Psychiatric presentations to an accident and emergency department

Screening for psychiatric morbidity in an accident and emergency department.

One hundred and twenty A&E Department daytime attenders were screened for psychiatric disorder in a two stage procedure. Thirty-three patients were identified as General Health Questionnaire (GHQ) 'cases' of whom 28 agreed to a psychiatric interview using the Clinical Interview Schedule. Twenty-eight GHQ 'non-cases' were also interviewed. A psychiatric diagnosis was made in 24 patients, 21 of w...

Psychiatric referrals from an accident and emergency department in Singapore.

A total of 500 consecutive psychiatric referrals from the Accident and Emergency (A&D) Department of the National University Hospital of Singapore were studied with regard to their demographic characteristics, diagnoses, presenting problems and management. There were 314 females (62.8%) and 186 males (37.2%), and the mean age of subjects was 35.5 years. The three main diagnoses were anxiety dis...

Accuracy of diagnosis at routine psychiatric assessment in patients presenting to an accident and emergency department.

OBJECTIVE This study aimed to compare diagnoses obtained from routine psychiatric assessment in accident and emergency (A&E) settings with those from a standardized diagnostic interview. METHODS Using Cohen's kappa, the agreement between diagnoses from routine psychiatric assessment and structured interview was calculated. Further statistical analysis was used to investigate differences betwe...

Epidemiology of burns presenting to an accident and emergency department.

Audit of ankle injuries in an accident and emergency department.

OBJECTIVE To determine whether the treatment of ankle injuries in an accident and emergency department could be improved by an audit of existing treatment and the creation and use of a protocol. DESIGN The study consisted of three parts: a review of the current treatment and published reports on treatment, the formation of a protocol, and a study of treatment after introducing the protocol. ...