Emergency Department Utilization in Children &lt;36 Months Is Not an Independent Risk Factor for Maltreatment

MacNeill, Emily; Cabey, Whitney; Kluge, R; Norton, J.B.; Mitchell, Alice M.

doi:10.1111/acem.13100

Cited by 9 publications

(12 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also did a manual search to identify additional papers using the references list of these 15 studies, which did not result in any additional studies matching our review criteria (Figure 1). 32‐46 …”

Section: Resultsmentioning

confidence: 99%

“…The interrater reliability was strong among the two researchers who were involved in the quality assessment (Cohen's kappa = 0.83). We were unable to make a definite assessment for some of the tool's quality measures, but the overall quality of the studies was high 33,34,36‐40,42,44,45 …”

Section: Resultsmentioning

confidence: 99%

“…Most studies (11 out of the 15) used 4 to 6 visits per year as a threshold of PFED use, which are the most commonly used cut‐offs in the literature (Table 2). 5,21,22 The results of these studies indicated that PFED users represented 3% to 14% of all PED users and they accounted for 9.3% to 42.3% of all PED visits 32‐36,38‐41,43,46 …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Frequent emergency department use in the paediatric population: A systematic literature review

Giannouchos

Washburn

Gary

2020

Evaluation Clinical Practice

View full text Add to dashboard Cite

Objective We systematically reviewed the literature on paediatric frequent emergency department (ED) users to identify and to synthesize characteristics and factors associated with frequent ED utilization among this population in the United States. Methods We searched Medline (Ovid), CINAHL (Ebsco), and Embase (Ovid) to identify all relevant studies after 1990. We focused on US studies analysing paediatric frequent ED (PFED) users excluding those focused on specific subgroups. Two reviewers independently selected articles and extracted data on predisposing, enabling, behavioural, need and reinforcing factors. Results Fifteen studies met the inclusion criteria. PFED users comprised 3% to 14% of all paediatric ED users and accounted for 9% to 42% of all paediatric ED visits in 11 studies that defined frequent use as four to six ED visits per year. Most PFED users were less than 5 years old who had public insurance coverage and a regular provider. Public insurance compared to private residency in disadvantaged areas, having at least one chronic or complex condition and a history of hospitalization, were associated with frequent use. Children who had a regular primary care provider were less likely to exhibit frequent ED use. Conclusions Minimizing unnecessary ED visits by frequent utilizers is a quality improvement and cost‐saving priority for health systems. Our findings indicate that many PFED users have greater healthcare needs and face barriers accessing care in a timely manner, even though some have regular providers. To better address the needs of this vulnerable group, health systems should focus on educating caregivers and expanding access to providers in other settings.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Frequent emergency department use in the paediatric population: A systematic literature review

Giannouchos

Washburn

Gary

2020

Evaluation Clinical Practice

View full text Add to dashboard Cite

show abstract

“…Relevant research in this field has been carried out by Guenther and co-workers (2009), who reported that abused childrencompared to controlswere more likely to have made prior emergency department visits. In a subsequent study, the importance of confounding variables was highlighted, and the authors noted that frequent emergency department visits was not an independent risk factor for maltreatment in small children (MacNeill, Cabey, Kluge, Norton, & Mitchell, 2016).…”

Section: Study Vmentioning

confidence: 99%

Intra- and extra-familial child homicide in Sweden 1992–2012: A population-based study

Hedlund

Masterman

Sturup

2016

Journal of Forensic and Legal Medicine

View full text Add to dashboard Cite

“…On a related note, Guenther and coworkers reported that children subjected to abuse, compared to controls, more often had made prior emergency department visits. A subsequent study that highlighted the importance of confounding variables found that frequent emergency department visits were not an independent risk factor for maltreatment in children younger than 36 months of age .…”

mentioning

confidence: 99%

Injury‐Related Healthcare Use and Risk of Filicide Victimization: A Population‐Based Case–Control Study

Bäckström

Hedlund

Masterman

et al. 2018

Journal of Forensic Sciences

View full text Add to dashboard Cite

Research on child-related risk factors for filicide is scant. We investigated whether prior healthcare use for injury (including poisoning) influences filicide risk. Victims (0-14 years; n = 71) were identified in a national autopsy database for the years 1994-2012 and compared to matched, general population controls (n = 355). Healthcare use data were retrieved from a national patient registry. Risks were estimated using odds ratios (ORs) and 95% confidence intervals (CIs). For females, prior inpatient care for injury conferred a statistically significant sevenfold risk (OR = 6.67 [95% CI: 1.49-29.79]), and any prior injury-related healthcare use conferred a statistically significant fourfold risk (OR = 3.57 [95% CI: 1.13-11.25]), of filicide victimization. No statistically significant risks were found for males. Healthcare personnel should be aware that children treated for injuries, especially females, may be at an elevated risk of filicide victimization. Nevertheless, the filicide base rate remains low, and parents may be stigmatized by unfounded alerts; thus, prudent reflection should precede reports to the authorities.

show abstract

Emergency Department Utilization in Children <36 Months Is Not an Independent Risk Factor for Maltreatment

Cited by 9 publications

References 29 publications

Frequent emergency department use in the paediatric population: A systematic literature review

Frequent emergency department use in the paediatric population: A systematic literature review

Intra- and extra-familial child homicide in Sweden 1992–2012: A population-based study

Injury‐Related Healthcare Use and Risk of Filicide Victimization: A Population‐Based Case–Control Study

Contact Info

Product

Resources

About