Retrospective case note review of patients brought to Ipswich emergency department under mental health emergency examination orders: Does intoxication alter outcome?

Brierley, Stephen A., Baker, Kylie, Brack, Janet and Cunningham, Peter (2010) Retrospective case note review of patients brought to Ipswich emergency department under mental health emergency examination orders: Does intoxication alter outcome?. Emergency Medicine Australasia, 22 6: 532-536. doi:10.1111/j.1742-6723.2010.01350.x

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Author Brierley, Stephen A.
Baker, Kylie
Brack, Janet
Cunningham, Peter
Title Retrospective case note review of patients brought to Ipswich emergency department under mental health emergency examination orders: Does intoxication alter outcome?
Journal name Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6731
1742-6723
Publication date 2010-12-01
Sub-type Article (original research)
DOI 10.1111/j.1742-6723.2010.01350.x
Open Access Status DOI
Volume 22
Issue 6
Start page 532
End page 536
Total pages 5
Place of publication Richmond, Vic., Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Objective: To alter staff perceptions, and to examine alternative management processes for intoxicated patients brought to Ipswich ED under mental health emergency examination orders by comparing disposition outcomes with non-intoxicated patients.Methods: Consultation-Liaison mental health nursing staff completed surveys on all patients assessed under emergency examination orders over a 6 month period in 2008. Patients were classified as intoxicated if they recorded alcometer readings of greater than 0.05%, or self-reported drug use during the events leading to their transport to the ED. Outcomes were retrospectively collated with entries in Clinical Liaison nursing logbooks. Outcome measures recorded were rates of admission, outpatient referrals to the Integrated Mental Health Service, follow up by other community services or no follow up. Differences in outcomes for intoxicated and non-intoxicated patient groups were tested for significance using χ2 or Fisher's exact test.Results: One hundred and sixty-eight cases were included in the audit. No cases were excluded. Sixty patients were identified as intoxicated. The age and sex distributions were similar between intoxicated and non-intoxicated patients. There were no significant differences in admission or referral rates. The average length of assessment time in the ED was longer in the intoxicated group.Discussion: This audit showed similar outcomes for both patient groups contrary to the perceptions expressed by ED staff in informal surveys. The admission and referral rate for both groups indicate they are an at-risk population. The admission rate of 16% has led to this department negotiating alternative accommodation for patients while they sober up.
© 2010 The Authors. EMA © 2010 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
Keyword Alcohol intoxication
Emergency
Mental health
Process assessment (health care)
Substance-abuse disorder
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
 
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Created: Sat, 12 Mar 2011, 00:52:30 EST by Sharleen Young on behalf of Ipswich Clinical School