Clinical and nonclinical predictors of test ordering in psychiatric emergency.

Abstract:

OBJECTIVE:This naturalistic prospective study explored the predictors of laboratory test ordering in a psychiatric emergency department. METHODS:We used a standardized questionnaire to collect clinical and nonclinical features in 527 consecutive patients. RESULTS:Test ordering was independently predicted by age, spoken language, referral by relatives, eating disorders, and somatic complaints. Having been referred by a general practitioner predicted test ordering only in the absence of a clinical report. Alcohol- and substance-related symptoms predicted test ordering only in patients older than 35 years. Age did not predict test ordering in patients consulting for anxiety or suicidal ideation. CONCLUSION:Clinicians should be aware of possible biases when assessing the need of laboratory tests in patients presenting with psychiatric complaints.

journal_name

Gen Hosp Psychiatry

authors

Lemogne C,Blandin E,Guedj MJ

doi

10.1016/j.genhosppsych.2008.02.005

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

356-9

issue

4

eissn

0163-8343

issn

1873-7714

pii

S0163-8343(08)00034-0

journal_volume

30

pub_type

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