Adolescent Use of the Emergency Department Instead of the Primary Care Provider: Who, Why, and How Urgent?

Weiss, Amy L.; D’Angelo, Lawrence J.; Rucker, Alexandra C.

doi:10.1016/j.jadohealth.2013.09.009

Cited by 39 publications

(48 citation statements)

References 14 publications

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“…Terms used to describe NUP include low‐acuity, low‐urgency, inappropriate, non‐acute and primary care cases. Eleven studies defined NUPs using ED resources used during visit, while nine studies defined and categorised NUP using triage evaluation . In five studies, NUPs were defined as illnesses that could be seen in the primary care or outpatient setting within 24 h .…”

Section: Resultsmentioning

confidence: 99%

Non‐urgent paediatric emergency department presentation: A systematic review

Alele

Emeto

Callander

et al. 2018

J Paediatrics Child Health

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There has been an increase in the use of the emergency department (ED) for non‐urgent presentations. The aim of this systematic review was to identify the proportion, criteria and predictors of non‐urgent ED presentations in paediatric populations. A search of multiple databases was conducted for articles published from inception of the databases to 20 August 2018, which reported the proportion, criteria and predictors of non‐urgent ED presentation in paediatric populations. Thirty‐one articles met the inclusion criteria. The mean proportion of non‐urgent paediatric ED presentations was 41.06 ± 15.16%. There appears to be a weak association between predisposing, enabling and needs factors and non‐urgent ED use in paediatric populations. The findings of this review suggest that non‐urgent ED use in paediatric populations is high. However, non‐urgent ED use and the reasons for the visits in paediatric populations remain understudied.

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Section: Resultsmentioning

confidence: 99%

Non‐urgent paediatric emergency department presentation: A systematic review

Alele

Emeto

Callander

et al. 2018

J Paediatrics Child Health

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“…Several studies used triage to determine the percentage of nonurgent ED visits by self-referred patients [11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…The use of different triage systems resulted in varying proportions of inappropriate self-referrals, ranging from 6.1% [11] to 40.0% [12]. Yet another set of studies based appropriateness on the opinion of medical professionals.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to some previous studies [7,9,12,17,18], this study made use of broad inclusion criteria: every patient without a referral was included, regardless of age or presenting complaint.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies, for instance, have focused on the triage category (using different triage systems) [11][12][13][14], on predefined criteria (mainly with emphasis on diagnostic workup and performed treatment) [5,7,9,[15][16][17][18][19] or on the opinion of various medical professionals [8,[20][21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

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Self-referrals in a Dutch Emergency Department: how appropriate are they?

Kraaijvanger¹,

Rijpsma²,

Leeuwen

et al. 2016

European Journal of Emergency Medicine

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Predicting the severity of peer victimization and bullying perpetration among youth with interpersonal problems: A 6‐month prospective study

Arango

Clark

King

2022

Journal of Adolescence

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IntroductionPeer victimization is prevalent and associated with adverse outcomes. In this prospective study of youth who self‐reported interpersonal problems, we examined school connectedness, school behavioral difficulties, academic difficulties, and internalizing problems (social anxiety, self‐esteem, depression) as predictors of peer victimization and bullying perpetration severity. We also examined the moderating effects of gender.MethodsParticipants were 218 youth (66.5% female), ages 12–15 years (M = 13.5, SD = 1.1), who screened positive for peer victimization, bullying perpetration, and/or low social connectedness using self‐report measures. Youth were recruited from an emergency department in the United States as part of an intervention trial. Youth identified primarily as African American (53.7%) and Caucasian (31.7%). Youth completed a 6‐month follow‐up assessment (75% retention). Separate Bayesian regression models were used to examine the effects of baseline school connectedness, school behavioral difficulties, academic difficulties, and internalizing problems on the severity of 6‐month peer victimization and bullying perpetration.ResultsBaseline depression was positively related to both peer victimization and bullying perpetration severity. Baseline behavioral problems were positively related to bullying perpetration severity. Interactions indicated that gender moderated the relationship between school connectedness and peer victimization.ConclusionsGiven the adverse outcomes linked with peer victimization and bullying perpetration, an improved understanding of factors that predict victimization and perpetration severity may be helpful in defining intervention targets.

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Adolescent Use of the Emergency Department Instead of the Primary Care Provider: Who, Why, and How Urgent?

Cited by 39 publications

References 14 publications

Non‐urgent paediatric emergency department presentation: A systematic review

Non‐urgent paediatric emergency department presentation: A systematic review

Self-referrals in a Dutch Emergency Department: how appropriate are they?

Predicting the severity of peer victimization and bullying perpetration among youth with interpersonal problems: A 6‐month prospective study

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