Table 4: Emergency department based studies suggesting that UDS screens are not associated with patient management or disposition.
Author | # patients | Setting | Methodology | Population | Other factors considered?* |
Korn, et al. [6] | 212 | ED | Retrospective cohort | Psychiatric patients in ED | No |
Eisen, et al. [23] | 133 | ED | Prospective observational | ED | Yes, in design✦ |
Fortu, et al. [24] | 652 | Pediatric ED | Retrospective cohort | Psychiatric patients in peds ED | No |
Janiak & Atteberry [7] | 502 | ED | Retrospective cohort | Psychiatric patients in ED | No |
Montague, et al. [25] | 107 | ED | Prospective observational | Overdose patients in ED | No |
Olshaker, et al. [5] | 352 | ED | Retrospective cohort | Psychiatric patients in ED | Yes, in design✦✦ |
Schiller, et al. [26] | 392 | PES | Prospective randomized | PES | No✦✦✦ |
*see text for description; ✦Before/after design asking physicians whether results of UDS altered care plans; ✦✦Other labs and elements of the history/physical included in analysis;✦✦✦physicians allowed to order screens for all patients based on clinical judgment.