Long waits in the ER may increase the risk of PTSD in patients with heart disease

Stephen Ryneberg
HealthDay Reporter

Monday, February 11 (HealthDay News)-People waiting for countless hours in a crowded emergency room heart attack Or severe Chest pain There may be development risks
Post-traumatic stress disorder (((PTSD), New research suggests.

Normal, PTSD It is associated with major traumatic experiences such as wars and disasters, but can also occur in very stressful situations, such as sitting in an emergency room for more than 11 hours, according to researchers at Columbia University. That is.

“Modern emergency departments excel in emergency care, but many health systems and hospital-level pressures can worsen the long-term prognosis when treated there,” said research author Donald Edmondson. Says.Associate Professor Behavioral medicine..

Despite its small size, he added, this was the first study to document the psychological effects of overcrowding in an emergency room environment.

“Recently, many US emergency departments have been closed, and many newly insured patients enter the system without access to proper primary care and eventually enter the emergency department, so most professionals. Predicts that emergency department congestion will increase as health reforms are implemented, “Edmondson explained.

For over 1 million Americans who have heart attack Or Chest pain This year, “These overcrowded emergency departments stress It is already a post-traumatic event and can lead to increased PTSD symptoms and a poor prognosis. “

The report was published online on February 11th. JAMA Internal Medicine..

Edmondson’s team 135 to see what impact waiting in a crowded emergency room could have. heart The patient arrived in the New York City emergency room between 2009 and 2011. The patient was part of a larger study.

People who stayed in the emergency room for more than 11 hours were more likely to suffer from the following symptoms: Heart diseaseResearchers found relevant PTSD the month after their stay.

Researchers said the symptoms of PTSD are risk factors for the recurrence of heart problems and death. They added that PTSD also contributed to poor quality of life, poor patient satisfaction, and increased use of the healthcare system.

Symptoms of PTSD include invasive memory, avoidance, emotional paralysis, and increase. anxiety, Irritable bowel depression, According to the US National Center for PTSD.

Simple tissue changes, such as better planning of surgeon schedules and protocols to deal with overcrowding, have been shown to dramatically reduce emergency room congestion and improve patient outcomes, Edmond said. Mr Son said.

“In addition, emergency care and heart wards dedicated to patients with potentially heart problems not only reduce congestion in the emergency room, but also improve heart outcomes, cost-effective and many horrific emergencies. You can protect your patients from the experience of the treatment room, “he said.

Dr. Donald Jerry, Chair Emergency medical care At the University of Pittsburgh, I agreed that my experience in the emergency room could be so stressful that I could develop PTSD symptoms.

“The limit is [the] The scale of the study is small and we do not know how big the impact will be. However, this should be considered one of the complications of congestion in the emergency room. “

He said the overcrowding solution needed to involve the entire hospital. He explained that since the emergency room is only the entrance to the patient, the hospital needs to create a system to move the patient from the emergency room to specialized care as soon as possible.

“Congestion is a function of the entire hospital system. It’s not just an emergency department problem,” Yealy said. “If the entire facility does not meet the needs of the emergency department, it affects the health of each patient, especially the sick.”

Copyright © 2013 Health Day. all rights reserved.

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In the United States, one-quarter of deaths are caused by heart disease.
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Source: Donald Edmondson, Ph.D. , Associate Professor, Behavioral Medicine, Columbia University Medical Center, New York City. Dr. Donald Yerry, Professor and Chairman of Emergency Medicine, University of Pittsburgh. February 11, 2013, JAMA Internal Medicine,online

Long waits in the ER may increase the risk of PTSD in patients with heart disease

Source link Long waits in the ER may increase the risk of PTSD in patients with heart disease

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