Navigation Links
Most emergency department 'super-frequent users' have a substance abuse addiction
Date:5/17/2014

DETROIT A vast majority of so-called "super-frequent user" patients who seek care in the Emergency Department (ED) have a substance abuse addiction, according to a Henry Ford Hospital study.

A patient is considered a super-frequent user who visits the ED at least 10 times a year.

ED physicians have long theorized that patients who frequent the ED for their care have a substance abuse addiction. Few studies have actually measured the rate of addiction of these patients.

The study's key findings:

  • 77 percent of patients had a substance abuse addiction.
  • 47 percent were addicted to pain-relief narcotics such as Vicodin and Dilaudid.
  • 44 percent were addicted to "other" illicit drugs such as cocaine or marijuana.
  • 35 percent were addicted to alcohol.

Researchers also found that super-frequent users seeking pain-relief narcotics were more common with women.

The findings are being presented Saturday at the Society for Academic Emergency Medicine (SAEM) annual meeting in Dallas.

"Emergency Departments cannot address the super-frequent users problem without addressing the underlying reason they're here their substance abuse problem," says Jennifer Peltzer-Jones, R.N., Psy.D., a clinical psychologist at Henry Ford's Department of Emergency Medicine and the study's lead author. "Boosting federal and state funding for substance abuse programs could help alleviate some of the frequent use of Emergency Departments as sources of addiction care."

According to the federal Drug Abuse Warning Network, an estimated 2.5 million ED visits involved drug misuse or abuse in 2011. ED visits involving drug misuse or abuse increased 19 percent from 2009-11.

Dr. Peltzer-Jones and her team of researchers sought to examine the level of addiction of 255 super-frequent users who sought care at Henry Ford's Emergency Department from 2004-2013 and determine whether imposing prescribing guidelines for narcotics in their ED impacted the level of patients seeking pain-relief narcotics.

In 2004, Henry Ford created the Community Resources for Emergency Department Overuse (CREDO) to more effectively manage the increased frequent users in the ED with individual care plans.

After reviewing and collecting data from each of the patients' electronic medical record, researchers found that CREDO had a significant impact. Before CREDO was initiated, the super-frequent users sought care in the ED 32.4 times a year.

Since then, rate of super-frequent users who sought pain-relief narcotics in Henry Ford's ED dropped to 13.8 visits a year from 32.5. For other super-frequent users, their visits dropped to 11.6 visits a year from 33.

"Emergency Departments that implement case management initiatives can make meaningful progress in addressing their frequent-user patient population," Dr. Peltzer-Jones says. "As our study showed the number of frequent users visiting the ED for narcotics is alarming. A successful remedy to curtailing that problem is implementing case management strategies such as ours. However, if Emergency Departments don't have the resources to create a program, instituting narcotic prescribing guidelines may lead to decreased visits by frequent users."


'/>"/>

Contact: David Olejarz
David.Olejarz@hfhs.org
313-874-4094
Henry Ford Health System
Source:Eurekalert  

Related medicine news :

1. Study: Former prisoners, parolees turn to emergency departments for care
2. Heparin more effective than bivalirudin in patients during emergency heart procedure
3. Medicare beneficiaries return to emergency rooms after nursing home discharge
4. Analysis of calls to IBD clinic predicts emergency visits and hospitalizations, Pitt finds
5. The case for tele-emergency services
6. Regenstrief and IU review finds lack of delirium screening in the emergency department
7. Bon Secours New York Health System (BSNY) Announces End to Water Emergency
8. Animal Emergency & Referral Center of Minnesota Hires Dr. Michelle Rose
9. Glowzebra Announces Light Stick - Perfect Emergency Lights for the rough weather this season.
10. Medicaid Beneficiaries Use Emergency Services Due to Lack of Alternatives
11. The Law Offices of Sean M. Cleary Published an Infographic with Miami’s Emergency Phone Numbers
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Most emergency department 'super-frequent users' have a substance abuse addiction
(Date:5/2/2016)... ... ... As directed by its board of directors during its April 26 meeting, ... certified nurse practitioners (CNP) to practice to the full scope of their license without ... years and 3,600 hours. , In addition, HAP supports CNPs who are licensed in ...
(Date:5/2/2016)... LINCOLN, R.I. (PRWEB) , ... May 02, 2016 ... ... , an educational website to help consumers better understand life insurance throughout various ... helpful resources, including an easy-to-use life insurance needs calculator and content specific to ...
(Date:5/2/2016)... ... May 02, 2016 , ... Dr. Philip Shindler, ... with same day treatments. In the past, many necessary dental treatments could require multiple ... with multiple anesthetic shots and extra chair time. Not only could this be inconvenient, ...
(Date:5/2/2016)... ... 2016 , ... Further establishing itself as a leader in natural pet products ... Boxes were selected from over 1,000 entrants as a winner and recipient of the ... chews for dogs are a favorite product among pet-parents worldwide, as each whimsical knobby ...
(Date:5/2/2016)... ... May 02, 2016 , ... ... that many commonly used prescription medications, including anxiolytics, painkillers, antidepressants and cholesterol-lowering ... risks, Novus Medical Detox Center —a leading Florida-based drug treatment facility—advises ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)...  The blood testing market in China ... Information and The Freedonia Group in a recent report.  ... The healthcare research firm said that China ... stations and in improving testing at the provincial level.  ... Blood Testing Market in China , which ...
(Date:4/28/2016)... , April 28, 2016 Dr. ... and Ste phen ... ArisGlobal®, a leading provider of cloud-based software solutions for life ... Pharmacovigilance team to bring a wealth of insight to a growing ... pharmacovigilance knowledge. George Phillips joined ArisGlobal in ...
(Date:4/28/2016)... 28, 2016  ValGenesis, Inc., the market ... (VLMS) today announced that a prominent world ... of chronic kidney failure has selected ValGenesis ... corporate validation process. The global medical device ... to manage their validation processes electronically. Upon ...
Breaking Medicine Technology: