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• W3201814501 abstract "<h3>Background</h3> Attendances to Paediatric Emergency Departments (ED) by children and young people (CYP) with mental health conditions is rising, though this has not been quantified; this has not been mirrored in growth of community mental health services. Whilst these CYP present with escalating new or known mental health presentations, there is scant evidence to understand their needs, impact on services, and planning service change. <h3>Objectives</h3> To describe epidemiology of mental health presentations to our ED over ten years. <h3>Methods</h3> Single centre retrospective chart review study, in a tertiary urban Paediatric ED. Iterative comparative searches of coding and clinical key words identified all CYP attending due to mental health issues between 1st January 2011 and 31st December 2020 and data were extracted from electronic records, or by hand if only paper records existed. Abstracted data included personal (e.g. age, sex, ethnicity), clinical (e.g. presenting complaint, triage category), and process (e.g. disposition, length of stay) measures. <h3>Results</h3> We identified 7373 potential participants, of which 4360 were eligible. The maximum number of presentations was seen in 2020 (810) with a steady rise seen every year; 2011 (187), 2012 (178), 2013 (253), 2014 (321), 2015 (376), 2016 (351), 2017 (478), 2018 (666) and 2019 (740). The median age at presentation was 14 years (range 7–17 years), 3248 (74.5%) were female, and 3593 (82.4%) were White British. Most (4178, 95.8%) were first time attendances, with 178 (4.1%) being unplanned reattendances; the median number of presentations per patient was one (range 1–57). All patients included in the data set presented with a mental health condition but the coded diagnosis was the primary reason for the mental health attendance. The most common coded diagnoses were Paracetamol overdose (714), Depression (615), Anxiety (343) and Alcohol intoxication (310) and NSAID overdose (101). The median ED length of stay (LOIS) was 216 minutes (range 1–1037 minutes), and median hospital LOS was 1 day (range 0–62 days). Triage category was predominantly category 3 (1562, 35.8%). <h3>Conclusions</h3> We have described that the number of mental health conditions presenting to our emergency department are rising and at a younger age group than expected. The presentations are predominantly higher in females and white British which was unexpected in a department which serves a multi-cultural city. It would be interesting to see if our trends are found throughout other sites in the UK. Assessing trends is essential in highlighting problems that could be met with altering mental health practice within the emergency department e.g. provision of in house mental health support in the emergency department." @default.
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• W3201814501 date "2021-09-30" @default.
• W3201814501 modified "2023-09-25" @default.
• W3201814501 title "1430 A ten year retrospective observational analysis of mental health presentations to an inner city tertiary children’s emergency department" @default.
• W3201814501 doi "https://doi.org/10.1136/archdischild-2021-rcpch.638" @default.
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