Imperial College London
Alternate

PROFESSOR AZEEM MAJEED

Faculty of Medicine, School of Public Health

Chair - Primary Care and Public Health & Head of Department
 
 
 
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Contact

 

+44 (0)20 7594 3368a.majeed Website

 
 
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Assistant

 

Ms Dorothea Cockerell +44 (0)20 7594 3368

 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Greenfield:2021:10.1136/bmjopen-2021-051409,
author = {Greenfield, G and Okoli, O and Quezada, Yamamoto H and Blair, M and Saxena, S and Majeed, F and Hayhoe, B},
doi = {10.1136/bmjopen-2021-051409},
journal = {BMJ Open},
pages = {1--7},
title = {Characteristics of frequently attending children in hospital emergency departments: a systematic review},
url = {http://dx.doi.org/10.1136/bmjopen-2021-051409},
volume = {11},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective: To summarise the literature on frequent attendances to hospital emergency departments and describe sociodemographic and clinical characteristics of children who attend EDs frequently.Setting: Hospital emergency departments.Participants: Children <21 years, attending hospital emergency departments frequently.Primary outcome measures: Outcomes measures were defined separately in each study, and were predominantly the number of ED attendances per year.Results: We included 21 studies representing 6,513,627 children. Between 0.3% to 75% of all paediatric ED users were frequent users. Most studies defined 4 or more visits per year as a “frequent ED” usage. Children who were frequent ED users were more likely to be less than 5 years old. In the US, patients with public insurance were more likely to be frequent attenders. Frequent ED users more likely to be frequent users of primary care and have long-term conditions; the most common diagnoses were infections and gastroenteritis.Conclusions: The review included a wide range of information across various health systems, however children who were frequent ED users have some universal characteristics in common. Policies to reduce frequent attendance might usefully focus on preschool children and supporting primary care in responding to primary-care oriented conditions.
AU  - Greenfield,G
AU  - Okoli,O
AU  - Quezada,Yamamoto H
AU  - Blair,M
AU  - Saxena,S
AU  - Majeed,F
AU  - Hayhoe,B
DO  - 10.1136/bmjopen-2021-051409
EP  - 7
PY  - 2021///
SN  - 2044-6055
SP  - 1
TI  - Characteristics of frequently attending children in hospital emergency departments: a systematic review
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2021-051409
UR  - https://bmjopen.bmj.com/content/11/10/e051409
UR  - http://hdl.handle.net/10044/1/91663
VL  - 11
ER  -
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