Characteristics of frequent presenters: An analysis of 1 year of data from an Irish Emergency Department
- Published
- Accepted
- Subject Areas
- Emergency and Critical Care, Epidemiology, Health Policy, Nursing, Public Health
- Keywords
- frequent presenter, emergency department, emergency department attendance, emergency department over crowding
- Copyright
- © 2015 Walker et al.
- Licence
- This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ PrePrints) and either DOI or URL of the article must be cited.
- Cite this article
- 2015. Characteristics of frequent presenters: An analysis of 1 year of data from an Irish Emergency Department. PeerJ PrePrints 3:e1000v1 https://doi.org/10.7287/peerj.preprints.1000v1
Abstract
Introduction: Frequent presenters (FPs) to the Emergency Department (ED) have been studied heavily in international literature. Many studies suggest that maintaining services for this cohort of patients is wasteful and detracts from the needs of nonfrequent presenters. In this study we aim to describe the characteristics of FPs to the ED. We review data pertaining to frequent ED use, demographics of FPs, their preferred methods of arrival to the ED and their social living arrangements. FP's tend to rely heavily on other services as well as the ED and primary care. Methods: A systematic retrospective review of FPs attendance was performed. Results: FPs accounted for 3.9% (n=1231) of total ED attendance. The age of the FP population ranged from 19- 94 (Median = 45.5, SD 18.422). Increased ED attendance was positively associated with younger age groups. The age category accounting for the highest ED attendance was those aged between 19-35 years. From the 152 (100%) FPs, 50.7% (n=77) were males and 49.3% (n=75) were female. When the living arrangements of FPs were examined, 40.1% (n=61) lived with family, 37.5% (n=57) lived alone, 12.5% (n=19) resided in residential care while data on 9.9% (n=15) FPs was unknown. A Chi-squared analysis was computed to determine if age showed any significant correlation with living arrangements. The findings were not significant as X2 =2.148 (df3, p=0.542). Conclusions: FP's are positively associated with being young and often present with true medical needs. Many believe that frequent presentation is positively associated with free health care and living alone this is not the case. FP's are more likely to live with family and up to 17% of FP attendances have been as a result of primary care referral. FPs also present frequently to the ambulance service with almost 50% utilising the service for transport to the ED.
Author Comment
Further research is required in order to fully understand the reason for frequent presentation to the ED and the impact these attendances have on other services such as ambulance and community health.