Limitations in validating emergency department triage scales

24-Jul-2017 00:22 by 8 Comments

Limitations in validating emergency department triage scales - Adults cam4u

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The researchers provided no treatment advice to the usual care group, unless the screening detected suicidality or a 25% worsening of symptoms from baseline on a follow-up assessment at three, six, or 12 months.

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Depression screening within three months after an acute coronary syndrome (ACS) event (such as a heart attack) identifies more than 97% of those with depression, meaning that only 3% of people with who have clinical depression would be missed by the screening. These findings were reported in “Effectiveness of Online Collaborative Care for Treating Mood and Anxiety Disorders in Primary Care; A Randomized Clinical Trial” by Bruce L. D., MPH; Bea Herbeck Belnap, Dr Biol Hum; Kaleab Z. The goal was to examine the effectiveness of combining an Internet support group (ISG) with e CBT provided via a collaborative care program for treating depression and anxiety compared to e CBT alone and whether providing e CBT in this manner is more effective than usual care.

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The analysis is based on English-language studies which evaluated interventions for treating post-ACS consumers identified with depression that were published between January 1, 2003 and August 15, 2017.

For this study, ACS refers to clinical symptoms compatible with acute myocardial ischemia and includes unstable angina, non–ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI).

The researchers found that enhanced care interventions, which integrate psychiatric treatment into other clinical settings, improve depression symptoms, although not necessarily cardiac outcomes.

These tools include: Fourteen articles representing four studies examined the comparative safety and effectiveness of pharmacologic and non-pharmacologic treatments and enhanced care delivery approaches to usual care for the treatment of depression in people following an ACS event.

The researchers conducted a literature review to determine the diagnostic accuracy of depression screening instruments in adult consumers within three months of an ACS, and to determine the safety and effectiveness of drug treatment, and non- drug treatment for this group.

The participants were randomized to one of three groups: e CBT ISG (302 participants), e CBT alone (301 participants), or their primary care physicians’ usual care (101 participants).

The other authors report no financial relationships with commercial interests.