@article{ref1,
title="Injuries and frequent use of emergency department services: a systematic review",
journal="BMJ open",
year="2020",
author="Laferté, Catherine and Dépelteau, Andréa and Hudon, Catherine",
volume="10",
number="12",
pages="e040272-e040272",
abstract="OBJECTIVE: To review all studies having examined the association between patients with physical injuries and frequent emergency department (ED) attendance or return  visits. <br><br>DESIGN: Systematic review. DATA SOURCE: Medline, Cumulative Index to Nursing  and Allied Health Literature (CINAHL) and PsycINFO databases were searched up to and  including July 2019. ELIGIBILITY CRITERIA: English and French language publications  reporting on frequent use of ED services (frequent attendance and return visits),  evaluating injured patients and using regression analysis. DATA EXTRACTION AND  SYNTHESIS: Two independent reviewers screened the search results, and assessed  methodological quality using the Joanna Briggs Institute tool for prevalence  studies. <br><br>RESULTS were collated and summarised using a narrative synthesis. A  sensitivity analysis was performed to evaluate the repercussions of removing a study  that did not meet the quality criteria. <br><br>RESULTS: Of the 2184 studies yielded by this  search, 1957 remained after the removal of duplicates. Seventy-eight studies  underwent full-text screening leaving nine that met the eligibility criteria and  were included in this study: five retrospective cohort studies; two prospective  cohort studies; one cross-sectional study; and one case-control study. Different  types of injuries were represented, including fractures, trauma and physical  injuries related to falls, domestic violence or accidents. Sample sizes ranged from  200 to 1 259 809. Six studies included a geriatric population while three addressed  a younger population. Of the four studies evaluating the relationship between  injuries and frequent ED use, three reported an association. Additionally, of the  five studies in which the dependent variable was return ED visits, three articles  identified a positive association with injuries. <br><br>CONCLUSIONS: Physical injuries  appear to be associated with frequent use of ED services (frequent ED attendance as  well as return ED visits). Further research into factors including relevant  youth-related covariates such as substance abuse and different types of traumas  should be undertaken to bridge the gap in understanding this association.<p /> <p>Language: en</p>",
language="en",
issn="2044-6055",
doi="10.1136/bmjopen-2020-040272",
url="http://dx.doi.org/10.1136/bmjopen-2020-040272"
}