Evidence map›Paper›PMID 41955953›Full record

Observational studyThe Journal of emergency medicine2026

Evaluation of an Emergency Department Over-the-Counter Analgesic Medication Starter Pack Initiative on 30-day Revisits.

Sophia Sheikh, Caterina Alacevich, Magda Montague, Claire Layton, Morgan Henson, Ramzi Salloum, Phyllis Hendry

Abstract readObservational Study
In one paragraph

Observational study in The Journal of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sophia SheikhDepartment of Emergency Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida. Electronic address: Sophia.Sheikh@jax.ufl.edu.
Caterina AlacevichDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, Florida.
Magda MontagueDepartment of Emergency Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
Claire LaytonUF Health Integrated Data Repository, University of Florida, Gainesville, Florida.
Morgan HensonDepartment of Emergency Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
Ramzi SalloumDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, Florida.
Phyllis HendryDepartment of Emergency Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.

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
NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427
6 · The paper itself

Abstract

backgroundAn Over-The-Counter (OTC) Starter Pack Initiative was implemented in the emergency department (ED) of a safety-net institution. Select OTC analgesic medications were dispensed free to patients experiencing financial/healthcare access barriers. STUDY

objectiveWe compared 30-day all-cause ED revisit rates in program participants before and after program participation.

methodsAn institutional review board (IRB) approved retrospective observational study of ED visits made by program participants from 01/01 to 10/21/2021 was conducted. Demographics, number of ED visits, ICD-10 codes, and pain scores were collected. A modified patient fixed-effects Poisson regression estimated the relative risk of 30-day all-cause ED revisit after receiving assistance ("OTC-assisted") compared with the preprogram "usual care" risk.

resultsThere were 149 unique participants with both "usual care" and"OTC-program assisted" visits. Among these participants, the 30-day revisit rate was lower after program assistance (34%) compared to their revisit rate following a usual care visit (52%). OTC-Starter Pack program assistance was associated with a 20% reduction in the relative risk of revisiting the ED within 30 days (RR: 0.80, 95% CI: 0.71, 0.910) (p = 0.000). A cost saving analysis suggests that the program was associated with a per-patient saving of $53.21, on average, in avoided ED costs, net of the cost of the starter pack.

conclusionsThe OTC-Starter Pack Program was associated with reduced 30-day revisit rates among patients with financial or healthcare access barriers and suggested cost savings within our study population.

Indexed as

AnalgesicsEmergency Service, HospitalNonprescription DrugsPatient ReadmissionAdultAgedEmergency Room VisitsFemaleHumansMaleMiddle AgedRetrospective StudiesAnalgesicsNonprescription Drugsemergency department recidivismfinancial barriersnonopioidpain

Identifiers

PMID41955953
PMCPMC13244541

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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.