• David Herdman, Helen Sharma, Anna Simpson, and Louisa Murdin.
• Guy's & St Thomas' NHS Foundation Trust, London, UK and research fellow, King's College London, London, UK david.herdman@kcl.ac.uk.
• Clin Med (Lond). 2020 Jan 1; 20 (1): 616661-66.

AbstractPeople with persistent physical symptoms are at risk of psychological symptoms, although recognition in medical settings is low. This is a retrospective observational study of 954 patients in a hospital outpatient neuro-otology clinic in order to assess the feasibility and acceptability of an electronic informatics system for collection of patient-reported outcomes, with real-time feedback to guide clinical care and describe the prevalence of anxiety and depressive symptoms.The proportion of patients successfully completing the screen was high (70%). The decline rate was low (5%). The most common reason to decline was lack of confidence with technology. The prevalence of probable depression was 21% and for probable anxiety was 29%. Suicidal ideation was present in 5%. Anxiety and depression were highly correlated to dizziness specific outcome measures (p<0.01).Electronic screening is feasible and acceptable to patients and staff in this setting, helping to identify service needs, inform care and monitor outcomes.© Royal College of Physicians 2020. All rights reserved.

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