Evidence map›Paper›PMID 29332173›Full record

Observational studyInternational journal of public health2018

Is the use of emergency departments socially patterned?

Hélène Colineaux, Fanny Le Querrec, Laure Pourcel, Jean-Christophe Gallart, Olivier Azéma, Thierry Lang, Michelle Kelly-Irving, Sandrine Charpentier, Sébastien Lamy

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hélène ColineauxDepartment of Epidemiology, Health Economics and Public Health, Toulouse University Hospital, 37, Allées Jules Guesde, 31000, Toulouse, France. ln.colineaux@gmail.com.ORCID http://orcid.org/0000-0001-8164-0293
Fanny Le QuerrecRegional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP), 31000, Toulouse, France.
Laure PourcelRegional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP), 31000, Toulouse, France.
Jean-Christophe GallartRegional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP), 31000, Toulouse, France.
Olivier AzémaRegional Observatory of Emergency Medicine in the Midi-Pyrénées (ORU-MiP), 31000, Toulouse, France.
Thierry LangDepartment of Epidemiology, Health Economics and Public Health, Toulouse University Hospital, 37, Allées Jules Guesde, 31000, Toulouse, France.
Michelle Kelly-IrvingLEASP UMR1027, INSERM-Université Toulouse III, 31000, Toulouse, France.
Sandrine CharpentierLEASP UMR1027, INSERM-Université Toulouse III, 31000, Toulouse, France.
Sébastien LamyLEASP UMR1027, INSERM-Université Toulouse III, 31000, Toulouse, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the association between patients' socioeconomic position (SEP) and the use of emergency departments (EDs).

methodsThis population-based study included all visits to ED in 2012 by inhabitants of the French Midi-Pyrénées region, recorded by the Regional Emergency Departments Observatory. We compared ED visit rates and the proportion of non-severe visits according to the patients' SEP as assessed by the European Deprivation Index.

resultsWe analysed 496,388 visits. The annual ED visit rate increased with deprivation level: 165.9 [95% CI (164.8-166.9)] visits per 1000 inhabitants among the most advantaged group, compared to 321.9 [95% CI (320.3-323.5)] per 1000 among the most disadvantaged. However, the proportion of non-severe visits was about 14% of the visits, and this proportion did not differ according to SEP.

conclusionsAlthough the study shows a difference of ED visit rates, the probability of a visit being non-severe is not meaningfully different according to SEP. This supports the assumption that ED visit rate variations according to SEP are mainly explained by SEP-related differences in health states rather than SEP-related differences in health behaviours.

Indexed as

Socioeconomic FactorsAdolescentAdultAgedEmergency Service, HospitalEthnicityFemaleFranceHealth Status DisparitiesHumansMaleMiddle AgedResidence CharacteristicsUnited StatesYoung AdultAdministrative databaseEmergency departmentPrimary access to careSocial inequalities in health

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.