Psychiatric Emergencies andadmissions in Ciudad Realarea. Statistic Study.a Reflection on use of Emergency Resources andadmission Criteria

Abstract

Introduction

Ciudad Real is an area of approximately 500,000 inhabitants, with a University Hospital and several district hospitals. Psychiatric services and emergencies are centralized in the University Hospital. we analysed the totality of area admissions during 2014, establishing different categories according to ICD 10 diagnosis.

Objective

we want to compare different categories of patients who are admitted to hospital (severe mental illness versus non-severe mental illness), morbidity in different areas and readmission rates according to diagnosis.

aims

To establish a correspondence between attention and severity of psychiatric pathology, diagnostic criteria and how we manage both severe and non-severe mental illness and the repercussion in terms of assistance and pressure in psychiatric emergencies.

Methodology

initially, we made a simple statistic analysis of all admission (400 approximately) in 2014 based on ICD-10 diagnosis, socio-demographic parameters, area, admission stay, number of admissions. we compare both groups: severe and non-severe mental illness according to international criteria. we apply a Pearson correlation searching for relation between severity and attendance to psychiatric emergencies.

Results

around a 60% of admissions are not due to severe mental illness, these conditions have twice the readmission rate than severe mental illness. we did not find a correlation between attendance to psychiatric emergencies and severity of the condition. Other factors seem to have an important role in re-admissions.

Conclusions

Non-severe mental illness is consuming an important part of emergency psychiatric resources. Criteria of admission need to be reviewed or apply rationally.

Disclosure of interest

The authors have not supplied their declaration of competing interest.