Observatory of Psychiatric Symptoms and Their Somatic Causes in Urgent Medical Care

NCT04726449 | Completed

• 1 other identifier: 69HCL20_1071
• Study Type: observational
• Target: 148
• Locations: 1 country
• Sites: 1

Brief Summary

Use of emergency department for psychiatric symptoms always addresses the question of a potential somatic cause to the symptoms. Despite the wide-spread use of standard biology test and systematic brain imaging (for a first episode), there are still up to 5% of patients sent in psychiatric wards that actually have a somatic explanation to their symptoms which induces an important delay in the diagnostic assessement We hypothesized that simple neurological clinical examination along with fast psychometric screening tests in the Emergency Room (ER) could help the physicians to better screen the patients and thus prevent inaccurate post-emergency orientation. Every patient visiting the ER for psychiatric symptoms will be included. The usual physical examination by the ER physician will be associated with two psychometric tests (namely the Clock-drawing test and Frontal Assessment Battery test). The follow up will be made after 3 months in order to have the final diagnosis. Neurological data and data from the FAB test and the Clock-drawing test will be compared between patients who were finally given a psychiatric diagnosis versus patients with a somatic diagnosis at the end of the follow up period.

Conditions

Neurologic Disorder; Psychiatric Disorder

Outcome Measures

Primary Outcomes (1)

• Somatic or psychiatric nature of the final diagnosis given to the patient

  interview patient to collect during the last 90 days the data of a hospitalization, its possible duration, the examinations that may have been necessary to obtain the diagnosis: blood, urine, Cerebrospinal Fluid, imaging exams, electroencephalography.

  At 3 month

Study Arms (2)

psychiatric diagnosis

psychiatric diagnosis : patients who were given a psychiatric diagnosis at the end of the follow up

Other: Screening for acute confusional state

somatic diagnosis

somatic diagnosis: patients who were given a somatic diagnosis at the end of the follow up

Other: Screening for acute confusional state

Interventions

Screening for acute confusional state OTHER

The intervention will consist of two psychometric test to screen for acute confusional state with the usual physical examination by the emergency physician. The neurological examination abnormalities will be noted

psychiatric diagnosis; somatic diagnosis

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient using emergency department for a psychiatric symptom

You may qualify if:

• Age\> 18 years old
• Patient consulting the emergency room for psychiatric recourse
• Benefiting from a consultation with a psychiatrist in the emergency room
• Patient affiliated to a social security scheme

You may not qualify if:

• Pregnant or breastfeeding women
• Patient objecting to the conduct of this study and the collection of health data
• Patient with motor disorders preventing the performance of a test requiring a pencil
• Patient sedated before treatment in the emergency room
• Patient with visual disturbances

Sponsors & Collaborators

• Hospices Civils de Lyon: lead

Study Sites (1)

Service Accueil des Urgences, Hopital Edouard Herriot

Lyon, Rhône, 69003, France

Location

MeSH Terms

Conditions

Nervous System Diseases; Mental Disorders

Interventions

Mass Screening

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis; Health Surveys; Surveys and Questionnaires; Data Collection; Epidemiologic Methods; Investigative Techniques; Diagnostic Services; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Public Health Practice

Study Officials

• KARIM TAZAROURTE, MD, PhD

  Hôpital Edouard Herriot, HCL

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 22, 2021
• First Posted: January 27, 2021
• Study Start: May 11, 2021
• Primary Completion: May 8, 2024
• Study Completion: May 8, 2024
• Last Updated: June 7, 2024

Record last verified: 2023-07

Locations

FR (1)