ArticlePediatrics2017
Characteristics of Children Enrolled in Medicaid With High-Frequency Emergency Department Use.
Article in Pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- An Innovative Approach to Enhanced Care Management for High-Need Pediatric Medicaid Members: Retrospective Cohort Study.JMIR pediatrics and parenting · 2026Article
- Characteristics of Pediatric Emergency Department Visits in the Past 22 Years in the United States (1997-2019).Cureus · 2025Article
- Missed Screening for Adverse Social Determinants of Health and Emergency Department Utilization.Annals of emergency medicine · 2024Article
- Children With Medical Complexity and Mental and Behavioral Disorders in the Emergency Department.Hospital pediatrics · 2023Article
- Article
- Effect of Elementary School-Based Health Centers in Georgia on the Use of Preventive Services.American journal of preventive medicine · 2020Article
- Persistent frequent emergency department users with chronic conditions: A population-based cohort study.PloS one · 2020Article
- Emergency department utilization during the first year of life among infants born to women at risk of disability.Disability and health journal · 2020Article
- Statistical tools used for analyses of frequent users of emergency department: a scoping review.BMJ open · 2019Article
- Comparing Statewide and Single-center Data to Predict High-frequency Emergency Department Utilization Among Patients With Asthma Exacerbation.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Article
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
BACKGROUND AND
objectivesSome children repeatedly use the emergency department (ED) at high levels. Among Medicaid-insured children with high-frequency ED use in 1 year, we sought to describe the characteristics of children who sustain high-frequency ED use over the following 2 years.
methodsRetrospective longitudinal cohort study of 470 449 Medicaid-insured children appearing in the MarketScan Medicaid database, aged 1-16 years, with ≥1 ED discharges in 2012. Children with high ED use in 2012 (≥4 ED discharges) were followed through 2014 to identify characteristics associated with sustained high ED use (≥8 ED discharges in 2013-2014 combined). A generalized linear model was used to identify patient characteristics associated with sustained high ED use.
resultsA total of 39 945 children (8.5%) experienced high ED use in 2012, accounting for 25% of total ED visits in 2012. Sixteen percent of these children experienced sustained high ED use in the following 2 years. Adolescents (adjusted odds ratio [aOR]: 1.4 [95% confidence interval: 1.3-1.5]), disabled children (aOR: 1.3 [95% confidence interval: 1.1-1.5]), and children with 3 or more chronic conditions (aOR: 2.1, [95% confidence interval: 1.9-2.3]) experienced the highest likelihood for sustaining high ED use.
conclusionsOne in 6 Medicaid-insured children with high ED use in a single year experienced sustained high levels of ED use over the next 2 years. Adolescents and individuals with multiple chronic conditions were most likely to have sustained high rates of ED use. Targeted interventions may be indicated to help reduce ED use among children at high risk.
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