The role of health and non-health-related factors in repeat emergency department visits in an elderly urban population

2010 ◽  
Vol 27 (9) ◽  
pp. 683-687 ◽  
Author(s):  
C. Naughton ◽  
J. Drennan ◽  
P. Treacy ◽  
G. Fealy ◽  
M. Kilkenny ◽  
...  
Keyword(s):  
Emergency Department ◽  
Urban Population ◽  
Emergency Department Visits ◽  
Related Factors ◽  
Health Related

scholarly journals A Rational Evaluation of the Syncope Patient: Optimizing the Emergency Department Visit

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 514
Author(s):  
Tarek Hatoum ◽  
Robert S. Sheldon
Keyword(s):  
Emergency Department ◽  
Diagnostic Yield ◽  
Clinical Decision ◽  
Emergency Department Visits ◽  
Decision Tools ◽  
Short And Long Term ◽  
Electrocardiogram Ecg ◽  
Structured Approach

Syncope accounts for up to 2% of emergency department visits and results in the hospitalization of 12–86% of patients. There is often a low diagnostic yield, with up to 50% of hospitalized patients being discharged with no clear diagnosis. We will outline a structured approach to the syncope patient in the emergency department, highlighting the evidence supporting the role of clinical judgement and the initial electrocardiogram (ECG) in making the preliminary diagnosis and in safely identifying the patients at low risk of short- and long-term adverse events or admitting the patient if likely to benefit from urgent intervention. Clinical decision tools and additional testing may aid in further stratifying patients and may guide disposition. While hospital admission does not seem to offer additional mortality benefit, the efficient utilization of outpatient testing may provide similar diagnostic yield, preventing unnecessary hospitalizations.

scholarly journals COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals

2020 ◽  
Vol 47 (5) ◽  
pp. 693-696 ◽  
Author(s):  
Maria Bres Bullrich ◽  
Sebastian Fridman ◽  
Jennifer L. Mandzia ◽  
Lauren M. Mai ◽  
Alexander Khaw ◽  
...  
Keyword(s):  
Emergency Department ◽  
Stroke Prevention ◽  
Stroke Unit ◽  
Emergency Department Visits ◽  
Related Factors ◽  
Hospital Policies ◽  
The Government ◽  
Stroke Center ◽  
The Impact ◽  
Prevention Clinic

Abstract:We assessed the impact of the coronavirus disease 19 (COVID-19) pandemic on code stroke activations in the emergency department, stroke unit admissions, and referrals to the stroke prevention clinic at London’s regional stroke center, serving a population of 1.8 million in Ontario, Canada. We found a 20% drop in the number of code strokes in 2020 compared to 2019, immediately after the first cases of COVID-19 were officially confirmed. There were no changes in the number of stroke admissions and there was a 22% decrease in the number of clinic referrals, only after the provincial lockdown. Our findings suggest that the decrease in code strokes was mainly driven by patient-related factors such as fear to be exposed to the SARS-CoV-2, while the reduction in clinic referrals was largely explained by hospital policies and the Government lockdown.

scholarly journals Emergency Department Visits for Mental Health Conditions Among US Children, 2001-2011

2014 ◽  
Vol 53 (14) ◽  
pp. 1359-1366 ◽  
Author(s):  
Alan E. Simon ◽  
Kenneth C. Schoendorf
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Emergency Department Visits ◽  
Health Issues ◽  
White Children ◽  
Mental Health Issues ◽  
Health Related ◽  
Care Survey ◽  
Ambulatory Medical Care ◽  
Us Children

We examined mental health–related visits to emergency departments (EDs) among children from 2001 to 2011. We used the National Hospital Ambulatory Medical Care Survey—Emergency Department, 2001-2011 to identify visits of children 6 to 20 years old with a reason-for-visit code or ICD-9-CM diagnosis code reflecting mental health issues. National percentages of total visits, visit counts, and population rates were calculated, overall and by race, age, and sex. Emergency department visits for mental health issues increased from 4.4% of all visits in 2001 to 7.2% in 2011. Counts increased 55 000 visits per year and rates increased from 13.6 visits/1000 population in 2001 to 25.3 visits/1000 in 2011 ( P < .01 for all trends). Black children (all ages) had higher visit rates than white children and 13- to 20-year-olds had higher visit rates than children 6 to 12 years old ( P < .01 for all comparisons). Differences between groups did not decline over time.

scholarly journals Medical patients’ affective well-being after emergency department admission: The role of personal and social resources and health-related variables

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0212900 ◽  
Author(s):  
Lukas Faessler ◽  
Jeannette Brodbeck ◽  
Philipp Schuetz ◽  
Sebastian Haubitz ◽  
Beat Mueller ◽  
...  
Keyword(s):  
Emergency Department ◽  
Well Being ◽  
Social Resources ◽  
Medical Patients ◽  
Emergency Department Admission ◽  
Health Related

Healthy Aging in the Context of Educational Disadvantage: The Role of “Ordinary Magic”

2016 ◽  
Vol 29 (7) ◽  
pp. 1214-1234 ◽  
Author(s):  
Sara J. McLaughlin
Keyword(s):  
High School ◽  
Healthy Aging ◽  
Educational Status ◽  
High School Diploma ◽  
Related Factors ◽  
Educationally Disadvantaged ◽  
Educational Disadvantage ◽  
Health Related ◽  
Retirement Study

Objective: The objective of this study is to examine the correlates of healthy aging in the context of educational disadvantage and the extent to which identified correlates are shared with the wider, more educationally advantaged population. Method: Data are from the 2012 Health and Retirement Study. The analytic sample included 17,484 self-respondents ≥50 years of age. Educational disadvantage was defined as having less than a high school diploma. Using logistic regression, healthy aging was regressed on demographic, early-life, and health-related factors by educational status. Results: Among educationally disadvantaged adults, demographic characteristics (e.g., age), health practices (e.g., physical activity), and the presence of health conditions were independently correlated with healthy aging. With few exceptions, correlates of healthy aging were similar among educationally advantaged and disadvantaged adults. Discussion: Ordinary factors are associated with healthy aging among adults without a high school diploma, suggesting that healthy aging is possible for larger numbers of adults aging in the context of educational disadvantage.

scholarly journals ROLE OF PARTICULATE MATTER ON EMERGENCY DEPARTMENT VISITS FOR ASTHMA EXACERBATION

CHEST Journal ◽  
2020 ◽  
Vol 157 (6) ◽  
pp. A311
Author(s):  
L. Pini ◽  
J. Giordani ◽  
C. Concoreggi ◽  
P. Piovanelli ◽  
A. Pini ◽  
...  
Keyword(s):  
Emergency Department ◽  
Particulate Matter ◽  
Asthma Exacerbation ◽  
Emergency Department Visits

scholarly journals What drives beliefs in COVID-19 conspiracy theories? The role of psychotic-like experiences and confinement-related factors

2020 ◽  
Author(s):  
Simão Pedro Rodrigues Ferreira ◽  
Carlos Campos ◽  
Beatriz Monteiro Marinho ◽  
Susana Rocha ◽  
Eduardo Fonseca-Pedrero ◽  
...  
Keyword(s):  
Global Economy ◽  
Affective States ◽  
Related Factors ◽  
Conspiracy Theories ◽  
Effective Dissemination ◽  
Wide Range ◽  
Education Levels ◽  
Health Related ◽  
Conspiracy Beliefs

The COVID-19 pandemic is a worldwide threat to public health and the global economy. The climate of fear and uncertainty associated with the pandemic has fostered the emergence of a wide-range of COVID-19 conspiracy theories that has the potential do shape public opinion and hinder the effective dissemination of valid information. Beliefs in conspiracy theories has been associated with maladaptive personality traits such as schizotypy and paranoia, as well as other non-psychotic psychological characteristics (e.g., social isolation, stress). The current study aimed to examine the association between beliefs in COVID-19 conspiracy theories and psychotic-like experiences within the community, while also addressing the role of sociodemographic information, psychological outcomes (e.g., stress, affective states) and other pandemic-related factors (e.g., confinement conditions/behaviors). Our results suggest that psychotic-like experiences are associated with beliefs in COVID-19 conspiracy theories, particularly perceptual abnormalities and persecutory ideation. Moreover, increased health-related concerns and reduced education levels also seem to be liability factors for these conspiracy beliefs. These results add important insights into how the adherence to illogical and erroneous disease-related arguments may be contingent to proneness to psychotic-like experiences. COVID-19 conspiracy theories are yet another major challenge that governments and policy makers must contemplate when defining strategic directions to manage the current and future pandemics.

Serious Mental Illness and Health-Related Factors Associated with Regional Emergency Department Utilization

2020 ◽  
Vol 23 (6) ◽  
pp. 430-437
Author(s):  
Kristen M.J. Azar ◽  
John P. Petersen ◽  
Zijun Shen ◽  
Catherine Nasrallah ◽  
Jacqueline Pesa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Emergency Department Utilization ◽  
Related Factors ◽  
Factors Associated ◽  
Health Related
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