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Mental health conditions in older multimorbid patients presenting to the emergency department for acute cardiac symptoms: Cross‐sectional findings from the EMASPOT study

Academic Emergency Medicine Aug 01, 2021

Figura A, Kuhlmann SL, Rose M, et al. - Researchers sought to determine the proportion of patients presenting to an emergency department (ED) for acute cardiac symptoms with comorbid mental health conditions (MHCs). In addition, they compared sociodemographic, medical, and psychological characteristics of cardiac patients with vs without MHCs; and determined detection and treatment rates of MHCs. Among a total of 641 included patients (Mean age: 68.8 years), 28.4% of patients were affected with comorbid MHCs. Clinically significant symptoms of depression (23.3% PHQ-9 ≥ 10), generalized anxiety disorder (12.2% GAD-7 ≥ 10), and panic disorder (4.7% PHQ-PD) were evident among the patients. Cardiac symptom burden and subjective treatment urgency as well as more psychosocial distress (PHQ-stress) and impaired quality of life (SF-12v2) were observed in correlation with the presence of MHCs. New or unrecognized MHCs were identified in 15.6% of all patients. The ED visit seems to confer an opportunity to recognize and refer patients with MHCs to appropriate and timely care after exclusion of life-threatening conditions.

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