Profile Of Patients Attended As Psychiatric Emergencies At A University General Hospital [caracterização De Pacientes Atendidos Em Emergência Psiquiátrica De Hospital Geral Universitário]

dc.creatorPadilha V.M.
dc.creatorSchettini C.S.S.
dc.creatorSantos Junior A.
dc.creatorAzevedo R.C.S.
dc.date2013
dc.date2015-06-25T19:19:10Z
dc.date2015-11-26T15:17:15Z
dc.date2015-06-25T19:19:10Z
dc.date2015-11-26T15:17:15Z
dc.date.accessioned2018-03-28T22:26:58Z
dc.date.available2018-03-28T22:26:58Z
dc.identifier
dc.identifierSao Paulo Medical Journal. , v. 131, n. 6, p. 398 - 404, 2013.
dc.identifier15163180
dc.identifier10.1590/1516-3180.2013.1316598
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84890829127&partnerID=40&md5=69fbfbee466242730b7a426f601baebe
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/89901
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/89901
dc.identifier2-s2.0-84890829127
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1259404
dc.descriptionContext and Objective: The prevalence of psychiatric conditions in clinical settings is high, particularly in emergency services. This is a challenge for healthcare professionals and an essential element in the functioning of the mental health network. The objective here was to describe the sociodemographic and clinical profile and the practices among patients treated psychiatrically in the Emergency Unit. Design and Setting: Descriptive and quantitative study, conducted at Hospital das Clínicas (HC), Universidade Estadual de Campinas (Unicamp). Methods: Sociodemographic data, reasons for attendance, diagnostic hypotheses and practices were analyzed. Results: Psychiatric staff attended 1,835 cases over the study period, corresponding to 1465 patients. The patients were predominantly women (53.7%) and white (79.6%); their mean age was 37 years and 41.3% lived with their parents. The commonest reasons for attendance were depressive symptoms (28.1%), agitation (23.6%) and problems with psychoactive substances (19.5%). The commonest diagnoses were psychoactive substance-related disorders (23%) and depressive disorders (18.5%). 31.6% of the patients were referred to healthcare centers and 29.2% to specialized outpatient clinics, while 8.2% were hospitalized. Conclusions: This study emphasizes that it is important for professionals working in emergency service to have information about the patients' profile and the main reasons that lead them to seek psychiatric care, and to establish a diagnosis that will allow proper management at the emergency service and case referral.
dc.description131
dc.description6
dc.description398
dc.description404
dc.descriptionBallester, D.A., Filippon, A.P., Braga, C., Andreoli, S.B., The general practitioner and mental health problems: Challenges and strategies for medical education (2005) Sao Paulo Med J., 123 (2), pp. 72-76
dc.descriptionCaldieraro, M.A., Spode, A., Fleck, M.P.A., Avaliação do paciente na emergência (2008) Emergências psiquiátricas., pp. 7-48. , In: Quevedo J, Schimitt R, Kapczinski F, editors. Porto Alegre: Artmed
dc.descriptionBridges, P.K., Psychiatric emergencies (1967) Postgrad Med J., 43 (503), pp. 599-604
dc.descriptionBarros, R.E., Tung, T.C., Mari Jde, J., Serviços de emergência psiquiátrica e suas relações com a rede de saúde mental brasileira [Psychiatric emergency services and their relationships with mental health network in Brazil] (2010) Rev Bras Psiquiatr., 32 (SUPPL. 2), pp. S71-S77
dc.descriptionLarkin, G.L., Claassen, C.A., Emond, J.A., Pelletier, A.J., Camargo, C.A., Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001 (2005) Psychiatr Serv., 56 (6), pp. 671-677
dc.description(2005) DAPE. Coordenação Geral de Saúde Mental., , http://bvsms.saude.gov.br/bvs/publicacoes/Relatorio15_anos_Caracas.pdf, Accessed in 2013 (Feb 26), Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Reforma psiquiátrica e política de Saúde mental no Brasil. Brasília: OPAS, Available from
dc.descriptionClaudino, A.D., Gonçalves, E., Situações relacionadas ao uso de substâncias na emergência psiquiátrica (2006) Panorama atual de drogas e dependências., pp. 192-195. , In: Silveira DX, Moreira FG. São Paulo: Atheneu
dc.descriptionDel-Ben, C.M., Teng, C.T., Emergências psiquiátricas: Desafios e vicissitudes [Psychiatric emergencies: Challenges and vicissitudes] (2010) Rev Bras Psiquiatr., 32 (SUPPL. 2), pp. S67-S68
dc.descriptionAlmeida-Filho, N., Mari Jde, J., Coutinho, E., Brazilian multicentric study of psychiatric morbidity. Methodological features and prevalence estimates (1997) Br J Psychiatry., 171, pp. 524-529
dc.descriptionCalfat, E.L.B., Pan, P.M., Shiozawa, P., Chaves, A.C., Adesão ao tratamento farmacológico e ao encaminhamento ambulatorial em um serviço psiquiátrico de emergência: Um estudo de seguimento [The compliance to prescribed drug treatment and referral in a psychiatric emergency service: A follow-up study] (2012) Rev Bras Psiquiatr., 34 (2), pp. 149-154
dc.descriptionOwens, P.L., Mutter, R., Stocks, C., (2010) Mental health and substance abuserelated emergency department visits among adults, 2007., , http://www.hcup-us.ahrq.gov/reports/statbriefs/sb92.pdf, Accessed in 2013 (Feb 26), Healthcare Cost and Utilization Project. Statistical Brief 92. Agency for Healthcare Research and Quality, Available from
dc.descriptionSantos, M.E.S.B., Amor, J.A., Del-Ben, C.M., Zuardi, A.W., Serviço de emergências psiquiátricas em hospital geral universitário: Estudo prospectivo [Psychiatric emergency service in a school general hospital: A prospective study] (2000) Rev Saúde Pública., 34 (5), pp. 468-474
dc.descriptionSousa, F.S.P., Silva, C.A.F., Oliveira, E.N., Serviço de emergência psiquiátrica em hospital geral: Estudo retrospectivo [Emergency psychiatric service in general hospitals: A retrospective study] (2010) Rev Esc Enferm USP., 44 (3), pp. 785-791
dc.descriptionCarpenter, L.L., Schecter, J.M., Underwood, J.A., Tyrka, A.R., Price, L.H., Service expectations and clinical characteristics of patients receiving psychiatric emergency services (2005) Psychiatr Serv., 56 (6), pp. 743-745
dc.descriptionBrakoulias, V., Mandali, R., Seymour, J., Sammut, P., Starcevic, V., Characteristics of admissions to a recently opened Psychiatric Emergency Care Centre (2010) Australas Psychiatry., 18 (4), pp. 326-329
dc.descriptionKropp, S., Andreis, C., te Wildt, B., Charakteristik psychiatrischer Patienten in der Notaufnahme. [Characteristics of psychiatric patients in the accident and emergency department (ED)] (2007) Psychiatr Prax., 34 (2), pp. 72-75
dc.descriptionDel-Ben, C.M., Marques, J.M.A., Sponholz Júnior, A., Zuardi, A.W., Políticas de saúde mental e mudanças na demanda de serviços de emergência [Mental health policies and changes in the emergency services profile (1999) Rev. Saúde Pública., 33 (5), pp. 470-476
dc.descriptionLambert, M.T., LePage, J.P., Schmitt, A.L., Five-year outcomes following psychiatric consultation to a tertiary care emergency room (2003) Am J Psychiatry., 160 (7), pp. 1350-1353
dc.descriptionCherpitel, C.J., Ye, Y., Trends in alcohol-and drug-related ED and primary care visits: Data from three U.S. National Surveys (1995-2005) (2008) Am J Drug Alcohol Abuse., 34 (5), pp. 576-583
dc.descriptionStowell, K.R., Florence, P., Harman, H.J., Glick, R.L., Psychiatric evaluation of the agitated patient: Consensus statement of the american association for emergency psychiatry project Beta psychiatric evaluation workgroup (2012) West J Emerg Med., 13 (1), pp. 11-16
dc.descriptionEssex, B., (1978) Diagnostic pathways in clinical medicine: An epidemiological approach to clinical problems, , London: Churchill Livingstone
dc.descriptionJayaram, G., Triplett, P., Quality improvement of psychiatric care: Challenges of emergency psychiatry (2008) Am J Psychiatry., 165 (10), pp. 1256-1260
dc.description(2004) Saúde mental no SUS: Os centros de atenção psicossocial., , http://www.ccs.saude.gov.br/saude_mental/pdf/SM_Sus.pdf, Accessed in 2013 (Feb 26), Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Brasília: Ministério da Saúde, Available from
dc.descriptionSoares, E., Qualidade dos registros de atendimento em pronto-socorro [Assistance register quality in emergency services] (1995) Rev Enferm UERJ., 3 (1), pp. 10-18
dc.descriptionAvanzi, M.P., Silva, C.R.G., Diagnósticos mais frequentes em serviço de emergência para adulto em um hospital universitário [Most common diagnoses in the adult emergency medical service of a college hospital] (2005) Rev Ciênc Méd (Campinas)., 14 (2), pp. 175-185
dc.languageen
dc.languagept
dc.publisher
dc.relationSao Paulo Medical Journal
dc.rightsaberto
dc.sourceScopus
dc.titleProfile Of Patients Attended As Psychiatric Emergencies At A University General Hospital [caracterização De Pacientes Atendidos Em Emergência Psiquiátrica De Hospital Geral Universitário]
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución