PMID- 25665975
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20161230
IS  - 1578-2735 (Electronic)
IS  - 1139-9287 (Linking)
VI  - 43
IP  - 1
DP  - 2015 Jan-Feb
TI  - Clinical observation, pharmacotherapy and referral on discharge of patients with 
      anxiety disorder in a psychiatric emergency service.
PG  - 8-15
AB  - INTRODUCTION: To analyze factors associated with clinical observation, 
      pharmacotherapy and referral on discharge of patients with anxiety disorder (AD) 
      seeking care at a psychiatric emergency unit. METHOD: A total of 5003 consecutive 
      visits were reviewed over a three-year period at a psychiatric emergency service 
      in a tertiary university hospital. Data collected included sociodemographic and 
      clinical information as well as the Global Assessment of Functioning (GAF) and 
      the Severity Psychiatric Illness (SPI) scale scores. RESULTS: Of all the visits, 
      992 (19.8%) were diagnosed of AD. Of these, 19.6% required clinical observation 
      and 72.2% were referred to a psychiatrist at discharge. Regression analysis 
      showed that referral to psychiatry was associated with being male, native, 
      psychiatric background, greater severity, lower global functioning, and 
      behavioral disorders. Clinical observation (in a box) was associated with being 
      female, greater severity, and psychotic or behavioral symptoms. Prescription of 
      benzodiazepines was associated with anxiety, no history of addiction, and lower 
      global functioning. Antidepressants were associated with being a native, anxiety 
      with no history of addiction, and lower functioning. Antipsychotics were 
      associated with being native, psychiatric background (not addiction), anxiety, 
      and lower functioning. CONCLUSION: Behavior, psychiatric background and illness 
      severity were determinants of referral to a specialist. Besides these, psychotic 
      symptoms and non-specific clinical symptoms were determinants of observation. 
      Drug prescription in AD is less frequent if the main complaint is not anxiety and 
      depends more on the level of functioning than on that of severity.
FAU - Pailhez, Guillem
AU  - Pailhez G
AD  - Institut de Neuropsiquaitria i Addiccions – Hospital del Mar. Barcelona.
FAU - Majo, Albert
AU  - Majo A
AD  - Centre de Salut Mental Badalona 2 – Institut Municipal Serveis Personals. 
      Badalona.
FAU - Corcoles, David
AU  - Corcoles D
AD  - Institut de Neuropsiquaitria i Addiccions – Hospital del Mar. Barcelona.
FAU - Gines, Jose M
AU  - Gines JM
AD  - Institut de Neuropsiquaitria i Addiccions – Hospital del Mar. Barcelona.
FAU - Arcega, Jose M
AU  - Arcega JM
AD  - Institut de Neuropsiquaitria i Addiccions – Hospital del Mar. Barcelona.
FAU - Castano, Juan
AU  - Castano J
AD  - Institut de Neuropsiquaitria i Addiccions – Hospital del Mar. Barcelona.
FAU - Merino, Ana
AU  - Merino A
AD  - Institut de Neuropsiquaitria i Addiccions – Hospital del Mar. Barcelona.
FAU - Bulbena, Antonio
AU  - Bulbena A
AD  - Institut de Neuropsiquaitria i Addiccions – Hospital del Mar. Barcelona.
FAU - Perez, Victor
AU  - Perez V
AD  - Institut de Neuropsiquaitria i Addiccions – Hospital del Mar. Barcelona.
LA  - eng
PT  - Journal Article
DEP - 20150101
PL  - Spain
TA  - Actas Esp Psiquiatr
JT  - Actas espanolas de psiquiatria
JID - 100886502
SB  - IM
MH  - Adult
MH  - Anxiety Disorders/*diagnosis/*drug therapy
MH  - Emergency Services, Psychiatric
MH  - Female
MH  - Humans
MH  - Male
MH  - Prospective Studies
MH  - *Referral and Consultation
EDAT- 2015/02/11 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/02/11 06:00
PHST- 2015/01/01 00:00 [received]
PHST- 2015/01/01 00:00 [accepted]
PHST- 2015/02/11 06:00 [entrez]
PHST- 2015/02/11 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
PST - ppublish
SO  - Actas Esp Psiquiatr. 2015 Jan-Feb;43(1):8-15. Epub 2015 Jan 1.