Observational studyBMC emergency medicine2016
Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study.
Observational study in BMC emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01768494 (Optimizing Triage and Hospitalisation In Adult General Medical Emergency Patients), which is not on this map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Optimizing Triage and Hospitalisation In Adult General Medical Emergency Patients: the TRIAGE Study
Who cites it
17 citing papers in PubMed, 23 citations in OpenAlex.
- Psychological distress among medically complex veterans with a recent emergency department visit.Psychological services · 2022Trial
- Clinical Outcomes in Routine Evaluation Measures for Patients Discharged from Acute Psychiatric Care: Four-Arm Peer and Text Messaging Support Controlled Observational Study.International journal of environmental research and public health · 2022Trial
- Effectiveness and feasibility of smoking counselling: a randomized controlled trial in an Italian emergency department.European journal of public health · 2022Trial
- Lobectomy, segmentectomy, and wedge resection for elderly patients with solid-predominant stage I NSCLC: survival, pulmonary function, and postoperative outcomes.Translational lung cancer research · 2026Article
- Psychological care in acute and emergency medicine: a scoping review of support interventions by healthcare professionals.BMC emergency medicine · 2026Article
- Common mental disorders and associated factors among adult patients admitted in non-psychiatric wards of public hospitals in Harari regional State, Eastern Ethiopia.BMC psychiatry · 2025Article
- The Use of Telepsychiatry Services in Emergency Settings: Scoping Review.Journal of medical Internet research · 2024Article
- Impact of Various Atrial Fibrillation Treatment Strategies on Length of Stay in the Emergency Department and Early Complications-3 Years of a Single-Center Experience.Journal of clinical medicine · 2023Article
- Changes in Revolving-Door Mental Health Hospitalizations during the COVID-19 Pandemic: A 5-Year Chart Review Study.Journal of clinical medicine · 2023Article
- Augmenting Mental Health Support for Patients Accessing Different Degrees of Formal Psychiatric Care through a Supportive Text Messaging Program: Protocol for a Randomized Controlled Trial.Methods and protocols · 2023Article
- Emergency department consultations for respiratory symptoms revisited: exploratory investigation of longitudinal trends in patients' perspective on care, health care utilization, and general and mental health, from a multicenter study in Berlin, Germany.BMC health services research · 2022Article
- Health system influences on potentially avoidable hospital admissions by secondary mental health service use: A national ecological study.Journal of health services research & policy · 2022Article
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- Exploring the Mental Well-being of Hospitalized Patients: Survey Findings to Inform Future Supportive Interventions.In vivo (Athens, Greece)Article
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- Factors Affecting Stress Levels in Attendants Accompanying Patients to Emergency Department.Journal of emergencies, trauma, and shockArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychological distress in medical patients admitted to the emergency department (ED) is not well studied. Our aim was to investigate the extent of psychological distress in a broad and unselected medical patient sample 30 days after ED admission and its association with socio-demographic and clinical variables.
methodWe used data from a prospective observational cohort study including 1575 consecutive adult medical patients presenting to the ED with acute somatic conditions. Outcome variables were patient's psychological distress measured by the 4-item Patient Health Questionnaire (PHQ-4) and self-rated health assessed 30 days after ED admission using telephone interviews. Risk factors included socio-demographic variables (e.g. gender, marital status), clinical presentation (e.g. illness severity, main initial diagnosis) and course of illness (e.g. rehospitalisation, length of hospital stay).
resultsA total of 38 % of patients had evidence for psychological distress 30 days after ED admission. Multivariate analysis found female gender (adjusted odds ratio [aOR] 1.35, 95 % confidence interval [CI] 1.02 to 1.78), comorbid psychiatric disorder (aOR 1.63, 95 % CI 1.08 to 2.62), discharge to a post-acute care institution (aOR 1.47, 95 % CI 1.03 to 2.09), unplanned rehospitalisation (aOR 2.38, 95 % CI 1.47 to 3.86), and unplanned visit at general practitioner (aOR 4.75, 95 % CI 2.57 to 8.80) to be associated with distress at day 30 following ED admission.
conclusionsOne month after ED admission a significant number of patients still show a moderate amount of psychophysical distress. Strongest related variables were course of illness, in particular unplanned general practitioner visits. Future interventional studies should assess possibilities to reduce distress in patients at increased risk.
trial registrationNCT01768494 , January 9, 2013 (registration date), February 25, 2013 (enrolment of first participant).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.