ArticlePloS one2016
Emergency Department Frequent Utilization for Non-Emergent Presentments: Results from a Regional Urban Trauma Center Study.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 69 citations in OpenAlex.
- Review
- 'We're Not Mental Health': Perspectives of Emergency Department Clinicians on Trauma-Informed Care.International journal of mental health nursing · 2026Article
- Factors associated with avoidable non-urgent emergency department visits in South Tyrol (Italy): a multicentre cross-sectional study.BMC emergency medicine · 2026Article
- Residents' Learning Experiences about Patients' Social Difficulties in the Emergency Department: Qualitative Research.JMA journal · 2025Article
- Cannabis legalization and increasing cannabis use in the United States: Data from urine toxicology testing in emergency room patients.The International journal on drug policy · 2025Article
- The association between social risks and days at home for older veterans.Journal of the American Geriatrics Society · 2024Article
- Emergency Department Use Among Adults Receiving Dialysis.JAMA network open · 2024Article
- Association between patient-reported social and behavioral risks and health care costs in high-risk Veterans health administration patients.Health services research · 2024Article
- Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine.Medical education online · 2023Article
- Beyond the Basics: A Novel Approach to Integrating a Social Determinants of Health Curriculum into an Emergency Medicine Course.The western journal of emergency medicine · 2023Article
- Factors related to the frequent use of emergency department services in Korea.BMC emergency medicine · 2023Observational
- Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients.Health services research · 2023Article
- Social determinants of health and emergency department utilization among adults receiving buprenorphine for opioid use disorder.Drug and alcohol dependence reports · 2022Article
- Unmet health needs and barriers to health care among people experiencing homelessness in San Francisco's Mission District: a qualitative study.BMC public health · 2022Article
- Article
- Conceptual Model of Emergency Department Utilization among Deaf and Hard-of-Hearing Patients: A Critical Review.International journal of environmental research and public health · 2021Review
- The Association of Demographic, Socioeconomic, and Geographic Factors with Potentially Preventable Emergency Department Utilization.The western journal of emergency medicine · 2021Article
- Development of a health equity journal club to address health care disparities and improve cultural competence among emergency medicine practitioners.AEM education and training · 2021Article
- Impact of a Rapid-Access Ambulatory Psychiatry Encounter on Subsequent Emergency Department Utilization.Community mental health journal · 2021Article
- Effect of socio-demographic and health factors on the association between multimorbidity and acute care service use: population-based survey linked to health administrative data.BMC health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesFirst, to test a model of the drivers of frequent emergency department utilization conceptualized as falling within predisposing, enabling, and need dimensions. Second, to extend the model to include social networks and service quality as predictors of frequent utilization. Third, to illustrate the variation in thresholds that define frequent utilization in terms of the number of emergency department encounters by the predictors within the model. DATA SOURCE: Primary data collection over an eight week period within a level-1 trauma urban hospital's emergency department. STUDY
designRepresentative randomized sample of 1,443 adult patients triaged ESI levels 4-5. Physicians and research staff interviewed patients as they received services. Relationships with the outcome variable, utilization, were tested using logistic regression to establish odds-ratios. PRINCIPAL
findings70.6 percent of patients have two or more, 48.3 percent have three or more, 25.3 percent have four or more, and 14.9 percent have five or more emergency department visits within 12 months. Factors associated with frequent utilization include gender, race, poor mental health, mental health drugs, prescription drug abuse, social networks, employment, perceptions of service quality, seriousness of condition, persistence of condition, and previous hospital admittance.
conclusionsInterventions targeting associated factors will change global emergency department encounters, although the mutability varies. Policy interventions to address predisposing factors such as substance abuse or access to mental health treatment as well as interventions that speak to enabling factors such as promoting the resiliency of social networks may result in decreased frequency of emergency department utilization.
Indexed as
Identifiers
What OpenQuestion holds
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.