ArticleMedical care2015
Predictors of Emergency Department Visits and Inpatient Admissions Among Homeless and Unstably Housed Adolescents and Young Adults.
Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Predictors of psychiatric emergency department visits within twelve months post-inpatient psychiatric discharge in Alberta, Canada.PloS one · 2026Observational
- Premature mortality 16 years after emergency department presentation among homeless and at risk of homelessness adults: a retrospective longitudinal cohort study.International journal of epidemiology · 2023Article
- Homelessness and the use of Emergency Department as a source of healthcare: a systematic review.International journal of emergency medicine · 2022Review
- Profile of homeless people in emergency departments.International journal of occupational medicine and environmental health · 2022Article
- Article
- Application of the Frailty Framework among Vulnerable Populations to Hospitalization Outcomes of Individuals Experiencing Homelessness in Long Beach, California.Journal of social distress and the homeless · 2022Article
- A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021Article
- Typology of Currently or Formerly Homeless Individuals Based on Their Use of Health and Social Services.Community mental health journal · 2021Article
- Determinants of health care use among homeless individuals: evidence from the Hamburg survey of homeless individuals.BMC health services research · 2021Article
- Health Care Utilization Due to Substance Abuse Among Homeless and Nonhomeless Children and Young Adults in New York.Psychiatric services (Washington, D.C.) · 2021Article
- Assessing the Impact of Social Needs and Social Determinants of Health on Health Care Utilization: Using Patient- and Community-Level Data.Population health management · 2021Article
- Health Status and Chronic Disease Burden of the Homeless Population: An Analysis of Two Decades of Multi-Institutional Electronic Medical Records.Journal of health care for the poor and underserved · 2021Article
- Hospital Readmission and Emergency Department Revisits of Homeless Patients Treated at Homeless-Serving Hospitals in the USA: Observational Study.Journal of general internal medicine · 2020Observational
- Homelessness and self-rated health: evidence from a national survey of homeless people in Spain.BMC public health · 2019Article
- Status of Emergency Department Seventy-Two Hour Return Visits Among Homeless Patients.Journal of clinical medicine research · 2019Article
- Trends in Homeless Children and Young Adults Seeking Shelter in a Boston Pediatric Emergency Department Following State Housing Policy Changes, 2011-2016.American journal of public health · 2018Article
- Hospitalization among street-involved youth who use illicit drugs in Vancouver, Canada: a longitudinal analysis.Harm reduction journal · 2018Article
- Musculoskeletal Flexibility and Quality of Life: A Feasibility Study of Homeless Young Adults in Los Angeles County.International journal of exercise science · 2018Article
- Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department.Turkish journal of emergency medicine · 2017Article
- Comprehensive services delivery and emergency department use among chronically homeless adults.Psychological services · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundIndividuals under age 25 years are estimated to comprise one third of the homeless population nationally. Understanding the reasons for utilization of hospitals by homeless youth is important for optimizing disposition planning.
objectivesObjectives of the present study were to: (1) report prevalence of emergency department (ED) and inpatient admissions among homeless and unstably housed youth; (2) describe demographic characteristics of those youth who seek hospital care; (3) describe their patterns of injury, illness, psychiatric, and substance use conditions; and (4) identify demographic and diagnostic predictors of ED visit or hospital readmission.
methodsRetrospective cohort study of 15-25-year-olds (N=402) who were admitted to the ED or inpatient floors of 2 urban teaching hospitals in King County, WA between July 1, 2009 and June 30, 2012 and whose address was "homeless" or "none" or a homeless shelter or service agency (ie, homeless or unstably housed), during any recorded encounter between July 1, 2009 and June 30, 2012.
resultsA total of 1151 ED visits and 227 inpatient admissions were documented. Fifty percent of patients had an ED visit or hospital readmission within 1 year, with 43.1% receiving care within 30 days of discharge. Cox regression showed that female individuals with an injury diagnosis (hazard ratio=1.74, 95% confidence interval=1.06, 2.85) and male individuals with an acute medical condition (hazard ratio=1.59, 95% confidence interval=1.09, 2.32) at index visit were more likely to have an ED visit or hospital readmission during the following year, as were patients who provided a private address at their index visit.
conclusionsHomeless young people who seek hospital care demonstrate a high rate of ED visits and hospital readmissions, with unique predictors of utilization associated with sex and housing status. Additional research is necessary to determine how best to transition these young people from hospital-based to community-based care.
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