Frequent Emergency Department Utilizers Among Children with Cancer

Emily L. Mueller, Matt Hall, Aaron Carroll, Samir S. Shah, Michelle L. Macy

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Pediatric frequent emergency department (ED) utilizers contribute a significant proportion of ED visits, but no studies specifically address children with cancer. Methods: A retrospective study of Pediatric Health Information System analyzing ED visits for children with cancer, including ED visits within 365 days from the first inpatient encounter with a discharge diagnosis code for malignancy. We defined frequent ED utilizers as those with four or more visits in the year (top 10th percentile). Patient characteristics and ED services (medications, laboratory, or imaging) for discharged children were assessed. Factors associated with being a frequent ED utilizer were examined with multivariable regression. Results: Frequent utilizers accounted for 58% of ED visits. Frequent utilizers differed from infrequent utilizers in terms of type of cancer; 39.3% of frequent utilizers had acute lymphoblastic leukemia (ALL) and 16.0% had central nervous system (CNS) tumors compared with infrequent utilizers (21.9% had ALL and 24.8% CNS tumors, P-value <0.001). Frequent utilization was associated with age 5-9 years (odds ratio [OR] = 1.4, 95% confidence interval [CI] 1.2-1.6) or 1-4 years (OR = 2.1, 95% CI 1.8-2.4) or

Original languageEnglish (US)
Pages (from-to)859-864
Number of pages6
JournalPediatric Blood and Cancer
Volume63
Issue number5
DOIs
StatePublished - May 1 2016

Fingerprint

Hospital Emergency Service
Neoplasms
Central Nervous System Neoplasms
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Odds Ratio
Confidence Intervals
Pediatrics
Health Information Systems
Inpatients
Retrospective Studies

Keywords

  • Adolescent
  • Child
  • Oncology
  • Supportive care

ASJC Scopus subject areas

  • Oncology
  • Pediatrics, Perinatology, and Child Health
  • Hematology

Cite this

Frequent Emergency Department Utilizers Among Children with Cancer. / Mueller, Emily L.; Hall, Matt; Carroll, Aaron; Shah, Samir S.; Macy, Michelle L.

In: Pediatric Blood and Cancer, Vol. 63, No. 5, 01.05.2016, p. 859-864.

Research output: Contribution to journalArticle

Mueller, Emily L. ; Hall, Matt ; Carroll, Aaron ; Shah, Samir S. ; Macy, Michelle L. / Frequent Emergency Department Utilizers Among Children with Cancer. In: Pediatric Blood and Cancer. 2016 ; Vol. 63, No. 5. pp. 859-864.
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