Emergency department use for injuries by adolescents in foster care

被引：8

作者：

Thackeray, Jonathan ^{[1
,2
]}

Leonhart, Karen ^{[1
]}

Yackey, Katelyn ^{[1
]}

Cooper, Jennifer ^{[1
]}

Kelleher, Kelly ^{[1
]}

机构：

[1] Nationwide Childrens Hosp, 700 Childrens Dr, Columbus, OH 43205 USA

[2] Ohio Dept Medicaid, 50 West Town St,Suite 400, Columbus, OH 43215 USA

来源：

CHILDREN AND YOUTH SERVICES REVIEW | 2016年 / 62卷

基金：

美国医疗保健研究与质量局;

关键词：

Foster care; Group home; Adolescent; Emergency department utilization; Injury; CHILDREN; HEALTH; PLACEMENT; VISITS;

D O I：

10.1016/j.childyouth.2016.01.011

中图分类号：

D669 [社会生活与社会问题]; C913 [社会生活与社会问题];

学科分类号：

1204 ;

摘要：

Youth in foster care are overrepresented with respect to their utilization of emergency department (ED) services. This study examines the ED utilization patterns of adolescents in foster care and evaluates the characteristics of injury related versus non-injury related visits. We found that adolescents in foster care have high rates of ED use (1.84 visits per year (95% CI 1.59, 2.12)), with 31.2% of ED visits being injury-related. Male gender was found to be the only independent predictor of having an injury related vs. non-injury related ED visit (odds ratio 222 (95% CI 1.27-3.87)). Regarding the mechanisms of injury, adolescent youth in group homes were significantly more likely to present with injuries inflicted by themselves or by others in their residence (p < 0.05 for both) but less likely to present with accidental injuries or injuries sustained during recreation (p < 0.05 for both). Resources and interventions targeted at both youth and group home staff related to behavioral health assessment, post traumatic coping skills and conflict management may have beneficial effects. (C) 2016 Elsevier Ltd. All rights reserved.

引用

页码：18 / 21

页数：4

共 50 条

[31] Vulnerable adolescents in the emergency department: Are we providing optimal care?
Browning, J.
Khadr, S.
Cassidy, J.
Wilson, B.
Henderson, A.
Dunhill, Z.
Oglesby, A. J.
ANNALS OF EMERGENCY MEDICINE, 2008, 51 (04) : 484 - 484
[32] Needlestick injuries and the emergency department
Johnston, Sr J. J.
ANNALS OF EMERGENCY MEDICINE, 2008, 51 (04) : 558 - 558
[33] PATTERN OF CARE FOR MILD HEAD-INJURIES IN ACCIDENT AND EMERGENCY DEPARTMENT
MAITRA, AK
BRITISH JOURNAL OF CLINICAL PRACTICE, 1981, 35 (11-1): : 385 - 389
[34] Emergency Department Use of Neuroimaging in Children and Adolescents Presenting with Headache
Cain, Meghan R.
Arkilo, Dimitrios
Linabery, Amy M.
Kharbanda, Anupam B.
JOURNAL OF PEDIATRICS, 2018, 201 : 196 - 201
[35] Opioid Use Disorder, Adolescents, and the Importance of Treatment in the Emergency Department
Buresh, Chris
Kaplan, Ron
PEDIATRIC EMERGENCY CARE, 2024, 40 (01) : 51 - 55
[36] Psychoactive drugs use and - related visits of adolescents to the emergency department
Arias Constanti, Vanessa
Sanz Marcos, Nuria
Trenchs Sainz de la Maza, Victoria
Curcoy Barcenilla, Ana I.
Matali Costa, Josep
Luaces Cubells, Caries
MEDICINA CLINICA, 2010, 134 (13): : 583 - 586
[37] Reporting Use of Force Injuries by Law Enforcement Officers in the Emergency Department
Smith, Hayden P.
Hutson, Range
Alpert, Geoffrey P.
Strote, Jared
ANNALS OF EMERGENCY MEDICINE, 2010, 56 (04) : 424 - 425
[38] Injuries Associated with Hoverboard Use: A Case Series of Emergency Department Patients
Weingart, Gregory S.
Glueckert, Lindsey
Cachaper, Girlyn A.
Zimbro, Kathie S.
Maduro, Ralitsa S.
Counselman, Francis
WESTERN JOURNAL OF EMERGENCY MEDICINE, 2017, 18 (06) : 993 - 999
[39] Are there racial/ethnic health disparities in emergency department use for unintentional injuries?
Kiragu, A
Dennison, A
Geppert, J
Kriel, R
PEDIATRIC RESEARCH, 2004, 55 (04) : 254A - 254A
[40] Usual source of care and nonurgent emergency department use
Sarver, JH
Cydulka, RK
Baker, DW
ACADEMIC EMERGENCY MEDICINE, 2002, 9 (09) : 916 - 923

← 1 2 3 4 5 →