Evidence map›Paper›PMID 34625377›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2022

Assessing the Relationship Between Well-Care Visit and Emergency Department Utilization Among Adolescents and Young Adults.

Jennifer E Holland, Susan E Varni, Christian D Pulcini, Tamara D Simon, Valerie S Harder

Abstract read
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In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Article
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  7. Observational
  8. A mobile integrated health program for the management of undifferentiated acute complaints in older adults is safe and feasible.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jennifer E HollandThe Robert Larner, MD College of Medicine at The University of Vermont, Burlington, Vermont.
Susan E VarniThe Robert Larner, MD College of Medicine at The University of Vermont, Burlington, Vermont; Department of Pediatrics at The University of Vermont, Burlington, Vermont.
Christian D PulciniThe Robert Larner, MD College of Medicine at The University of Vermont, Burlington, Vermont; Department of Pediatrics at The University of Vermont, Burlington, Vermont; Department of Surgery at The University of Vermont, Burlington, Vermont.
Tamara D SimonDepartment of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
Valerie S HarderThe Robert Larner, MD College of Medicine at The University of Vermont, Burlington, Vermont; Department of Pediatrics at The University of Vermont, Burlington, Vermont; Department of Psychiatry at The University of Vermont, Burlington, Vermont. Electronic address: Valerie.Harder@uvm.edu.

Funding

Adolescents with Special Health Care Needs in Patient-Centered Medical Homes: Utilization and Transition Outcomes in All-Payer Claims DataR03HS024575 · AHRQ · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HARDER, VALERIE S · 2016 to 2017
$100k
AHRQ HHS R03 HS024575
6 · The paper itself

Abstract

purposeTo investigate the association between adolescent and young adult (AYA) well-care visits and emergency department (ED) utilization.

methodsVermont's all-payer claims data were used to evaluate visits for 49,089 AYAs (aged 12-21 years) with a health-care claim from January 1 through December 31, 2018. We performed multiple logistic regression analyses to determine the association between well-care visits and ED utilization, investigating potential moderating effects of age, insurance type, and medical complexity.

resultsNearly half (49%) of AYAs who engaged with the health-care system did not attend a well-care visit in 2018. AYAs who did not attend a well-care visit had 24% greater odds (95% confidence interval [CI]: 1.19-1.30) of going to the ED at least once in 2018, controlling for age, sex, insurance type, and medical complexity. Older age, female sex, Medicaid insurance, and greater medical complexity independently predicted greater ED utilization in the adjusted model. In stratified analyses, late adolescents and young adults (aged 18-21 years) who did not attend a well-care visit had 47% greater odds (95% CI: 1.37 - 1.58) of ED visits, middle adolescents (aged 15-17 years) had 9% greater odds (95% CI: 1.01-1.18), and early adolescents (aged 12-14 years) had 16% greater odds (95% CI: 1.06 - 1.26).

conclusionsNot attending well-care visits is associated with greater ED utilization among AYAs engaged in health care. Focus on key quality performance metrics such as well-care visit attendance, especially for 18- to 21-year-olds during their transition to adult health care, may help reduce ED utilization.

Indexed as

Emergency Service, HospitalMedicaidAdolescentAdultChildFemaleHealth FacilitiesHumansUnited StatesYoung AdultAdolescents and young adultsEmergency careInsuranceMedical complexityPreventive visits

Identifiers

PMID34625377
PMCPMC10494705

What OpenQuestion holds

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Registered trials

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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.