Impact of emergency department visit on disease self-management in adults with depression

Unexpected health-endangering events that lead to an emergency department visit may be perceived as “wake-up calls” and induce significant changes in health-related behavior (“health shock” effect). This study uses two waves of a survey of 826 adults with depression and finds that having an emergency department visit(s) increased medication adherence by 7.6 percentage points ( p < 0.05) relative to non-emergency department visitors but had no significant effect on counseling attendance (0.02% points, p = 0.380). Emergency department visits may provide an opportune teachable moment to initiate targeted interventions for positive behavioral change in adults with depression.

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

Clinical Pediatrics ◽

10.1177/0009922814541806 ◽

2014 ◽

Vol 53 (14) ◽

pp. 1359-1366 ◽

Cited By ~ 38

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.

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Associations of Patient Health-Related Problem Solving with Disease Control, Emergency Department Visits, and Hospitalizations in HIV and Diabetes Clinic Samples

Journal of General Internal Medicine ◽

10.1007/s11606-006-0091-2 ◽

2007 ◽

Vol 22 (5) ◽

pp. 649-654 ◽

Cited By ~ 11

Author(s):

Felicia Hill-Briggs ◽

Leigh Gemmell ◽

Babul Kulkarni ◽

Brendan Klick ◽

Frederick L. Brancati

Keyword(s):

Emergency Department ◽

Problem Solving ◽

Disease Control ◽

Emergency Department Visits due to Scabies in the United States: A Retrospective Analysis of a Nationally Representative Emergency Department Sample

Clinical Infectious Diseases ◽

10.1093/cid/ciz207 ◽

2019 ◽

Author(s):

Raghav Tripathi ◽

Konrad D Knusel ◽

Harib H Ezaldein ◽

Jeremy S Bordeaux ◽

Jeffrey F Scott

Keyword(s):

United States ◽

Emergency Department ◽

Retrospective Analysis ◽

The United States ◽

Cost Of Care ◽

Emergency Department Visits ◽

Limited Information ◽

Targeted Interventions ◽

Ed Visits ◽

Nationally Representative

Abstract Background Limited information exists regarding the burden of emergency department (ED) visits due to scabies in the United States. The goal of this study was to provide population-level estimates regarding scabies visits to American EDs. Methods This study was a retrospective analysis of the nationally representative National Emergency Department Sample from 2013 to 2015. Outcomes included adjusted odds for scabies ED visits, adjusted odds for inpatient admission due to scabies in the ED scabies population, predictors for cost of care, and seasonal/regional variation in cost and prevalence of scabies ED visits. Results Our patient population included 416 017 218 ED visits from 2013 to 2015, of which 356 267 were due to scabies (prevalence = 85.7 per 100 000 ED visits). The average annual expenditure for scabies ED visits was $67 125 780.36. The average cost of care for a scabies ED visit was $750.91 (±17.41). Patients visiting the ED for scabies were most likely to be male children from lower income quartiles and were most likely to present to the ED on weekdays in the fall, controlling for all other factors. Scabies ED patients that were male, older, insured by Medicare, from the highest income quartile, and from the Midwest/West were most likely to be admitted as inpatients. Older, higher income, Medicare patients in large Northeastern metropolitan cities had the greatest cost of care. Conclusion This study provides comprehensive nationally representative estimates of the burden of scabies ED visits on the American healthcare system. These findings are important for developing targeted interventions to decrease the incidence and burden of scabies in American EDs.

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Features of self-management interventions for people with COPD associated with improved health-related quality of life and reduced emergency department visits: a systematic review and meta-analysis

International Journal of Chronic Obstructive Pulmonary Disease ◽

10.2147/copd.s133317 ◽

2017 ◽

Vol Volume 12 ◽

pp. 1705-1720 ◽

Cited By ~ 17

Author(s):

James Newham ◽

Justin Presseau ◽

Karen Heslop-Marshall ◽

Siân Russell ◽

Oladapo Ogunbayo ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Meta Analysis ◽

Emergency Department Visits ◽

Self Management ◽

Health Related Quality ◽

Management Interventions ◽

Related Quality ◽

Health Related

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Characteristics of psychiatric emergency department use among privately insured adolescents with autism spectrum disorder

Autism ◽

10.1177/1362361317749951 ◽

2018 ◽

Vol 23 (3) ◽

pp. 566-573 ◽

Cited By ~ 4

Author(s):

Luther G Kalb ◽

Elizabeth A Stuart ◽

Roma A Vasa

Keyword(s):

Autism Spectrum Disorder ◽

Emergency Department ◽

Attention Deficit Hyperactivity Disorder ◽

Emergency Department Visit ◽

Attention Deficit ◽

Autism Spectrum ◽

Emergency Department Visits ◽

Spectrum Disorder ◽

Hyperactivity Disorder ◽

Adolescents With Autism

This study examined differences in the rates of psychiatric-related emergency department visits among adolescents with autism spectrum disorder, adolescents with attention deficit hyperactivity disorder, and adolescents without autism spectrum disorder or attention deficit hyperactivity disorder. Additional outcomes included emergency department recidivism, probability of psychiatric hospitalization after the emergency department visit, and receipt of outpatient mental health services before and after the emergency department visit. Data came from privately insured adolescents, aged 12–17 years, with autism spectrum disorder (N = 46,323), attention deficit hyperactivity disorder (N = 408,066), and neither diagnosis (N = 2,330,332), enrolled in the 2010–2013 MarketScan Commercial Claims Database. Adolescents with autism spectrum disorder had an increased rate of psychiatric emergency department visits compared to adolescents with attention deficit hyperactivity disorder (IRR = 2.0, 95% confidence interval: 1.9, 2.1) and adolescents with neither diagnosis (IRR = 9.9, 95% confidence interval: 9.4, 10.4). Compared to the other groups, adolescents with autism spectrum disorder also had an increased probability of emergency department recidivism, psychiatric hospitalization after the emergency department visit, and receipt of outpatient care before and after the visit (all p < 0.001). Further research is required to understand whether these findings extend to youth with other neurodevelopmental disorders, particularly those who are publicly insured.

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