ArticleThe western journal of emergency medicine2018
Case Management Reduces Length of Stay, Charges, and Testing in Emergency Department Frequent Users.
Article in The western journal of emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Interventions to Reduce Hospital Length of Stay in High-risk Populations: A Systematic Review.JAMA network open · 2021Pooled it
- Costs and effects of interventions targeting frequent presenters to the emergency department: a systematic and narrative review.BMC emergency medicine · 2019Pooled it
- Case management programs in emergency department to reduce frequent user visits: a systematic review.Acta bio-medica : Atenei Parmensis · 2019Pooled it
- Risk-Adjusted Excess Length of Stay for Patients With Heart Failure Across Facilities: A Large US Cohort Study.Journal of the American Heart Association · 2026Article
- Applying an implementation science lens to understand physician-level variation in patient length of stay in internal medicine.BMC health services research · 2025Article
- Reducing Weekend Hospital Discharge Delays Without Seven-Day Coverage by Leveraging Thursday and Friday Planning.Cureus · 2025Review
- Understanding hospital length of stay in trauma laparotomy patients: a National Trauma Database Study.Trauma surgery & acute care open · 2025Article
- Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models.International journal of health economics and management · 2024Article
- A mapping review of interventions to address patients who frequently seek care in the emergency department.BMC emergency medicine · 2024Article
- Supporting High-impAct useRs in Emergency Departments (SHarED) quality improvement: a mixed-method evaluation.BMJ open quality · 2023Article
- Implementation of a clinical practice guideline for assessment and management of renal colic in the emergency department.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023Article
- Change of home visit frequency by public health nurses predicts emergency escorts for psychiatric patients living in the community: A retrospective medical record review.Frontiers in public health · 2023Article
- Hospital-based preventative interventions for people experiencing homelessness in high-income countries: A systematic review.EClinicalMedicine · 2022Review
- Case management intervention of high users of the emergency department of a Portuguese hospital: a before-after design analysis.BMC emergency medicine · 2022Article
- Evaluation of the use of individualized patient care plans in frequent emergency department visitors with pain complaints.International journal of emergency medicine · 2022Article
- Influence of Case Management Model Combined with Continuous Nursing Care on Compliance Behavior and Adverse Emotions in Elderly Patients with Lung Cancer: A Prospective Single-Center Case-Control Study.Computational and mathematical methods in medicine · 2022Article
- Characteristics and Resource Utilization Associated with Frequent Users of Emergency Departments.Emergency medicine international · 2022Article
- Understanding the Accuracy of Clinician Provided Estimated Discharge Dates.Journal of medical systems · 2021Observational
- Application Effect of Case Management Mode Combined with ERAS in Elderly Patients with Hip Fracture.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Early administration of steroids in the ambulance setting: Protocol for a type I hybrid effectiveness-implementation trial with a stepped wedge design.Contemporary clinical trials · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCase management is an effective, short-term means to reduce emergency department (ED) visits in frequent users of the ED. This study sought to determine the effectiveness of case management on frequent ED users, in terms of reducing ED and hospital length of stay (LOS), accrued costs, and utilization of diagnostic tests.
methodsThe study consisted of a retrospective chart review of ED and inpatient visits in our hospital's ED case management program, comparing patient visits made in the one year prior to enrollment in the program, to the visits made in the one year after enrollment in the program. We examined the LOS, use of diagnostic testing, and monetary charges incurred by these patients one year prior and one year after enrollment into case management.
resultsThe study consisted of 158 patients in case management. Comparing the one year prior to enrollment to the one year after enrollment, ED visits decreased by 49%, inpatient admissions decreased by 39%, the use of computed tomography imaging decreased 41%, the use of ultrasound imaging decreased 52%, and the use of radiographs decreased 38%. LOS in the ED and for inpatient admissions decreased by 39%, reducing total LOS for these patients by 178 days. ED and hospital charges incurred by these patients decreased by 5.8 million dollars, a 41% reduction. All differences were statistically significant.
conclusionCase management for frequent users of the ED is an effective method to reduce patient visits, the use of diagnostic testing, length of stay, and cost within our institution.
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