Evidence map›Paper›PMID 37940880›Full record

ArticleBMC emergency medicine2023

The significance of nonurgent psychiatric emergencies in an ED: a retrospective study.

Heribert Kirchner, Heiko Ullrich, Peter Neu, Nik Hulsmans, Georg Juckel, Patrick Brzoska

Open access · goldAbstract read
In one paragraph

Article in BMC emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Heribert KirchnerFaculty of Health, School of Medicine, University Witten/Herdecke, Herrhausen-Straße 50, 58455, Witten, Germany. heribert.kirchner@uni-wh.de.
Heiko UllrichCenter of Mental Health, Kreisklinikum Siegen, Weidenauer Str. 76, 57076, Siegen, Germany.
Peter NeuDepartment of Psychiatry and Psychotherapy, Jewish Hospital Berlin, Heinz-Galinski-Straße 1, 13347, Berlin, Germany.
Nik HulsmansDepartment of Psychology, University of Siegen, Adolf-Reichwein-Straße 2a, 57076, Siegen, Germany.
Georg JuckelDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital, Ruhr University Bochum, Alexandrinenstraße 1, 44791, Bochum, Germany.
Patrick BrzoskaFaculty of Health, School of Medicine, University Witten/Herdecke, Herrhausen-Straße 50, 58455, Witten, Germany.
Witten/Herdecke University · DEDiakonie Klinikum Jung-Stilling · DEJewish Hospital · USLWL-Universitätsklinikum Bochum · DEUniversity of Siegen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn emergency departments, patients with mental health conditions are a major concern and make up the third or fourth of the most common diagnosis seen during all consultations. Over the past two decades, there has been a noticeable rise in the number of cases, particularly due to an increase in nonurgent visits for somatic medical issues. The significance of nonurgent visits for psychiatric patients is yet to be determined. This study aims to uncover the significance and identify the characteristics of this group.

methodsA retrospective analysis of psychiatric emergency visits at an interdisciplinary emergency department of a German general hospital in 2015 was conducted. For this purpose, patient records were reviewed and evaluated. An analysis was conducted based on the German definition of psychiatric emergencies according to the German guidelines for emergency psychiatry.

resultsA total of 21,124 emergency patients visited the evaluated Emergency Department. Of this number, 1,735 psychiatric patient records were evaluated, representing 8.21% of the total population. Nearly 30% of these patients did not meet any emergency criteria according to German guidelines. Significant differences were observed between previously treated patients and those presenting for the first time.

conclusionsThe high proportion of nonurgent psychiatric patients in the total volume of psychiatric emergency contacts indicates a possible control and information deficit within the emergency system. Just as prior research has emphasized the importance of investigating nonurgent somatic medical visits, it is equally imperative to delve into studies centered around psychiatric nonurgent presentations.

Indexed as

EmergenciesEmergency Service, HospitalHumansMedical RecordsReferral and ConsultationRetrospective StudiesEmergencyEmergency roomHospitalMental health conditionsNonurgentPsychiatric

Identifiers

PMID37940880
PMCPMC10631003
OpenAlexW4388492948

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.