This trial is active, not recruiting.

Condition emergency services, psychiatric
Sponsor Western University, Canada
Start date October 2015
End date December 2015
Trial size 800 participants
Trial identifier NCT02581267, 107073


Psychiatric presentations are common in the emergency department (ED), and determining whether or not a psychiatric presentation is due to medical illness can be a difficult task for the emergency physician. The investigators define "serious medical illness" (SMI) as a pathological condition that would necessitate inpatient treatment on a medical or surgical ward. It is important for patient safety that SMI be triaged by the emergency physician to the appropriate inpatient service. The rate of missed SMI in patients with psychiatric presentations to the ED is unknown. The investigators will research missed SMI in patients referred to adult psychiatry from the ED, with the intent to improve patient safety.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Observational model cohort
Time perspective retrospective

Primary Outcomes

Number of patients admitted to a medical / surgical service within 7 days of psychiatry referral in the emergency department
time frame: Approximately 8 months
Medical / surgical admission diagnosis
time frame: Approximately 8 months
Number of days after psychiatric referral that patient is admitted to medical / surgical service
time frame: Approximately 8 months

Secondary Outcomes

Proportion of patients discharged home from the emergency department by psychiatry following referral by the emergency physician
time frame: Approximately 8 months
Risk factors associated with medical / surgical admission after initial psychiatry referral
time frame: Approximately 8 months
Number of admissions to medical / surgical service within 30 days of discharge from psychiatry
time frame: Approximately 8 months

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - All patients greater than or equal to 18 years of age presenting to London Health Sciences Centre, Victoria Hospital emergency department between October 1, 2014 - July 31, 2015 who were referred to adult psychiatry by the emergency physician. Exclusion Criteria:

Additional Information

Official title Missed Serious Medical Illness in Psychiatric Patients Seen in an Academic Emergency Department
Trial information was received from ClinicalTrials.gov and was last updated in October 2015.
Information provided to ClinicalTrials.gov by Western University, Canada.