ArticleThe western journal of emergency medicine2015
Patients who use multiple EDs: quantifying the degree of overlap between ED populations.
Article in The western journal of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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
4 citing papers in PubMed.
- Clarifying the volume of estimated need for public health and prevention services within an emergency department population.Journal of the American College of Emergency Physicians open · 2020Article
- Case Management Reduces Length of Stay, Charges, and Testing in Emergency Department Frequent Users.The western journal of emergency medicine · 2018Article
- Patients Visiting Multiple Emergency Departments: Patterns, Costs, and Risk Factors.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2017Article
- When Should ED Physicians Use an HIE? Predicting Presence of Patient Data in an HIE.Southern medical journal · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionThe degree to which individual patients use multiple emergency departments (EDs) is not well-characterized. We determined the degree of overlap in ED population between three geographically proximate hospitals.
methodsThis retrospective cohort study reviewed administrative hospital records from 2003 to 2007 for patients registered to receive ED services at an urban academic, urban community, and suburban community ED located within 10 miles of one another. We determined the proportion who sought care at multiple EDs and secondarily characterized patterns of repeat encounters.
resultsThere were 795,176 encounters involving 282,903 patients. There were 89,776 (31%) patients with multiple encounters to a single ED and 39,920 (14%) patients who sought care from multiple EDs. The 39,920 patients who sought care from multiple EDs generated 185,629 (23%) of all encounters. Patients with repeat encounters involving multiple EDs were more likely to be frequent or highly frequent users (30%) than patients with multiple encounters to a single ED (14%).
conclusionWhile only 14% of patients received care from more than one ED, they were responsible for a quarter of ED encounters. Patients who use multiple EDs are more often frequent or highly frequent users than are repeat ED visitors to the same ED. Overlap between ED populations is sufficient to warrant consideration by multiple domains of research, practice, and policy.
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Registered trials
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