 14 years, 77% were girls, and most presentations were after self-harm/depression (61%). Eighty-three per cent (95% CI 75% to 90%) were compliant with the discharge plan without prompting from the ED staff. Fourteen per cent (95% CI 8% to 22%) did not comply after being called by ED staff, and only 3% (95% CI 1% to 7%) were persuaded to attend their outpatient care after being prompted by ED staff. Routine follow-up calls for adolescent mental health patients after ED care are not warranted in all settings.
为了改善心理健康危机中的青少年护理，探讨了在儿童医院急诊科就诊后有转诊计划的出院患者中常规随访电话的作用。主要观察指标是患者到转诊地点就诊的情况。在 113 名有随访预约的心理健康患者中，可以联系到患者/照顾者或相应的转诊服务。中位年龄为 14 岁，77%为女孩，大多数就诊是在自残/抑郁之后（61%）。在没有急诊科工作人员提示的情况下，83%（95%CI 75%至 90%）的患者遵守出院计划。在接到急诊科工作人员的电话后，有 14%（95%CI 8%至 22%）的患者不遵守，只有 3%（95%CI 1%至 7%）的患者在急诊科工作人员提示后被说服接受门诊治疗。在所有情况下，对急诊科治疗后的青少年心理健康患者进行常规随访电话都没有必要。
