Characterising non-urgent users of the emergency department (ED): A retrospective analysis of routine ED data

PloS One
Colin O'KeeffeJon Nicholl

Abstract

The pressures of patient demand on emergency departments (EDs) continue to be reported worldwide, with an associated negative impact on ED crowding and waiting times. It has also been reported that a proportion of attendances to EDs in different international systems could be managed in settings such as primary care. This study used routine ED data to define, measure and profile non-urgent ED attendances that were suitable for management in alternative, non-emergency settings. We undertook a retrospective analysis of three years of Hospital Episode and Statistics Accident Emergency (HES A&E) data for one large region in England, United Kingdom (April 1st 2011 to March 31st 2014). Data was collected on all adult (>16 years) ED attendances from each of the 19 EDs in the region. A validated process based definition of non-urgent attendance was refined for this study and applied to the data. Using summary statistics non-urgent attenders were examined by variables hypothesised to influence them as follows: age at arrival, time of day and day of week and mode of arrival. Odds ratios were calculated to compare non-urgent attenders between groups. There were 3,667,601 first time attendances to EDs, of which 554,564 were defined as non-...Continue Reading

Citations

Aug 1, 2019·Emergency Medicine Journal : EMJ·Rebecca SimpsonSuzanne M Mason
Jan 11, 2020·Emergency Medicine Journal : EMJ·Suzanne AblardSuzanne M Mason
Jun 15, 2019·International Journal of Environmental Research and Public Health·Liang-Chung HuangYu-Chun Chen
May 31, 2018·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Mohammadkarim BahadoriSeyyed Meysam Mousavi
Jun 19, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Dominik PförringerGünther Edenharter
Mar 9, 2021·African Journal of Emergency Medicine : Revue Africaine De La Médecine D'urgence·Caroline R MatifaryCaroline Kathomi
Jun 13, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jaqui LongAlicia O'Cathain
Dec 22, 2021·Hispanic Health Care International : the Official Journal of the National Association of Hispanic Nurses·Seiichi VillalonaChristian Jeannot

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