Evidence map›Paper›PMID 35581134›Full record

ArticleDisability and health journal2022

Emergency department utilization among deaf and hard-of-hearing patients: A retrospective chart review.

Tyler G James, Michael M McKee, M David Miller, Meagan K Sullivan, Kyle A Coady, Julia R Varnes, Thomas A Pearson, Ali M Yurasek, JeeWon Cheong

Abstract read
In one paragraph

Article in Disability and health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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.

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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Do's and Don'ts of Taking Care of Deaf Patients.Journal of education & teaching in emergency medicine · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Emergency department patient-centred care perspectives from deaf and hard-of-hearing patients.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  11. Observational
  12. Article
  13. Emergency department condition acuity, length of stay, and revisits among deaf and hard-of-hearing patients: A retrospective chart review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Observational
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

9 authors.

Tyler G JamesDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA; Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA. Electronic address: jamesty@med.umich.edu.
Michael M McKeeDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA. Electronic address: mmmckee@med.umich.edu.
M David MillerSchool of Human Development and Organizational Studies in Education, University of Florida, Gainesville, FL, USA. Electronic address: dmiller@coe.ufl.edu.
Meagan K SullivanDeaf Community Advisory Board Member, USA. Electronic address: Msully94@ufl.edu.
Kyle A CoadyDepartment of Health Education and Behavior, University of Florida, Gainesville, FL, USA. Electronic address: kcoady@ufl.edu.
Julia R VarnesDepartment of Health Services Research, Management, and Policy, University of Florida, Gainesville, FL, USA. Electronic address: jrvarnes@ufl.edu.
Thomas A PearsonDepartment of Epidemiology, University of Florida, Gainesville, FL, USA. Electronic address: tapearson@ufl.edu.
Ali M YurasekDepartment of Health Education and Behavior, University of Florida, Gainesville, FL, USA. Electronic address: A.yurasek@ufl.edu.
JeeWon CheongDepartment of Health Education and Behavior, University of Florida, Gainesville, FL, USA. Electronic address: jwcheong@ufl.edu.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Development of a conceptual model of emergency department utilization among deaf and hard-of-hearing patients: A mixed methods studyR36HS027537 · AHRQ · UNIVERSITY OF FLORIDA · PI JAMES, TYLER G · 2020 to 2020
$41k
AHRQ HHS R36 HS027537NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427
6 · The paper itself

Abstract

backgroundDeaf and hard-of-hearing (DHH) patients are an underserved priority population. Existing, although contextually limited, findings indicate that DHH patients are more likely to use the emergency department (ED) than non-DHH patients. However, little attention has been given to the differences in ED utilization by patients' language modalities.

objectiveWe hypothesized that DHH ASL-users and DHH English speakers would have higher rates of ED utilization in the past 36 months than non-DHH English speakers.

methodsWe used a retrospective chart review design using data from a large academic medical center in the southeastern United States. In total, 277 DHH ASL-users, 1000 DHH English speakers, and 1000 non-DHH English speakers were included. We used logistic regression and zero-inflated modeling to assess relations between patient segment and ED utilization in the past 12- and 36-months. We describe primary ED visit diagnosis codes using AHRQ Clinical Classifications Software.

resultsDHH ASL users and DHH English speakers had higher adjusted odds ratios of using the ED in the past 36-months than non-DHH English speakers (aORs = 1.790 and 1.644, respectively). Both DHH ASL users and DHH English speakers had a higher frequency of ED visits among patients who used the ED in the past 36-months (61.0% and 70.1%, respectively). The most common principal diagnosis code was for abdominal pain, with DHH English speakers making up over half of all abdominal pain encounters.

conclusionsDHH ASL users and DHH English speakers are at higher risk of using the ED compared to non-DHH English speakers. We call for additional attention on DHH patients in health services and ED utilization research.

Indexed as

Hearing LossPersons with DisabilitiesPersons with Hearing DisabilitiesAbdominal PainEmergency Service, HospitalHumansRetrospective StudiesSign LanguageDeafEmergency departmentHard-of-hearingHealthcare disparitiesHealthcare utilization

Identifiers

PMID35581134
PMCPMC9320896

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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.