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Table 3 Predictive characteristics of chronic frequent ED use

From: Individual predictors of frequent emergency department use: a scoping review

Reference

Authors

Definition of chronic use

Prevalence % of patients (% of total ED visits)

Predictive factors

[7]

Andrén et al.

4 or more ED visits per year over a 3 year period

Year 1 : 31 % Year 2 : 19 %

Previous ED visits, contact with psychiatric care, living alone and perceived loneliness

[36]

Billings et al.

5 or more ED visits per year over a 3 year period

1.2 % (10,9 %)

77,9 % had higher levels of chronic illnesses

58,8 % had a history of substance abuse

72,3 % had a history of mental illness48, 9 % had a history of both substance abuse and mental illnessa

  

5 or more ED visits per year over a 5 year period

0.8 % (8,4 %)

 
  

3 or more ED visits per year over a 3 year period

3.5 % (19,2 %)

 
  

3 or more ED visits per year over a 5 year period

1.7 % (12,1 %)

 

[38]

Rask et al.

More than 10 subsequent ED visits (2 year period)

16,6 % (65,5 %)

At least one hospitalization and at least one primary care visit

[39]

Okuyemi et al.

3 or more ED visits per year over a 3 year period

9 to 11 % (between 25 and 30 %)

Being a frequent ED user during the previous year is an independent predictor of frequency of use during the following year

  1. aAll predictive factors found using regression model for patients visiting the ED 3 or more times during the index year