Evidence map›Paper›PMID 29671696›Full record

ArticleSubstance use & misuse2018

Emergency Department Visits in a Cohort of Persons with Substance Use: Incorporating the Role of Social Networks.

Paul Sacamano, Noa Krawczyk, Carl Latkin

Abstract read
In one paragraph

Article in Substance use & misuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

3 authors.

Paul Sacamanoa Department of Epidemiology , Johns Hopkins University Bloomberg School of Public Health , Baltimore , Maryland , USA.
Noa Krawczykb Department of Mental Health , Johns Hopkins University Bloomberg School of Public Health , Baltimore , Maryland , USA.
Carl Latkinc Department of Health, Behavior & Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.ORCID 0000-0002-0643-8586

Funding

NIDA Epidemiology Training Program: Johns Hopkins UniversityT32DA007292 · NIDA · JOHNS HOPKINS UNIVERSITY · PI RENEE M. JOHNSON, Brion S Maher · 1993 to 2026
$17.7M
Johns Hopkins HIV Epidemiology and Prevention Sciences Training ProgramT32AI102623 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Shruti H Mehta · 2013 to 2026
$5.3M
The Impact of Neighborhoods, Networks and Depression on Drug Users' HIV RisksR01DA022961 · NIDA · JOHNS HOPKINS UNIVERSITY · PI LATKIN, CARL A · 2007 to 2011
$3.0M
NIAID NIH HHS T32 AI102623NIDA NIH HHS R01 DA022961NIDA NIH HHS T32 DA007292
6 · The paper itself

Abstract

backgroundFrequent emergency department (ED) visits often suggest inappropriate use for low acuity needs and multiple comorbidities, including substance use disorders.

objectiveThis study examines associations of individuals and their social networks with high frequency ED use among persons reporting substance use.

methodsInformation was obtained from interview responses from the first 6-month follow-up visit of a longitudinal. Prevalence ratios for the outcome of high frequency ED visits (≥2 in 6 months) were determined with a generalized linear model, log link, Poisson distribution and robust standard errors.

resultsOf 653 participants, 131 (20%) had ≥2 ED visits. In multivariable analysis, greater likelihood of high frequency ED visits over 6 months was associated with being homeless (PR: 1.58; 95% CI: 1.19, 2.10), taking ≥3 medications (PR: 1.58; 95% CI: 1.19, 2.10) and having had a hospitalization over the same period (PR: 4.33; 95% CI: 3.26, 7.56). Among social network factors, lower likelihood of high frequency visits was associated with each increasing year of mean alter age (PR: 0.98; 95% CI: 0.6, 0.99) and greater likelihood with having received health-related informational support from ≥2 alters (PR: 1.62; 95% CI: 1.04, 2.53). Conclusions/Importance: Social network factors may play an important role in ED use. Interventions to promote health behaviors through social influence may be helpful in reducing high frequency ED visits.

Indexed as

Social SupportAdolescentAdultCohort StudiesComorbidityCross-Sectional StudiesEmergency Service, HospitalFemaleFollow-Up StudiesHumansIll-Housed PersonsLongitudinal StudiesMaleMedical OveruseMental DisordersMiddle Agedego networksEmergency department usesocial supportsubstance use

Identifiers

PMID29671696
PMCPMC6105410

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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.