ArticleEmergency medicine journal : EMJ2006
Mortality of the users of a hospital emergency department.
Article in Emergency medicine journal : EMJ, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Pooled it
- Case Management may Reduce Emergency Department Frequent use in a Universal Health Coverage System: a Randomized Controlled Trial.Journal of general internal medicine · 2017Trial
- Case management for frequent users of the emergency department: study protocol of a randomised controlled trial.BMC health services research · 2014Trial
- Randomized clinical trial of bedside ultrasound among patients with abdominal pain in the emergency department: impact on patient satisfaction and health care consumption.Scandinavian journal of trauma, resuscitation and emergency medicine · 2009Trial
- Predicting Partially Observed Long-Term Outcomes with Adversarial Positive-Unlabeled Domain Adaptation.Proceedings of machine learning research · 2025Article
- Stroke and suicide among people with severe mental illnesses.Scientific reports · 2024Article
- Emergency department utilization in patients with hypertrophic cardiomyopathy: a nationwide population-based study.Scientific reports · 2022Article
- Profiling frequent attenders at an inner city emergency department.Irish journal of medical science · 2019Article
- Mortality and associated risk factors for older adults admitted to the emergency department: a hospital cohort.BMC geriatrics · 2018Article
- Number of visits to the emergency department and risk of suicide: a population-based case-control study.BMC public health · 2015Article
- Emergency Department Deaths in a Nigerian University Hospital: Deaths Too Many.The West Indian medical journal · 2015Article
- Survival of patients with alcohol use disorders discharged from an emergency department: a population-based cohort study.BMJ open · 2014Article
- Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions.Frontline gastroenterology · 2013Article
- Patterns and predictors of short-term death after emergency department discharge.Annals of emergency medicine · 2011Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo ascertain the annual number of users who were discharged home after visits to the emergency department (ED), grouped by age, sex, and number of visits during the calendar year, and to assess whether a higher number of visits to the department predicted a higher mortality.
methodsThis was a retrospective cohort study, with follow up of cause specific mortality through a national registry, in the Reykjavik area of Iceland. In total, 19 259 patients who visited the ED during the period 1995-2001 and who were discharged home at the Landspítali University Hospital, Reykjavik, Iceland, were enrolled. The main outcome measures were the standardised mortality ratio, with expected number based on national mortality rates, and hazard ratio calculations using time dependent multivariate regression analysis.
resultsThe annual increase in visits to the ED among the patients discharged home was 7-14% per age group during the period 1995-2001, with the highest increase among older men. When emergency department users were compared with the general population, the standardised mortality ratio was 1.81 for men and 1.93 for women. Among those attending the ED two, three, or more times in a calendar year, the mortality rate was higher than among those coming only once in a year. The causes of death that led to the highest mortality among frequent users of the ED were neoplasm, ischaemic heart diseases, and external causes, particularly drug intoxication, suicides, and probable suicides.
conclusionsThe mortality of those who had used the ED and been discharged home was found to be higher than that of the general population. Frequent users of the ED had a higher mortality than those visiting the department no more than once a year. As the ED serves general medicine and surgery patients, not injuries, the high mortality due to drug intoxication, suicide, and probable suicide is interesting. Further studies are needed into the diagnosis at discharge of those frequently using the ED, in an attempt to understand and possibly prevent this marked mortality rate.
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