北卡罗来纳州患有精神疾病的老年人的急诊科就诊情况。
Emergency Department Visits by Older Adults with Mental Illness in North Carolina.
作者信息
Hakenewerth Anne M, Tintinalli Judith E, Waller Anna E, Ising Amy
机构信息
North Carolina Department of Health and Human Services, Division of Public Health, Raleigh, North Carolina.
University of North Carolina at Chapel Hill, Department of Emergency Medicine, Chapel Hill, North Carolina.
出版信息
West J Emerg Med. 2015 Dec;16(7):1142-5. doi: 10.5811/westjem.2015.8.27662. Epub 2015 Nov 16.
INTRODUCTION
We analyzed emergency department (ED) visits by patients with mental health disorders (MHDs) in North Carolina from 2008-2010 to determine frequencies and characteristics of ED visits by older adults with MHDs.
METHODS
We extracted ED visit data from the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT). We defined mental health visits as visits with a mental health ICD-9-CM diagnostic code, and organized MHDs into clinically similar groups for analysis.
RESULTS
Those ≥65 with MHDs accounted for 27.3% of all MHD ED visits, and 51.2% were admitted. The most common MHD diagnoses for this age group were psychosis, and stress/anxiety/depression.
CONCLUSION
Older adults with MHDs account for over one-quarter of ED patients with MHDs, and their numbers will continue to increase as the "boomer" population ages. We must anticipate and prepare for the MHD-related needs of the elderly.
引言
我们分析了2008年至2010年北卡罗来纳州患有精神疾病（MHD）患者的急诊科（ED）就诊情况，以确定患有MHD的老年人的急诊就诊频率和特征。
方法
我们从北卡罗来纳州疾病事件跟踪和流行病学收集工具（NC DETECT）中提取了急诊就诊数据。我们将心理健康就诊定义为具有心理健康ICD-9-CM诊断代码的就诊，并将MHD分为临床相似的组进行分析。
结果
65岁及以上患有MHD的患者占所有MHD急诊就诊患者的27.3%，其中51.2%被收治入院。该年龄组最常见的MHD诊断是精神病以及应激/焦虑/抑郁。
结论
患有MHD的老年人占患有MHD的急诊患者的四分之一以上，随着“婴儿潮一代”人口老龄化，他们的数量将继续增加。我们必须预见并为老年人与MHD相关的需求做好准备。
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