ArticleBMC health services research2017
Factors associated with chronic frequent emergency department utilization in a population with diabetes living in metropolitan areas: a population-based retrospective cohort study.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Machine learning-driven risk prediction for post-hospitalization diabetes case management: Integrating clinical and social determinants of health.International journal of medical informatics · 2026Article
- Factors associated with persistent high use of emergency departments: a nationwide retrospective cohort study.BMJ open · 2026Article
- Predictors of 30-Day Recurrent Emergency Department Visits for Hyperglycemia in Patients With Diabetes: A Multicentre Prospective Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Observational
- The Descriptive Epidemiology and Clinical Characteristics of People with Diabetes Attending Urgent Care in a Primary Health Care Center.Materia socio-medica · 2025Article
- A mapping review of interventions to address patients who frequently seek care in the emergency department.BMC emergency medicine · 2024Article
- Features of ENT Cases in the Emergency Department of a Tertiary Hospital in Greece: A Prospectively Driven Data Collection Study.Healthcare (Basel, Switzerland) · 2023Article
- Factors related to the frequent use of emergency department services in Korea.BMC emergency medicine · 2023Observational
- Healthcare Impacts Associated with Federally Declared Disasters-Hurricanes Gustave and Ike.International journal of environmental research and public health · 2023Article
- Social and structural determinants of emergency department use among Arab and Jewish patients in Jerusalem.International journal for equity in health · 2022Article
- Recognizing the emergency department's role in oncologic care: a review of the literature on unplanned acute care.Emergency cancer care · 2022Review
- Identifying Frequent Health Care Users and Care Consumption Patterns: Process Mining of Emergency Medical Services Data.Journal of medical Internet research · 2021Article
- The Role of Earlier Receipt of a Lower Limb Prosthesis on Emergency Department Utilization.PM & R : the journal of injury, function, and rehabilitation · 2021Observational
- Predictors of Recurrent High Emergency Department Use among Patients with Mental Disorders.International journal of environmental research and public health · 2021Article
- CONECT-6: a case-finding tool to identify patients with complex health needs.BMC health services research · 2021Article
- Waiting times in emergency departments: a resource allocation or an efficiency issue?BMC health services research · 2020Article
- Tracing frequent users of regional care services using emergency medical services data: a networked approach.BMJ open · 2020Article
- Persistent frequent emergency department users with chronic conditions: A population-based cohort study.PloS one · 2020Article
- Association of Anxiety With High-Cost Health Care Use Among Individuals With Type 2 Diabetes.Diabetes care · 2019Article
- Statistical tools used for analyses of frequent users of emergency department: a scoping review.BMJ open · 2019Article
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4 authors.
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Abstract
backgroundA small proportion of patients utilizes a disproportionately large amount of emergency department (ED) resources. Being able to properly identify chronic frequent ED users, i.e. frequent ED users over a multiple-year period, would allow healthcare professionals to intervene before it occurs and, if possible, redirect these patients to more appropriate health services. The objective of this study was to explore the factors associated with chronic frequent ED utilization in a population with diabetes.
methodsA population-based retrospective cohort study using administrative data was conducted on 62,316 patients with diabetes living in metropolitan areas of Quebec (Canada), having visited an ED during 2006, and still alive in 31 December 2009. The dependant variable was being a chronic frequent ED user, defined as having at least 3 ED visits per year during three consecutive years (2007-2009). Independent variables, measured during 2006, included age, sex, neighbourhood deprivation, affiliation to a general practitioner, and number of physical and mental health comorbidities. Logistic regression and tree-based method were used to identify factors associated with chronic frequent ED use.
resultsA total of 2.6% of the cohort (patients with diabetes and at least one ED visit in 2006) was identified as chronic frequent ED users. These patients accounted for 16% of all ED visits made by the cohort during follow-up. The cumulative effect of a high illness burden combined with mental health disorders was associated with an increased risk of chronic frequent ED use.
conclusionsInterventions must target the population at higher risk of becoming chronic frequent ED users and should be designed to manage the complex interaction between high illness burden and mental health.
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