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Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD
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Determinants of Persistent, Multi-Year, Frequent Emergency Department Use Among Children and Young Adults in Three US

Theodoros V Giannouchos1, Benjamin Ukert2, Ronald G Pirrallo3

  • 1Department of Health Policy & Organization (TV Giannouchos), School of Public Health, The University of Alabama at Birmingham, Birmingham, Ala.

Academic Pediatrics
|September 6, 2023
PubMed

Insights

Persistent frequent emergency department (ED) use in children and young adults is linked to specific factors like insurance status and location. Understanding these characteristics is key to developing targeted interventions for frequent ED users.

Area of Science:

  • Pediatric Healthcare Research
  • Health Services Research
  • Public Health Policy

Background:

  • Frequent emergency department (ED) use is a significant concern in healthcare systems.
  • Understanding the characteristics of persistent, multi-year ED users is crucial for effective resource allocation and intervention development.

Purpose of the Study:

  • To examine the factors associated with persistent, multi-year, and frequent emergency department (ED) use among children and young adults (ages 0-19).
  • To identify specific patient and utilization characteristics that predict ongoing high ED utilization over time.

Main Methods:

  • Retrospective secondary analysis of the 2012-2017 Healthcare Cost and Utilization Project State Emergency Department Databases.
  • Inclusion of ED visits from Florida, Massachusetts, and New York.
  • Multivariable logistic regression models used to estimate associations between persistent frequent ED use and individual characteristics.

Main Results:

  • In 2012, 2.9% of patients accounted for 10.2% of all ED visits.
  • Over 3-5 years, 2.2% of frequent ED users exhibited persistent frequent use.
  • Persistent frequent ED use was associated with public insurance, inconsistent coverage, non-metropolitan/lower-income residence, multimorbidity, and less medically urgent visits.

Conclusions:

  • Persistent frequent ED users have distinct characteristics compared to general frequent ED users.
  • Interventions should address the diverse needs of pediatric persistent frequent ED users.
  • Tailored strategies are needed to improve health outcomes and reduce healthcare costs associated with high ED utilization.
Abstract

Keywords:
emergency departmenthealthcare utilization patternspediatricpersistent use

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