Skip to main content

Table 5 Factors associated with highly frequent ED use

From: Rate, characteristics, and factors associated with high emergency department utilization

 

Visit of HFV (n = 263)

Visits of patients with one ED visit (n = 38,959)

OR (95% CI)1,2highly frequent ED use

OR (95% CI) )1,2final model, highly frequent ED use*

Arrival time

    

 Day shift

102 (38.8)

17,100 (43.9)

Reference

Reference

 Evening shift

97 (36.9)

17,078 (43.8)

1.05 (0.79, 1.40)

1.05 (0.79, 1.40)

 Night shift

64 (24.3)

4,781 (12.3)

1.73 (1.24, 2.42)

1.71 (1.23, 2.40)

Arrival with ambulance

78 (29.7)

4,736 (12.2)

2.02 (1.43, 2.85)

1.97 (1.40, 2.79)

Self-referred

119 (45.2)

26,643 (68.4)

0.68 (.050, 0.93)

0.67 (0.49, 0.91)

Chief complaint [n (%)]

    

 Limb problems

25 (9.5)

10,028 (25.7)

0.55 (0.29, 1.04)

-

 Wounds & local infections

27 (10.3)

4,977 (12.8)

1.22 (0.65, 2.28)

-

 Ear/Nose/Sore throat

1 (0.4)

895 (2.3)

0.25 (0.03, 1.92)

-

 Shortness of breath

41 (15.6)

1,376 (3.5)

4.49 (2.48, 8.11)

9.17 (6.10, 13.78)

 Abdominal pain

42 (16.0)

3,208 (8.2)

2.22 (1.24, 3.98)

4.47 (3.01, 6.65)

 Chest pain

30 (11.4)

2,784 (7.1)

1.87 (0.99, 3.53)

3.88 (2.43, 6.19)

 Unwell patient

8 (3.0)

2.146 (5.5)

0.46 (0.19, 1.09)

-

 Head ache & head injury

2 (0.8)

1,919 (4.9)

0.16 (0.04, 0.70)

-

 Psychiatric disorders

20 (7.6)

541 (1.4)

3.49 (1.75, 6.96)

7.23 (4.22, 12.40)

 Back pain

0

705 (1.8)

-

-

 Severe trauma

0

753 (1.9)

-

-

 Rashes

1 (0.4)

522 (1.3)

0.41 (0.05, 3.09)

-

 Urinary tract problems

36 (13.7)

447 (1.1)

14.68 (8.04, 26.81)

29.43 (19.25, 44.98)

 Worried parent

0

346 (0.9)

-

-

 Eye problems

1 (0.4)

901 (2.3)

0.27 (0.04, 2.06)

-

 Pregnancy problems

0

412 (1.1)

-

-

 Other

12 (4.6)

2,901 (7.4)

0.73 (0.35, 1.55)

-

No triage

17 (6.5)

4,098 (10.5)

-

-

Triage level

    

 Immediate & very urgent

53 (20.2)

5,286 (14.0)

Reference

Reference

 Urgent

123 (46.9)

11,749 (31.1)

1.42 (0.99, 2.02)

1.48 (1.04, 2.11)

 Standard & non-urgent

86 (32.8)

20,768 (54.9)

1.05 (0.68, 1.61)

1.16 (0.76, 1.76)

 No triage

1 (0.4)

1,156 (3.0)

-

-

  1. 1Adjusted for other variables by logistic regression, OR >1 indicate an increased risk of frequent visit.
  2. 2Model based on 38,065 observations due to 1,157 missing values.
  3. *Hosmer-Lemeshow test 0.14, AUC ROC 0.79 (95% CI, 0.76–0.82).