Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2010
Characteristics of admissions to a recently opened Psychiatric Emergency Care Centre.
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Brakoulias Vlasios, Mandali Rama, Seymour Joanne, Sammut Peter, Starcevic Vladan
Аннотация
OBJECTIVE: The Psychiatric Emergency Care Centre (PECC) is a relatively recent service development that aims to improve emergency care of psychiatric patients. The goal of this paper was to report on the characteristics of admissions to a recently established PECC.
METHOD: Several key characteristics of admissions to the PECC were documented for each of 376 patients in the first 6 months of its operation. These characteristics were then compared to the characteristics of admissions of 299 patients in the 'virtual' PECC (a PECC within the general emergency department) in the 6 months prior to the opening of the PECC.
RESULTS: The most common presenting symptom in the PECC was suicidal ideation (47.6%, n = 179) and the most frequent diagnosis made in the PECC was adjustment disorder (35.9%, n = 135). When comparing admissions to the 'virtual' PECC, PECC admissions were characterized by a significantly less frequent use of physical restraint and haloperidol and midazolam as pro re nata (prn) medications.
CONCLUSIONS: Although further study is needed, one possible advantage of the PECC may be a less frequent use of physical restraint and certain prn medications (i.e. haloperidol and midazolam) for agitated and aggressive patients.
METHOD: Several key characteristics of admissions to the PECC were documented for each of 376 patients in the first 6 months of its operation. These characteristics were then compared to the characteristics of admissions of 299 patients in the 'virtual' PECC (a PECC within the general emergency department) in the 6 months prior to the opening of the PECC.
RESULTS: The most common presenting symptom in the PECC was suicidal ideation (47.6%, n = 179) and the most frequent diagnosis made in the PECC was adjustment disorder (35.9%, n = 135). When comparing admissions to the 'virtual' PECC, PECC admissions were characterized by a significantly less frequent use of physical restraint and haloperidol and midazolam as pro re nata (prn) medications.
CONCLUSIONS: Although further study is needed, one possible advantage of the PECC may be a less frequent use of physical restraint and certain prn medications (i.e. haloperidol and midazolam) for agitated and aggressive patients.
Предметные рубрики MeSH
Adjustment DisordersAdolescentAdultAgedAntipsychotic AgentsAustraliaDrug PrescriptionsEmergency Service, HospitalEmergency Services, PsychiatricFemaleHaloperidolHumansHypnotics and SedativesMaleMental DisordersMidazolamMiddle AgedPatient AdmissionPoisoningPrevalenceRestraint, PhysicalSuicidal IdeationYoung Adult