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:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House ... most popular and least understood books in the Holy Scriptures, Revelation. The Book of ... baffled scholars for centuries. Many have tossed it off as mere rubbish, but Yisrayl ...
(Date:10/12/2017)... ... October 12, 2017 , ... First Healthcare Compliance ... management, will showcase a range of technology and learning solutions at the 68th ... and Expo to be held October 14–18, 2017 at the Mandalay Bay Resort ...
(Date:10/12/2017)... , ... October 12, 2017 , ... The American College ... to Carol Friedman, PhD, FACMI, during the Opening Session of AMIA’s Annual Symposium in ... , In honor of Morris F. Collen, a pioneer in the field of medical ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts ... Washington, D.C., for the 49th Congress of the International Society of Paediatric Oncology ... of the Center for Cancer and Blood Disorders at Children’s National, and ...
(Date:10/12/2017)... ... October 12, 2017 , ... Vohra Chief Medical Officer ... physician colleagues, skilled nursing facility medical directors and other clinicians at various events ... Care." , "At many of these conferences we get to educate other physicians, ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... 2, 2017 The Rebound mobile app is poised ... reverse the tide of prescription drug addiction. The app empowers ... intake and stepping down their dosage in a safe, controlled ... December 2017; the first 100,000 people to sign up will ... http://www.rebound-solution.com/ ...
(Date:9/27/2017)... Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), a leading global digital ... its MyDario product is expected to appear on The Dr. Oz Show ... Oz Show airs in your area: http://www.doctoroz.com/page/where-watch-dr-oz-show ... The nine-time Emmy award-winning, The Dr. Oz Show kicked off ... The segment features ...
(Date:9/22/2017)... 2017  As the latest Obamacare repeal effort moves ... (R-LA) and Lindsey Graham (R-SC) medical ... device industry is in an odd place.  The industry ... excise tax on medical device sales passed along with ... patients, increased visits and hospital customers with the funding ...
Breaking Medicine Technology: