Evidence map›Paper›PMID 34546883›Full record

ArticleThe western journal of emergency medicine2021

Emergency Department Visits by Patients with Substance Use Disorder in the United States.

Xingyu Zhang, Ningyuan Wang, Fengsu Hou, Yaseen Ali, Aaron Dora-Laskey, Chin Hwa Dahlem, Sean Esteban McCabe

Registry-linked trialAbstract read
In one paragraph

Article in The western journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07466784 (Optimizing Outcomes for Patients Presenting to Emergency Departments With Opioid Poisoning), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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.

NCT07466784 recruitingnot on this mapstarted 2025, after this paper: background citation

Optimizing Outcomes for Patients Presenting to Emergency Departments With Opioid Poisoning

Typeobservational_patient_registrySponsorUniversity of British ColumbiaRan2025 to 2030Enrolled7,200ConditionsOpioid Use Disorder, Opioid Abuse or Dependence, Opioid Withdrawal, Polysubstance Drug Use (Indiscriminate Drug Use)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Xingyu ZhangUniversity of Michigan School of Nursing, Department of Systems, Populations, and Leadership, Ann Arbor, Michigan, United States of America.
Ningyuan WangUniversity of Michigan, College of Literature, Science, and the Arts; Ann Arbor, Michigan, United States of America.
Fengsu HouShenzhen Kangning Hospital, Department of Public Health, Shenzhen, Guangdong Province, China.
Yaseen AliUniversity of Michigan, College of Literature, Science, and the Arts; Ann Arbor, Michigan, United States of America.
Aaron Dora-LaskeyMichigan State University College of Human Medicine, Department of Emergency Medicine, East Lansing, Michigan, United States of America.
Chin Hwa DahlemUniversity of Michigan School of Nursing, Department of Health Behavior and Biological Sciences, Ann Arbor, Michigan, United States of America.
Sean Esteban McCabeUniversity of Michigan School of Nursing, Department of Health Behavior and Biological Sciences, Ann Arbor, Michigan, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aimed to characterize emergency department (ED) utilization and clinical characteristics of patients with substance use disorder (SUD) seeking emergency care for all reasons.

methodsUsing 2016-2017 ED data from the National Hospital Ambulatory Medical Care Survey, we investigated demographics, ED resource utilization, and clinical characteristics of patients with SUD vs those without SUD.

resultsOf all adult ED visits (N = 27,609) in the US in 2016-2017, 11.1% of patients had SUD. Among ED patients with SUD, they were mostly non-Hispanic White (62.5%) and were more likely to be male (adjusted odds ratio [aOR] 1.80 confidence interval [CI], 1.66-1.95). Emergency department patients with SUD were also more likely to return to the ED within 72 hours (aOR 1.32, CI, 1.09-1.61) and more likely to be admitted to the hospital (aOR 1.28, CI, 1.14-1.43) and intensive care unit (aOR 1.40, CI, 1.05-1.85).

conclusionPatients with SUD have specific demographic, socioeconomic, and clinical characteristics associated with their ED visits. These findings highlight the importance of recognizing co-existing SUD as risk factors for increasing morbidity in acutely ill and injured patients, and the potential role of the ED as a site for interventions aimed at reducing harm from SUD.

Indexed as

AdolescentAdultAgedAged, 80 and overCross-Sectional StudiesEmergency Service, HospitalFemaleHealth Care SurveysHospitalizationHumansMaleMedicareMiddle AgedQuality of LifeSubstance-Related DisordersUnited States

Identifiers

PMID34546883
PMCPMC8463055

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Registered trials

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.