Do All Adult Psychiatric Patients Need Routine Laboratory Evaluation and an Electrocardiogram?

摘要

-Background: Acute psychiatric presentations account for a significant number of emergency department (ED) visits. These patients require assessment by the emergency physician and often need further evaluation by a psychiatrist, who may request routine laboratory evaluation and an electrocardiogram (ECG). Clinical Question: Do all adult psychiatric patients need routine laboratory evaluation and an ECG? Evidence Review: Studies retrieved included 2 prospective, observational studies and 7 retrospective studies. These studies evaluate the utility of laboratory analysis in all patients presenting a psychiatric complaint and its impact on patient management and disposition. Conclusion: Based upon the available literature, routine laboratory analysis and ECG for all patients presenting with a psychiatric complaint are not recommended. Clinicians should consider the individual patient, clinical situation, and comorbidities when deciding to obtain further studies such as laboratory analysis. (c) 2022 Elsevier Inc. (c) 2022 Elsevier Inc. All rights reserved.