AUTHOR=Vallath Aditya Lal , Sivasubramanian Barath Prashanth , Ravikumar Diviya Bharathi , Lalendran Akshita , Krishnan Suhasini , Samanta Sudeshna , Banerjee Snigda , Das Tania , Kundu Ritwick , Richharia Vyom , More Ravisha , Khithani Mishika , Nazimudeen Sahana , Gunturu Sasidhar , Dasgupta Indraneel
TITLE=The importance of rapid assessment tools in evaluating mental health in emergency departments among patients with chronic diseases
JOURNAL=Frontiers in Public Health
VOLUME=12
YEAR=2024
URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1258749
DOI=10.3389/fpubh.2024.1258749
ISSN=2296-2565
ABSTRACT=BackgroundRapid screening tools such as the WHO well-being Index (WWBI), Six-item screener (SIS), and the CLOX-1 test can be used to assess overall mental health and cognition, respectively. We sought to evaluate mental health with cognition in individuals with chronic diseases and stable vital signs presenting to the Emergency Department (ED).
MethodsAn observational study in the ED with 279 participants was conducted.
ResultsChronic diseases were more prevalent among 51–70 years (43.4%) and diabetes was most common (58.8%). Fever (22.6%) and GI bleeding (32.6%) presentation were high. Participants with low WWBI had low SIS compared to the ones with higher scores (83.3% vs. 17.7%, p < 0.001) and also had low CLOX-1 compared to ones with high CLOX-1 (67.3% vs. 5%, <0.001). A positive correlation between WWBI with SIS (correlation coefficient = 0.305, p < 0.001) and CLOX-1 (0.441, <0.001). Regression analysis indicates a positive association between WWBI and the SIS (standardized regression coefficient = 0.187, 95%CI = 0.236–1.426, and p = 0.006) and CLOX 1 (0.338, 0.2–0.463, <0.001).
ConclusionIn the ED, the evaluation of mental health even among cognitive impaired is feasible and crucial.