2024, Número 4
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Salud Mental 2024; 47 (4)
Patients’ Mental Health and Length of Stay in Emergency Departments in Mexico
Landa-Ramírez E, Díaz-Vásquez LP, Hernández-Nuñez ME, Castillo-Cruz J, Ortega-Ramírez GX, Guerrero-Martínez AH, Domínguez-Vieyra NA, López-Gómez A
Idioma: Ingles.
Referencias bibliográficas: 46
Paginas: 171-177
Archivo PDF: 208.69 Kb.
RESUMEN
Introducción. Varios estudios internacionales han señalado la relación entre diversos problemas de salud
mental con el número de reingresos y tiempo de estancia hospitalaria en pacientes de urgencias médicas.
Objetivo. Se evaluó la relación entre la salud mental y el tiempo de estancia hospitalaria en pacientes hospitalizados
en un departamento de urgencias médicas de la Ciudad de México. De igual manera, se evaluaron
los niveles de ansiedad, depresión, riesgo suicida, número de reingresos y tiempo de estancia hospitalaria
en urgencias médicas.
Método. Se trató de un estudio transversal que se desarrolló entre el 2017 y 2020;
participaron 236 pacientes hospitalizados en un hospital general de la Ciudad de México. Se aplicaron tres
instrumentos con propiedades psicométricas a la población a evaluar. De igual forma, se revisaron los expedientes
de los pacientes para identificar el número de reingresos, así como el tiempo de estancia en urgencias.
Resultados. El tiempo promedio de hospitalización fue de 69.6 horas (Desviación Estándar [SD] =
65.68) y el promedio de reingresos fue de .4 (SD = .88). En relación con las variables emocionales, se obtuvo
que el 50% de la población hospitalizada presentaba sintomatología ansiosa, 54% presentó sintomatología
depresiva y el 8.3% de los pacientes presentó un riesgo suicida moderado/alto acorde con el instrumento
MINI. No se encontraron asociaciones estadísticamente significativas entre las variables de estudios.
Discusión
y conclusión. Parece no haber una relación entre la salud mental y el tiempo de estancia hospitalaria.
Se discuten los porcentajes y las implicaciones de los datos obtenidos.
REFERENCIAS (EN ESTE ARTÍCULO)
Abar, B., Holub, A., Lee, J., DeRienzo, V., & Nobay, F. (2017). Depression andAnxiety Among Emergency Department Patients: Utilization and Barriersto Care. Academic Emergency Medicine, 24(10), 1286-1289. https://doi.org/10.1111/acem.13261
Aguilar-Barojas, S. (2005). Fórmulas para el cálculo de la muestra en investigacionesde salud. Salud en Tabasco, 11(1-2), 333-338.
Alzahrani N. (2021). The effect of hospitalization on patients’ emotional andpsychological well-being among adult patients: An integrative review.Applied Nursing Research: ANR, 61, 151488. https://doi.org/10.1016/j.apnr.2021.151488
Andersson, J., Nordgren, L., Cheng, I., Nilsson, U., & Kurland, L. (2020). Longemergency department length of stay: A concept analysis. InternationalEmergency Nursing, 53, 100930. https://doi.org/10.1016/j.ienj.2020.100930
Antes, A. L., & Maggi, L. B. (2021). How to Conduct Responsible Research: A Guidefor Graduate Students. Current Protocols, 1(3), e87. https://doi.org/10.1002/cpz1.87
Baia Medeiros, D. T., Hahn-Goldberg, S., O’Connor, E., & Aleman, D. M. (2019).Analysis of emergency department length of stay for mental health visits: Acase study of a Canadian academic hospital. CJEM, 21(3), 374-383. https://doi.org/10.1017/cem.2018.417
Ballou, S., Mitsuhashi, S., Sankin, L. S., Petersen, T. S., Zubiago, J., Lembo, C.,Takazawa, E., Katon, J., Sommers, T., Hirsch, W., Rangan, V., & Jones, M.(2019). Emergency department visits for depression in the United States from2006 to 2014. General Hospital Psychiatry, 59, 14-19. https://doi.org/10.1016/j.genhosppsych.2019.04.015
Blakemore, A., Dickens, C., Chew-Graham, C. A., Afzal, C. W., Tomenson, B.,Coventry, P. A., & Guthrie, E. (2019). Depression predicts emergency care usein people with chronic obstructive pulmonary disease: A large cohort study inprimary care. International Journal of Chronic Obstructive Pulmonary Disease,14, 1343-1353. https://doi.org/10.2147/COPD.S179109
Boudreaux, E. D., Camargo, C. A., Arias, S. A., Sullivan, A. F., Allen, M. H.,Goldstein, A. B., Manton, A. P., Espinola, J. A., & Miller, I. W. (2016). ImprovingSuicide Risk Screening and Detection in the Emergency Department. AmericanJournal of Preventive Medicine, 50(4), 445-453. https://doi.org/10.1016/j.amepre.2015.09.029
Carter, E. J., Pouch, S. M., & Larson, E. L. (2014). The relationship betweenemergency department crowding and patient outcomes: A systematic review.Journal of Nursing Scholarship, 46(2), 106-115. https://doi.org/10.1111/jnu.12055
Castilla-Puentes, R. C., Secin, R., Grau, A., Galeno, R., Feijo de Mello, M., Pena,N., & Sanchez-Russi, C. A. (2008). A multicenter study of major depressivedisorder among emergency department patients in Latin-American countries.Depression and Anxiety, 25(12), E199-204. https://doi.org/10.1002/da.20380
Coates, D., David, M., Roberts, B., & Duerden, D. (2019). An examination of theprofile and journey of patients with mental illness in the emergency department.International Emergency Nursing, 43, 15-22. https://doi.org/10.1016/j.ienj.2018.06.003
Definition of Emergency Medicine. (2016). Annals of Emergency Medicine, 68(1),
142-143. https://doi.org/10.1016/j.annemergmed.2016.04.04014. Ferrando, L., Bobes, J., Gibert, J., Soto, M., & Soto, O. (2000). MINI. EntrevistaNeuropsiquiátrica Internacional. Versión en Español 5.0.0. DSM-IV.Recuperada en https://www.fundacionforo.com/pdfs/mini.pdf
Hazra, A., & Gogtay, N. (2016). Biostatistics Series Module 5: DeterminingSample Size. Indian Journal of Dermatology, 61(5), 496-504. https://doi.org/10.4103/0019-5154.190119
Holland, K. M., Jones, C., Vivolo-Kantor, A. M., Idaikkadar, N., Zwald, M., Hoots,B., Yard, E., D’Inverno, A., Swedo, E., Chen, M. S., Petrosky, E., Board, A.,Martinez, P., Stone, D. M., Law, R., Coletta, M. A., Adjemian, J., Thomas,C., Puddy, R. W., ...Houry, D. (2021). Trends in US Emergency DepartmentVisits for Mental Health, Overdose, and Violence Outcomes Before and Duringthe COVID-19 Pandemic. JAMA Psychiatry, 78(4), 372-379. https://doi.org/10.1001/jamapsychiatry.2020.4402
Hooker, E. A., Mallow, P. J., & Oglesby, M. M. (2019). Characteristics and Trendsof Emergency Department Visits in the United States (2010-2014). TheJournal of Emergency Medicine, 56(3), 344-351. https://doi.org/10.1016/j.jemermed.2018.12.025
Hothorn, T., Zeileis, A., Farebrother, R. W., Cummins, C., Millo, G., & Mitchell, D.(2022). Testing Linear Regression Models (Version 0.9-40) [Software package].Retrieved from https://CRAN.R-project.org/package=lmtest
Ilgen, M. A., Walton, M. A., Cunningham, R. M., Barry, K. L., Chermack, S. T., DeChavez, P., & Blow, F. C. (2009). Recent suicidal ideation among patients in aninner city emergency department. Suicide & Life-Threatening Behavior, 39(5),508-517. https://doi.org/10.1521/suli.2009.39.5.508
Julián-Jiménez, A., Supino, M., López Tapia, J. D., Ulloa González, C., Vargas Téllez,L. E., González Del Castillo, J., Moyá Álvarez, A., Loro Chero, L., GonzálezBascuñán, U., Candel González, F. J., Garza Sáenz, O. G., Rosas Romero, F. A.,& Gorordo Delsol, L. A. (2019). Sepsis in the emergency department: Key points,controversies, and proposals for improvements in Latin America. Emergencias:Revista De La Sociedad Espanola De Medicina De Emergencias, 31(2), 123-135.
Kaji, A. H., Schriger, D., & Green, S. (2014). Looking through the retrospectoscope:reducing bias in emergency medicine chart review studies. Annals of EmergencyMedicine, 64(3), 292-298. https://doi.org/10.1016/j.annemergmed.2014.03.025
López-Alvarenga, J. C., Vázquez-Velázquez, V., Arcila-Martínez, D., Sierra-Ovando,A. E., González-Barranco, J., & Salín-Pascual, R. J. (2002). [Accuracy anddiagnostic utility of the Hospital Anxiety and Depression Scale (HAD) in asample of obese Mexican patients]. Revista de Investigacion Clinica; Organodel Hospital de Enfermedades de La Nutricion, 54(5), 403-409.
Miller, I. W., Camargo, C. A., Arias, S. A., Sullivan, A. F., Allen, M. H., Goldstein,A. B., Manton, A. P., Espinola, J. A., Jones, R., Hasegawa, K., & Boudreaux,E. D. (2017). Suicide Prevention in an Emergency Department Population: TheED-SAFE Study. JAMA Psychiatry, 74(6), 563-570. https://doi.org/10.1001/jamapsychiatry.2017.0678
Murillo, L., Vidal, E., Domínguez, N., López, A., & Landa-Ramírez, E. (2022).Ansiedad y depresión en pacientes hospitalizados en un departamento deemergencias. Psicología y Salud, 32(2), 195-202. https://doi.org/10.25009/pys.v32i2.2741
National Health Services. (2020). NHS Key Statistics: England. Retrieved fromhttps://commonslibrary.parliament.uk/research-briefings/cbp-7281/
Obermeyer, Z., Abujaber, S., Makar, M., Stoll, S., Kayden, S. R., Wallis, L. A.,& Reynolds, T. A. (2015). Emergency care in 59 low- and middle-incomecountries: A systematic review. Bulletin of the World Health Organization,93(8), 577-586G. https://doi.org/10.2471/BLT.14.148338
Open Science Collaboration. (2015). PSYCHOLOGY. Estimating the reproducibilityof psychological science. Science, 349(6251), aac4716. https://doi.org/10.1126/science.aac4716
Pearlmutter, M. D., Dwyer, K. H., Burke, L. G., Rathlev, N., Maranda, L., &Volturo, G. (2017). Analysis of Emergency Department Length of Stayfor Mental Health Patients at Ten Massachusetts Emergency Departments.Annals of Emergency Medicine, 70(2), 193-202.e16. https://doi.org/10.1016/j.annemergmed.2016.10.005
Polanco-González, C., Castañón-González, J. A., Buhse, T., Samaniego-Mendoza, J.L., Arreguín-Nava, R., & Villanueva-Martínez, S. (2013). [Modified overcrowdindex in emergency room]. Gaceta Medica de Mexico, 149(4), 417-424.
Pryce, A., Unwin, M., Kinsman, L., & McCann, D. (2021). Delayed flow is a riskto patient safety: A mixed method analysis of emergency department patientflow. International Emergency Nursing, 54, 100956. https://doi.org/10.1016/j.ienj.2020.100956
Revelle, W. (2020). Psych (Versión 2.0.8) [Software package]. Retrieved from https://personality-project.org/r/
Rubio Valldolid, G., Martínez-Raga, J., Martínez-Gras, I., Ponce Alfaro, G., de laCruz Bértolo, J., Jurado Barba, R., Rigabert Sánchez-Junco, A., & ZarcoMontejo, J. (2014). Validation of the Spanish version of the Alcohol, Smokingand Substance Involvement Screening Test (ASSIST). Psicothema, 26(2), 180-185. https://doi.org/10.7334/psicothema2013.172
Santillanes, G., Axeen, S., Lam, C. N., & Menchine, M. (2020). National trendsin mental health-related emergency department visits by children and adults,2009-2015. The American Journal of Emergency Medicine, 38(12), 2536-2544.https://doi.org/10.1016/j.ajem.2019.12.035
Secretaría de Salud. (2013). NORMA Oficial Mexicana NOM-027-SSA3-2013,Regulación de los servicios de salud. Que establece los criterios defuncionamiento y atención en los servicios de urgencias de los establecimientospara la atención médica. Diario Oficial de la Federación. Retrieved from https://www.dof.gob.mx/nota_detalle.php?codigo=5312893&fecha=04/09/2013#gsc.tab=0
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller,E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The Mini-InternationalNeuropsychiatric Interview (M.I.N.I.): The development and validation ofa structured diagnostic psychiatric interview for DSM-IV and ICD-10. TheJournal of Clinical Psychiatry, 59(Suppl 20), 22-33;quiz 34-57.
Sims, S., Preen, D., Pereira, G., Fatovich, D., Livingston, M., & O’Donnell, M.(2021). Alcohol-related harm in emergency departments: Linking to subsequenthospitalizations to quantify under-reporting of presentations. Addiction, 116(6),1371-1380. https://doi.org/10.1111/add.15284
Smith, J. L., De Nadai, A. S., Storch, E. A., Langland-Orban, B., Pracht, E., & Petrila,J. (2016). Correlates of Length of Stay and Boarding in Florida EmergencyDepartments for Patients with Psychiatric Diagnoses. Psychiatric Services,67(11), 1169-1174. https://doi.org/10.1176/appi.ps.201500283
Theriault, K. M., Rosenheck, R. A., & Rhee, T. G. (2020). Increasing EmergencyDepartment Visits for Mental Health Conditions in the United States. TheJournal of Clinical Psychiatry, 81(5), 20m13241. https://doi.org/10.4088/JCP.20m13241
Toledano-Toledano, F., & Domínguez-Guedea, M. T. (2019). Psychosocial factorsrelated with caregiver burden among families of children with chronicconditions. BioPsychoSocial Medicine, 13, 6. https://doi.org/10.1186/s13030-019-0147-2
Wang, X., & Cheng, Z. (2020). Cross-Sectional Studies: Strengths, Weaknesses,and Recommendations. Chest, 158(1S), S65-S71. https://doi.org/10.1016/j.chest.2020.03.012
Webster, R., Norman, P., Goodacre, S., Thompson, A. R., & McEachan, R. R. C.(2014). Illness representations, psychological distress and non-cardiac chestpain in patients attending an emergency department. Psychology & Health,29(11), 1265-1282. https://doi.org/10.1080/08870446.2014.923885
WHO ASSIST Working Group. (2002). The Alcohol, Smoking and SubstanceInvolvement Screening Test (ASSIST): Development, reliability and feasibility.Addiction, 97(9), 1183-1194. https://doi.org/10.1046/j.1360-0443.2002.00185.x
Wickham, H. (2016). ggplot2: Elegant Graphics for Data Analysis, (version 3.3.3)[Software package]. Retrieved from https://ggplot2.tidyverse.org
Wickham, H., Averick, M., Bryan, J., Chang, W., McGowan, L. D., François, R.,Grolemund, G., Hayes, A., Henry, L., Hester, J., Kuhn, M., Lin Pedersen, T.,Miller, E., Milton Bache, S., Müller, K., Ooms, J., Robinson, D., Seidel, D.P., Spinu, V., ... Yutani, H. (2019). Welcome to the tidyverse. (version 1.3.0)[Software package]. Journal of Open Source Software, 4(43), 1686. https://doi.org/10.21105/joss.01686
Yap, M., Tuson, M., Whyatt, D., & Vickery, A. (2020). Anxiety and alcohol in theworking-age population are driving a rise in mental health-related emergencydepartment presentations: 15-year trends in emergency department presentationsin Western Australia. Emergency Medicine Australasia, 32(1), 80-87. https://doi.org/10.1111/1742-6723.13342
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depressionscale. Acta Psychiatrica Scandinavica, 67(6), 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x