Cited by 251Emergency and Acute Care StudiesChronic Disease Management StrategiesHospital Admissions and Outcomes

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Reducing Frequent Visits to the Emergency Department: A Systematic Review of Interventions

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Soril, Lesley J. J., Leggett, Laura E., Lorenzetti, Diane L., Noseworthy, Tom W., Clement, Fiona M.·2015·PLOS ONE

DOI 10.1371/journal.pone.0123660PMC PMC4395429

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Abstract

OBJECTIVE: The objective of this study was to establish the effectiveness of interventions to reduce frequent emergency department (ED) use among a general adult high ED-use population. METHODS: Systematic review of the literature from 1950-January 2015. Studies were included if they: had a control group (controlled trials or comparative cohort studies), were set in an ED or acute care facility, and examined the impact of an intervention to reduce frequent ED use in a general adult population. Studies reporting non-original data or focused on a specific patient population were excluded. Study design, patient population, intervention, the frequency of ED visits, and costs of frequent ED use and/or interventions were extracted and narratively synthesized. RESULTS: Among 17 included articles, three intervention categories were identified: case management (n = 12), individualized care plans (n = 3), and information sharing (n = 2). Ten studies examining case management reported reductions in mean (-0.66 to -37) or median (-0.1 to -20) number of ED visits after 12-months; one study reported an increase in mean ED visits (+2.79); and one reported no change. Of these, 6 studies also reported reduced hospital costs. Only 1 study evaluating individualized care plans examined ED utilization and found no change in median ED visits post-intervention. Costs following individualized care plans were also only evaluated in 1 study, which reported savings in hospital costs of $742/patient. Evidence was mixed regarding information sharing: 1 study reported no change in mean ED visits and did not examine costs; whereas the other reported a decrease in mean ED visits (-16.9) and ED cost savings of $15,513/patient. CONCLUSIONS: The impact of all three frequent-user interventions was modest. Case management had the most rigorous evidence base, yielded moderate cost savings, but with variable reductions in ED use. Future studies evaluating non-traditional interventions, tailoring to patient subgroups or socio-cultural contexts, are warranted.

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Fig 1 PRISMA Flow Diagram. A total of 1491 abstracts were identified from the electronic database search. After removal of duplicate records, 1029 abstracts were reviewed and 952 were excluded. Hand-searching of the references lists of relevant systematic reviews identified 4 additional full-text articles. Eighty-one articles in all were assessed in full-text, of which 64 were excluded and 17 studies (4 randomized controlled trials; 13 comparative cohort studies), within 3 intervention categories (care or case management; individualized care plans; information sharing), were included for final qualitative synthesis. Heterogeneity in the reported outcomes prohibited pooling of data for meta-analysis.CC BY · PubMed Central

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Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817
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Dermyshi, E., Wang, Y., Yan, C., Hong, W., Qiu, G., Gong, X., & Zhang, T. (2017) · Neonatology · doi:10.1159/000454668 · Cited by 24,586
The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions.
Downs, S. H., & Black, N. (1998) · Journal of Epidemiology and Community Health · doi:10.1136/jech.52.6.377 · Cited by 8,252
Frequent Users of Emergency Departments: The Myths, the Data, and the Policy Implications
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Althaus, F., Paroz, S., Hügli, O., Ghali, W. A., Daeppen, J., Peytremann‐Bridevaux, I., & Bodenmann, P. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.03.007 · Cited by 319
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Jones, A., Maclagan, L. C., Watt, J. A., Schull, M. J., Jaakkimainen, L., Swayze, S., Guan, J., & Bronskill, S. E. (2022) · Journal of the American Geriatrics Society · doi:10.1111/jgs.17726 · Cited by 16
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Authors: Soril, L. J. J., Leggett, L. E., Lorenzetti, D. L., Noseworthy, T. W., & Clement, F. M.
Affiliations: O'Brien Institute for Public Health (CA)
Institute of Health Economics (CA)
Corresponding author: Clement, Fiona M.
ORCID: Soril, Lesley J. J.
Lorenzetti, Diane L.
Noseworthy, Tom W.
Clement, Fiona M.
Venue: PLOS ONE
Publisher: Public Library of Science (PLoS)
Published: 2015-04-13
Volume: 10
Issue: 4
Pages: e0123660
ISSN: 1932-6203 (ISSN-L)
DOI: 10.1371/journal.pone.0123660
PMC: PMC4395429
OpenAlex: W1965434882
Cited by: 251
References: 43
Citations by year: 2026: 18 · 2025: 17 · 2024: 13 · 2023: 34 · 2022: 28 · 2021: 32 · 2020: 31 · 2019: 22 · 2018: 24 · 2017: 17 · 2016: 14 · 2015: 1
FWCI: 4.35
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (vor)
Locations: PLoS ONE (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Figshare (submittedVersion, cc-by)
Topics: Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
Keywords: frequent emergency department users, emergency department utilization, case management, individualized care plans, information sharing, hospital costs, cost reduction, intervention effectiveness
MeSH terms: Adult, Emergency Service, Hospital, Humans, Patient Care Planning, Quality Assurance, Health Care, Randomized Controlled Trials as Topic, Cost Savings, Hospital Costs, Case Management

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Reducing Frequent Visits to the Emergency Department: A Systematic Review of Interventions

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