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[Hyperusers and emergency].

Agripino Oliveira1

  • 1Unidade de urgência de Espinho, Centro Hospitalar Gaia, Espinho.

Acta Medica Portuguesa
|April 1, 2009
PubMed
Summary
This summary is machine-generated.

Frequent emergency unit (UU) users, or hyperusers, are older patients with medical conditions requiring hospitalization. Understanding their patterns is key to improving care coordination between emergency and primary services.

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Area of Science:

  • Emergency Medicine
  • Healthcare Management
  • Geriatrics

Background:

  • Emergency services are critical for medical assistance.
  • Hyperusers represent a significant portion of emergency service utilization.
  • The impact of hyperusers on the healthcare system requires investigation.

Purpose of the Study:

  • To analyze the utilization patterns of the Espinho Hospital emergency unit (UU) by frequent visitors (hyperusers).
  • To compare the characteristics and reasons for visits of hyperusers versus infrequent visitors to the emergency unit.

Main Methods:

  • Retrospective case-control study in 2006.
  • Hyperusers defined as attending the UU four or more times.
  • Analysis of variables including demographics, admission details, and outcomes.

Main Results:

  • Hyperusers constituted 9.7% of patients but 33.2% of visits.
  • Hyperusers were older (45.2 vs. 36.7 years) and more frequently sought care for medical conditions compared to infrequent users.
  • Hospitalization (OR=3.38), advanced age (OR=2.44), and medical disease (OR=2.23) were associated with hyperuser status.

Conclusions:

  • The typical hyperuser of the emergency unit is an elderly individual requiring hospitalization due to medical illness.
  • Effective communication and care coordination between emergency units and primary care are crucial for these patients.
  • Improved continuity of care can enhance patient outcomes and potentially reduce emergency service overuse.