ArticleBMC health services research2021
CONECT-6: a case-finding tool to identify patients with complex health needs.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.
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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
18 citing papers in PubMed.
- Patient-Reported Outcome Measures in the Emergency Department: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026Review
- The Edmonton frail scale: a feasibility study on assessing frailty among older adults with multimorbidity in Norwegian primary health care.BMC primary care · 2025Article
- The CONECT-6 case-finding tool to identify patients with complex needs: A few tips to promote understanding.Journal of evaluation in clinical practice · 2025Article
- Article
- Use of a single case-finding questionnaire to simultaneously target multiple related diseases allows enhanced disease detection.PloS one · 2025Article
- Opportunities of integrated care to improve equity for adults with complex needs: a qualitative study of case management in primary care.BMC primary care · 2024Article
- Beyond Diagnosis and Comorbidities-A Scoping Review of the Best Tools to Measure Complexity for Populations with Mental Illness.Diagnostics (Basel, Switzerland) · 2024Article
- Identifying facilitators and barriers to integrated and equitable care for community-dwelling older adults with high emergency department use from historically marginalized groups.International journal for equity in health · 2023Article
- Key characteristics of patient complexity and patient complexity conceptual models/measurement tools: a scoping review protocol.BMJ open · 2023Article
- Defining a threshold above which an adult can be considered to frequently use ambulance services: a retrospective cross-sectional study of emergency calls to an ambulance service in England.British paramedic journal · 2023Article
- Machine learning to improve frequent emergency department use prediction: a retrospective cohort study.Scientific reports · 2023Article
- Evaluation of Complexity Measurement Tools for Correlations with Health-Related Outcomes, Health Care Costs and Impacts on Healthcare Providers: A Scoping Review.International journal of environmental research and public health · 2022Article
- Identifying complex patients in family medicine for potential benefit from a case manager: a short questionnaire derived from the INTERMED Self-Assessment (IMSA) questionnaire.BMC primary care · 2022Article
- Better understanding care transitions of adults with complex health and social care needs: a study protocol.BMC health services research · 2022Article
- Patient complexity assessment tools containing inquiry domains important for Indigenous patient care: A scoping review.PloS one · 2022Article
- Correction to: CONECT-6: a case-finding tool to identify patients with complex health needs.BMC health services research · 2021Article
- Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs: A Comparative Case Study.International journal of integrated careArticle
- Factors associated with care transition experiences among individuals with complex needs: A prospective study.Journal of multimorbidity and comorbidityArticle
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
Abstract
backgroundEarly identification of patients with chronic conditions and complex health needs in emergency departments (ED) would enable the provision of services better suited to their needs, such as case management. A case-finding tool would ultimately support ED teams to this end and could reduce the cost of services due to avoidable ED visits and hospitalizations. The aim of this study was to develop and validate a short self-administered case-finding tool in EDs to identify patients with chronic conditions and complex health needs in an adult population.
methodsThis prospective development and initial validation study of a case-finding tool was conducted in four EDs in the province of Quebec (Canada). Adult patients with chronic conditions were approached at their third or more visit to the ED within 12 months to complete a self-administered questionnaire, which included socio-demographics, a comorbidity index, the reference standard INTERMED self-assessment, and 12 questions to develop the case-finding tool. Significant variables in bivariate analysis were included in a multivariate logistic regression analysis and a backward elimination procedure was applied. A receiver operating characteristic (ROC) curve was developed to identify the most appropriate threshold score to identify patients with complex health needs.
resultsTwo hundred ninety patients participated in the study. The multivariate analysis yielded a six-question tool, COmplex NEeds Case-finding Tool - 6 (CONECT-6), which evaluates the following variables: low perceived health; limitations due to pain; unmet needs; high self-perceived complexity; low income; and poor social support. With a threshold of two or more positive answers, the sensitivity was 90% and specificity 66%. The positive and negative predictive values were 49 and 75% respectively.
conclusionsThe case-finding process is the essential characteristic of case management effectiveness. This study presents the first case-finding tool to identify adult patients with chronic conditions and complex health needs in ED.
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