ArticleThe Journal of emergency medicine2012
Emergency department utilization among a cohort of HIV-positive injecting drug users in a Canadian setting.
Article in The Journal of emergency medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Pooled it
- Frequency of health-care utilization by adults who use illicit drugs: a systematic review and meta-analysis.Addiction (Abingdon, England) · 2020Pooled it
- Public Health and Public Order Outcomes Associated with Supervised Drug Consumption Facilities: a Systematic Review.Current HIV/AIDS reports · 2017Pooled it
- Housing Status, Medical Care, and Health Outcomes Among People Living With HIV/AIDS: A Systematic Review.American journal of public health · 2016Pooled it
- The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?Current HIV/AIDS reports · 2014Pooled it
- Bundled HIV and Hepatitis C Testing in the Emergency Department: A Randomized Controlled Trial.The western journal of emergency medicine · 2018Trial
- Drug Use-Related Discrimination in Healthcare Settings and Subsequent Emergency Department Utilization in a Prospective Cohort Study of People With a History of Injection Drug Use.Substance use & misuse · 2024Observational
- How an emergency department is organized to provide opioid-specific harm reduction and facilitators and barriers to harm reduction implementation: a systems perspective.Harm reduction journal · 2023Article
- Precarious Housing Associated with Unsuppressed Viral load, sub-optimal Access to HIV Treatment and Unmet Health care Needs, Among Women Living with HIV in Metro Vancouver, Canada.AIDS and behavior · 2023Article
- The prevalence and social-structural correlates of housing status among women living with HIV in Vancouver, Canada.BMC public health · 2022Article
- Categorizing Comorbid Risk for People Living With HIV: A Latent Profile Analysis.Journal of acquired immune deficiency syndromes (1999) · 2022Article
- Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol.BMJ open · 2021Article
- Cohort profile: The provincial substance use disorder cohort in British Columbia, Canada.International journal of epidemiology · 2021Article
- Non-disclosure of drug use in outpatient health care settings: Findings from a prospective cohort study in Vancouver, Canada.The International journal on drug policy · 2020Article
- High prevalence of injection drug use and blood-borne viral infections among patients in an urban emergency department.PloS one · 2020Article
- "Maybe if I stop the drugs, then maybe they'd care?"-hospital care experiences of people who use drugs.Harm reduction journal · 2019Article
- Article
- The Affordable Care Act and Changes in Insurance Coverage and Source of Health Care among High-risk Rural, Substance-using, Female Offenders Transitioning to the Community.Journal of health care for the poor and underserved · 2018Article
- Trends and Comparisons of Utilization of Emergency Departments Due to Traumatic or Non-Traumatic Causes among the HIV-Positive Population in Taiwan, 2006-2011.International journal of environmental research and public health · 2017Article
- A prospective cohort study of hospital separations among people who inject drugs in Australia: 2008-2013.BMJ open · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundHuman immunodeficiency virus (HIV)-positive injection drug users (IDUs) are known to be at risk for multiple medical problems that may necessitate emergency department (ED) use; however, the relative contribution of HIV disease vs. injection-related complications has not been well described.
objectivesWe examined factors associated with ED use among a prospective cohort of HIV-positive IDUs in a Canadian setting.
methodsWe enrolled HIV-positive IDUs into a community-recruited prospective cohort study. We modeled factors associated with the time to first ED visit using Cox regression to determine factors independently associated with ED use. In sub-analyses, we examined ED diagnoses and subsequent hospital admission rates.
resultsBetween December 5, 2005 and April 30, 2008, 428 HIV-positive IDUs were enrolled, among whom the cumulative incidence of ED use was 63.7% (95% confidence interval [CI] 59.1-68.3%) at 12 months after enrollment. Factors independently associated with time to first ED visit included: unstable housing (hazard ratio [HR] 1.5; 95% CI 1.1-2.0) and reporting being unable to obtain needed health care services (HR 2.2; 95% CI 1.2-4.1), whereas CD4 count and viral load were non-significant. Skin and soft tissue infections accounted for the greatest proportion of ED visits (17%). Of the 2461 visits to the ED, 419 (17%) were admitted to the hospital.
conclusionsHigh rates of ED use were observed among HIV-positive IDUs, a behavior that was predicted by unstable housing and limited access to primary care. Factors other than HIV infection seem to be driving ED use among this population in the post-highly active antiretroviral therapy era.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.