Predictors of Loss to Follow-Up in Young Patients With Minor Trauma After Screening and Written Intervention for Alcohol in an Urban Emergency Department

2007 ◽  
Vol 68 (1) ◽  
pp. 133-140 ◽  
Author(s):  
Bruno Neuner ◽  
Michael Fleming ◽  
Rike Born ◽  
Edith Weiss-Gerlach ◽  
Tim Neumann ◽  
...  
Keyword(s):  
Emergency Department ◽  
Young Patients ◽  
Minor Trauma ◽  
Loss To Follow Up ◽  
Urban Emergency Department

scholarly journals Sexual Violence Victimization Among Youth Presenting to an Urban Emergency Department: The Role of Violence Exposure in Predicting Risk

2017 ◽  
Vol 45 (4) ◽  
pp. 625-634 ◽  
Author(s):  
Andria B. Eisman ◽  
Quyen M. Ngo ◽  
Yasamin Y. Kusunoki ◽  
Erin E. Bonar ◽  
Marc A. Zimmerman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Sexual Violence ◽  
Parent Education ◽  
Violence Exposure ◽  
Specific Content ◽  
Disadvantaged Communities ◽  
Peer Violence ◽  
Forms Of Violence ◽  
Urban Emergency Department

Sexual violence (SV) is a widespread public health problem among adolescents and emerging adults with significant short- and long-term consequences. Young people living in urban, disadvantaged communities with high rates of violence may be especially at risk for SV victimization. Understanding interconnections between different forms of violence is critical to reducing SV risk among youth. Participants were youth ( N = 599) ages 14 to 24 years ( M = 20.05, SD = 2.42) presenting to an urban emergency department with a Level 1 trauma designation as part of a prospective cohort study and followed-up for 24 months. We used logistic regression to examine the probability of reporting SV during the 24-month follow-up based on baseline reports of community and peer violence exposure, accounting for previous SV victimization, substance use, and sociodemographic characteristics. Among youth presenting to an urban emergency department, 22% of youth not seeking care for a sexual assault reported any lifetime SV (forced and/or substance-induced sexual intercourse) at baseline. During the 24-month follow-up, 12% reported SV victimization. We found high community violence exposure (odds ratio [OR] = 2.96, 95% confidence interval [CI] [1.01, 8.68]) and peer violence exposure (OR = 1.58, 95% CI [1.19, 2.08]) were associated with increased odds of reporting SV during follow-up in addition to previous SV victimization (OR = 2.71, 95% CI [1.45, 5.09]). Sex, age, parent education, and alcohol or other drug use at baseline were not associated with odds of SV during follow-up. Investigating interconnections between SV victimization and other forms of violence across socioecological levels provides an opportunity to advance SV research and identify promising avenues for prevention based on other violence prevention research. Future strategies for SV prevention that incorporate community and peer components as well as SV-specific content may help reduce SV victimization among youth living in urban, disadvantaged communities.

scholarly journals 212 Empiric Versus Follow-Up Treatment Rates of Chlamydia and Gonorrhea at an Urban Emergency Department

2019 ◽  
Vol 74 (4) ◽  
pp. S83-S84
Author(s):  
B. Travis ◽  
H. Henderson ◽  
J. Wilson ◽  
H. Patel ◽  
O. Ozoya
Keyword(s):  
Emergency Department ◽  
Urban Emergency Department

scholarly journals LO11: Influence of fear of falling on return to emergency department and further falls in community-dwelling elderly presenting for minor trauma

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S10-S11
Author(s):  
M. Lanoue ◽  
M. Sirois ◽  
A. Worster ◽  
J. Perry ◽  
J. Lee ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Secondary Outcome ◽  
Minor Trauma ◽  
Multicenter Cohort Study ◽  
Emergency Team ◽  
Type 3

Introduction: According to WHO, one third of patients aged ≥65 fall every year. Those falls account for 25% of all geriatric emergency department (ED) visits. Fear of falling (FOF) is common in older patients who sustained a fall and is associated with a decline in mobility and health issues for patients. We hypothesized that there is an association between FOF and return to ED (RTED) and future falls. Objective: To assess the relation between FOF and RTED and subsequent falls in older ED patients Methods: This research was conducted as part of the Canadian Emergency Team Initiative in elderly (CETIe) multicenter prospective cohort study from 2011 to 2016. Participants: Patients 65 years or older were assessed and discharged from ED following a minor trauma. They had to be independent in all basic activities of daily living and being able to communicate in English or French. Measures: Primary outcome was RTED and secondary outcome was subsequent falls. Both were self-reported at 3 and 6 months. Patients were stratified according to Short Falls Efficacy Scale International (SFES-I) score, assessing FOF in different situations. A total score is calculated to determine the mild, moderate or severe level of FOF. Previous falls and TUG were used to evaluate patients’ mobility. OARS, ISAR and SOF were used to evaluated patient frailty. Descriptive statistical were performed and multiple regression were performed to show the association between SFES-1 score and outcomes. Results: FOF was measured in 2899 participants, of which 2214 participated at the 3 months follow-up and 2009 participated at the 6 months follow-up. Odds Ratio (OR) of return to ED at 3 months was 1.10 for moderate FOF and 1.52 for severe FOF (Type 3 test p = 0.11). At 6 months, OR was 1.03 for moderate FOF and 1.25 for severe FOF (Type 3 test p = 0.63). OR of subsequent fall at 3 months was 1.80 for moderate FOF and 2.18 for severe FOF (Type 3 test p < 0.001). At 6 months, OR of subsequent fall was 1.63 for moderate FOF and 2.37 for severe FOF (Type 3 test p < 0.001). Conclusion: The multicenter cohort study showed that severe fear of falling is strongly associated with subsequent falls over the next 6 months following ED discharge, but not significantly associated with return to ED episodes. Further research should be done to analyze the association between severe FOF and RTED.

scholarly journals Ophthalmic Emergency Department Visits: Factors Associated With Loss to Follow-up

2021 ◽  
Vol 222 ◽  
pp. 126-136
Author(s):  
Evan M. Chen ◽  
Aneesha Ahluwalia ◽  
Ravi Parikh ◽  
Kristen Nwanyanwu
Keyword(s):  
Emergency Department ◽  
Emergency Department Visits ◽  
Loss To Follow Up ◽  
Factors Associated

scholarly journals Loss-to-follow up factors in emergency department-treated mild traumatic brain injuries

2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A270-A270 ◽  
Author(s):  
P. Hsu ◽  
J. Kraus ◽  
A. A. Afifi ◽  
F. Vaca ◽  
K. Schaffer
Keyword(s):  
Emergency Department ◽  
Brain Injuries ◽  
Traumatic Brain Injuries ◽  
Loss To Follow Up ◽  
Mild Traumatic Brain Injuries

scholarly journals Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years—A 1-year follow-up

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255538
Author(s):  
Nicole Anna Rutkowski ◽  
Elham Sabri ◽  
Christine Yang
Keyword(s):  
Return To Work ◽  
Young Patients ◽  
Outpatient Rehabilitation ◽  
Stroke Severity ◽  
Loss To Follow Up ◽  
Post Stroke ◽  
Persistent Fatigue ◽  
Fatigue Severity ◽  
Driving Fatigue

This study investigated the association between post-stroke fatigue and inability to return to work/drive in young patients aged <60 years with first stroke who were employed prior to infarct while controlling for stroke severity, age, extent of disability, cognitive function, and depression. The Fatigue Severity Scale (FSS) was used to evaluate post-stroke fatigue in this 1-year prospective cohort study. Follow-ups were completed at 3, 6, and 12 months post rehabilitation discharge. A total of 112 patients were recruited, 7 were excluded, due to loss to follow-up (n = 6) and being palliative (n = 1), resulting in 105 participants (71% male, average age 49 ±10.63 years). Stroke patients receiving both inpatient and outpatient rehabilitation were consecutively recruited. Persistent fatigue remained associated with inability to return to work when controlling for other factors at 3 months (adjusted OR = 18, 95% CI: 2.9, 110.3, p = 0.002), 6 months (adjusted OR = 29.81, 95% CI: 1.7, 532.8, p = 0.021), and 12 months (adjusted OR = 31.6, 95% CI: 1.8, 545.0, p = 0.018). No association was found between persistent fatigue and return to driving. Fatigue at admission was associated with inability to return to work at 3 months but not return to drive. Persistent fatigue was found to be associated with inability to resume work but not driving. It may be beneficial to routinely screen post-stroke fatigue in rehabilitation and educate stroke survivors and employers on the impacts of post-stroke fatigue on return to work.

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