What is the risk of returning to the emergency department within 30 days for patients diagnosed with substance-induced psychosis?
Objectives The primary objective of this study was to measure the risk of return Emergency Department (ED) visits in patients presenting to the ED with a diagnosis of substance-induced psychosis. Secondary objectives included: (1) describing the characteristics of patients returning within 30 days t...
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| Veröffentlicht in: | Canadian journal of emergency medicine 2022-11, Vol.24 (7), p.702-709 |
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| container_title | Canadian journal of emergency medicine |
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| creator | Barbic, David Whyte, Madelyn Sidhu, Gurwinder Luongo, Allesandra Stenstrom, Robert Chakraborty, Tapash Apu Scheuermeyer, Frank Honer, William G. Lane, Daniel J. |
| description | Objectives
The primary objective of this study was to measure the risk of return Emergency Department (ED) visits in patients presenting to the ED with a diagnosis of substance-induced psychosis. Secondary objectives included: (1) describing the characteristics of patients returning within 30 days to the ED with substance-induced psychosis, and (2) identifying risk factors associated with such ED return.
Methods
At two urban sites from January 1, 2018 to December 31, 2019, we included consecutive patients presenting to the ED with substance-induced psychosis defined by their ED discharge diagnosis of psychosis and clinical evidence of substance use. We described ED resources utilized by this patient population including ED time and disposition then subsequently described return visits within 30 days and characteristics among those patients who returned.
Results
We identified 611 unique patients presenting with substance-induced psychosis, with 813 total ED visits. The median age was 35 years (IQR 28–45), 71.4% (
n
= 436) were male, and 44.8% (
n
= 274) were homeless. The median ED length of stay was 619 min (IQR 313–898), and 48.4% (
n
= 296) were admitted to hospital. Forty percent of patients (
n
= 237) returned to the ED within 30 days of the index substance-induced psychosis visit, 116 (18.9%) returning more than once. Of these return visits, 74 (31.2%) were for recurrent substance-induced psychosis. Younger age, female gender, no opioid use, and no prior history of bipolar disorder were identified as common characteristics among those returning to the ED with substance-induced psychosis.
Conclusions
In ED patients with substance-induced psychosis, nearly half of all patients were admitted to hospital, 40% had a 30 days return ED visit, and one-third of those were for substance-induced psychosis. We identified clinically relevant factors common to those returning with recurrent substance-induced psychosis. |
| doi_str_mv | 10.1007/s43678-022-00364-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2714654160</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2731446865</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-9e8e263227a5f9aa151f2b1b6c1460a51e779109882153b23bf3fe549a6cdc453</originalsourceid><addsrcrecordid>eNp9kc9KHEEQxgdR0Kx5AU8NXrxM0v9n5iRBYhSEXCI5Nj09Nbutu92Trh7CXvMkPotPZrsbDOTgqYqq3_dR1FdVZ4x-YpQ2n1EK3bQ15bymVGhZi4PqhMmW1S2V4vCtF-q4-oD4QCnjirUn1Z-fK5uJR5JXQJLHRxJHkiDPKfiwJDnuFrCBtITgtmSAyaa8gZDJb59XPhBBn58Gu0UyxkQmm33ZIRm8XYaIMOwwgnOP2QYHtQ_D7Mp4wq1bRfR4eVodjXaN8PFvXVT3119_XN3Ud9-_3V59uaud4DrXHbTAteC8sWrsrGWKjbxnvXZMamoVg6bpGO3aljMlei76UYygZGe1G5xUYlFd7H2nFH_NgNlsPDpYr22AOKPhTTFSkmla0PP_0IdYPlKuK5RgUupWvxryPeVSREwwmin5jU1bw6h5jcXsYzElFrOLxYgiEnsRFjgsIf2zfkf1AtVrkbM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2731446865</pqid></control><display><type>article</type><title>What is the risk of returning to the emergency department within 30 days for patients diagnosed with substance-induced psychosis?</title><source>SpringerNature Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Barbic, David ; Whyte, Madelyn ; Sidhu, Gurwinder ; Luongo, Allesandra ; Stenstrom, Robert ; Chakraborty, Tapash Apu ; Scheuermeyer, Frank ; Honer, William G. ; Lane, Daniel J.</creator><creatorcontrib>Barbic, David ; Whyte, Madelyn ; Sidhu, Gurwinder ; Luongo, Allesandra ; Stenstrom, Robert ; Chakraborty, Tapash Apu ; Scheuermeyer, Frank ; Honer, William G. ; Lane, Daniel J.</creatorcontrib><description>Objectives
The primary objective of this study was to measure the risk of return Emergency Department (ED) visits in patients presenting to the ED with a diagnosis of substance-induced psychosis. Secondary objectives included: (1) describing the characteristics of patients returning within 30 days to the ED with substance-induced psychosis, and (2) identifying risk factors associated with such ED return.
Methods
At two urban sites from January 1, 2018 to December 31, 2019, we included consecutive patients presenting to the ED with substance-induced psychosis defined by their ED discharge diagnosis of psychosis and clinical evidence of substance use. We described ED resources utilized by this patient population including ED time and disposition then subsequently described return visits within 30 days and characteristics among those patients who returned.
Results
We identified 611 unique patients presenting with substance-induced psychosis, with 813 total ED visits. The median age was 35 years (IQR 28–45), 71.4% (
n
= 436) were male, and 44.8% (
n
= 274) were homeless. The median ED length of stay was 619 min (IQR 313–898), and 48.4% (
n
= 296) were admitted to hospital. Forty percent of patients (
n
= 237) returned to the ED within 30 days of the index substance-induced psychosis visit, 116 (18.9%) returning more than once. Of these return visits, 74 (31.2%) were for recurrent substance-induced psychosis. Younger age, female gender, no opioid use, and no prior history of bipolar disorder were identified as common characteristics among those returning to the ED with substance-induced psychosis.
Conclusions
In ED patients with substance-induced psychosis, nearly half of all patients were admitted to hospital, 40% had a 30 days return ED visit, and one-third of those were for substance-induced psychosis. We identified clinically relevant factors common to those returning with recurrent substance-induced psychosis.</description><identifier>ISSN: 1481-8035</identifier><identifier>EISSN: 1481-8043</identifier><identifier>DOI: 10.1007/s43678-022-00364-3</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Emergency medical care ; Emergency Medicine ; Health services utilization ; Medicine ; Medicine & Public Health ; Original Research ; Psychosis ; Public Health ; Risk factors</subject><ispartof>Canadian journal of emergency medicine, 2022-11, Vol.24 (7), p.702-709</ispartof><rights>The Author(s), under exclusive licence to Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d'Urgence (ACMU) 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-9e8e263227a5f9aa151f2b1b6c1460a51e779109882153b23bf3fe549a6cdc453</citedby><cites>FETCH-LOGICAL-c326t-9e8e263227a5f9aa151f2b1b6c1460a51e779109882153b23bf3fe549a6cdc453</cites><orcidid>0000-0002-6998-3151</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s43678-022-00364-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s43678-022-00364-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Barbic, David</creatorcontrib><creatorcontrib>Whyte, Madelyn</creatorcontrib><creatorcontrib>Sidhu, Gurwinder</creatorcontrib><creatorcontrib>Luongo, Allesandra</creatorcontrib><creatorcontrib>Stenstrom, Robert</creatorcontrib><creatorcontrib>Chakraborty, Tapash Apu</creatorcontrib><creatorcontrib>Scheuermeyer, Frank</creatorcontrib><creatorcontrib>Honer, William G.</creatorcontrib><creatorcontrib>Lane, Daniel J.</creatorcontrib><title>What is the risk of returning to the emergency department within 30 days for patients diagnosed with substance-induced psychosis?</title><title>Canadian journal of emergency medicine</title><addtitle>Can J Emerg Med</addtitle><description>Objectives
The primary objective of this study was to measure the risk of return Emergency Department (ED) visits in patients presenting to the ED with a diagnosis of substance-induced psychosis. Secondary objectives included: (1) describing the characteristics of patients returning within 30 days to the ED with substance-induced psychosis, and (2) identifying risk factors associated with such ED return.
Methods
At two urban sites from January 1, 2018 to December 31, 2019, we included consecutive patients presenting to the ED with substance-induced psychosis defined by their ED discharge diagnosis of psychosis and clinical evidence of substance use. We described ED resources utilized by this patient population including ED time and disposition then subsequently described return visits within 30 days and characteristics among those patients who returned.
Results
We identified 611 unique patients presenting with substance-induced psychosis, with 813 total ED visits. The median age was 35 years (IQR 28–45), 71.4% (
n
= 436) were male, and 44.8% (
n
= 274) were homeless. The median ED length of stay was 619 min (IQR 313–898), and 48.4% (
n
= 296) were admitted to hospital. Forty percent of patients (
n
= 237) returned to the ED within 30 days of the index substance-induced psychosis visit, 116 (18.9%) returning more than once. Of these return visits, 74 (31.2%) were for recurrent substance-induced psychosis. Younger age, female gender, no opioid use, and no prior history of bipolar disorder were identified as common characteristics among those returning to the ED with substance-induced psychosis.
Conclusions
In ED patients with substance-induced psychosis, nearly half of all patients were admitted to hospital, 40% had a 30 days return ED visit, and one-third of those were for substance-induced psychosis. We identified clinically relevant factors common to those returning with recurrent substance-induced psychosis.</description><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Health services utilization</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Research</subject><subject>Psychosis</subject><subject>Public Health</subject><subject>Risk factors</subject><issn>1481-8035</issn><issn>1481-8043</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kc9KHEEQxgdR0Kx5AU8NXrxM0v9n5iRBYhSEXCI5Nj09Nbutu92Trh7CXvMkPotPZrsbDOTgqYqq3_dR1FdVZ4x-YpQ2n1EK3bQ15bymVGhZi4PqhMmW1S2V4vCtF-q4-oD4QCnjirUn1Z-fK5uJR5JXQJLHRxJHkiDPKfiwJDnuFrCBtITgtmSAyaa8gZDJb59XPhBBn58Gu0UyxkQmm33ZIRm8XYaIMOwwgnOP2QYHtQ_D7Mp4wq1bRfR4eVodjXaN8PFvXVT3119_XN3Ud9-_3V59uaud4DrXHbTAteC8sWrsrGWKjbxnvXZMamoVg6bpGO3aljMlei76UYygZGe1G5xUYlFd7H2nFH_NgNlsPDpYr22AOKPhTTFSkmla0PP_0IdYPlKuK5RgUupWvxryPeVSREwwmin5jU1bw6h5jcXsYzElFrOLxYgiEnsRFjgsIf2zfkf1AtVrkbM</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Barbic, David</creator><creator>Whyte, Madelyn</creator><creator>Sidhu, Gurwinder</creator><creator>Luongo, Allesandra</creator><creator>Stenstrom, Robert</creator><creator>Chakraborty, Tapash Apu</creator><creator>Scheuermeyer, Frank</creator><creator>Honer, William G.</creator><creator>Lane, Daniel J.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>4U-</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6998-3151</orcidid></search><sort><creationdate>20221101</creationdate><title>What is the risk of returning to the emergency department within 30 days for patients diagnosed with substance-induced psychosis?</title><author>Barbic, David ; Whyte, Madelyn ; Sidhu, Gurwinder ; Luongo, Allesandra ; Stenstrom, Robert ; Chakraborty, Tapash Apu ; Scheuermeyer, Frank ; Honer, William G. ; Lane, Daniel J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-9e8e263227a5f9aa151f2b1b6c1460a51e779109882153b23bf3fe549a6cdc453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Health services utilization</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Research</topic><topic>Psychosis</topic><topic>Public Health</topic><topic>Risk factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barbic, David</creatorcontrib><creatorcontrib>Whyte, Madelyn</creatorcontrib><creatorcontrib>Sidhu, Gurwinder</creatorcontrib><creatorcontrib>Luongo, Allesandra</creatorcontrib><creatorcontrib>Stenstrom, Robert</creatorcontrib><creatorcontrib>Chakraborty, Tapash Apu</creatorcontrib><creatorcontrib>Scheuermeyer, Frank</creatorcontrib><creatorcontrib>Honer, William G.</creatorcontrib><creatorcontrib>Lane, Daniel J.</creatorcontrib><collection>CrossRef</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barbic, David</au><au>Whyte, Madelyn</au><au>Sidhu, Gurwinder</au><au>Luongo, Allesandra</au><au>Stenstrom, Robert</au><au>Chakraborty, Tapash Apu</au><au>Scheuermeyer, Frank</au><au>Honer, William G.</au><au>Lane, Daniel J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What is the risk of returning to the emergency department within 30 days for patients diagnosed with substance-induced psychosis?</atitle><jtitle>Canadian journal of emergency medicine</jtitle><stitle>Can J Emerg Med</stitle><date>2022-11-01</date><risdate>2022</risdate><volume>24</volume><issue>7</issue><spage>702</spage><epage>709</epage><pages>702-709</pages><issn>1481-8035</issn><eissn>1481-8043</eissn><abstract>Objectives
The primary objective of this study was to measure the risk of return Emergency Department (ED) visits in patients presenting to the ED with a diagnosis of substance-induced psychosis. Secondary objectives included: (1) describing the characteristics of patients returning within 30 days to the ED with substance-induced psychosis, and (2) identifying risk factors associated with such ED return.
Methods
At two urban sites from January 1, 2018 to December 31, 2019, we included consecutive patients presenting to the ED with substance-induced psychosis defined by their ED discharge diagnosis of psychosis and clinical evidence of substance use. We described ED resources utilized by this patient population including ED time and disposition then subsequently described return visits within 30 days and characteristics among those patients who returned.
Results
We identified 611 unique patients presenting with substance-induced psychosis, with 813 total ED visits. The median age was 35 years (IQR 28–45), 71.4% (
n
= 436) were male, and 44.8% (
n
= 274) were homeless. The median ED length of stay was 619 min (IQR 313–898), and 48.4% (
n
= 296) were admitted to hospital. Forty percent of patients (
n
= 237) returned to the ED within 30 days of the index substance-induced psychosis visit, 116 (18.9%) returning more than once. Of these return visits, 74 (31.2%) were for recurrent substance-induced psychosis. Younger age, female gender, no opioid use, and no prior history of bipolar disorder were identified as common characteristics among those returning to the ED with substance-induced psychosis.
Conclusions
In ED patients with substance-induced psychosis, nearly half of all patients were admitted to hospital, 40% had a 30 days return ED visit, and one-third of those were for substance-induced psychosis. We identified clinically relevant factors common to those returning with recurrent substance-induced psychosis.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s43678-022-00364-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6998-3151</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Canadian journal of emergency medicine, 2022-11, Vol.24 (7), p.702-709 |
| issn | 1481-8035 1481-8043 |
| language | eng |
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| source | SpringerNature Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Emergency medical care Emergency Medicine Health services utilization Medicine Medicine & Public Health Original Research Psychosis Public Health Risk factors |
| title | What is the risk of returning to the emergency department within 30 days for patients diagnosed with substance-induced psychosis? |
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