Aim. To describe the characteristics of adult frequent attenders presenting to a major urban emergency department during a twelve month period. Methods. A retrospective study was performed of all frequent attenders (presenting ten or more times during twelve months) to the Emergency Department (ED) at Christchurch Hospital. Results. The proportion of visits to the EB br frequent attenders increased from 1.38% to 2.08% of all visits between 1996 to 2000, h computer search identified 86 frequent attenders between 1 November 1995 and 31 October 1999: 1385 visits were made by these patients. The median age was 35 years, both sexes were equally represented and most frequent attenders were single. The most common presenting problem was medical (40%) or psychological (36%), and 86% had secondary problems related to each attendance, Conclusion, This study's findings are generally consistent with those from two previous descriptions of frequent attenders. Evidence from overseas trials suggests that case management may provide the best outcomes for these patients, but further research is needed.
机构:
Duke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Singapore Gen Hosp, Dept Emergency Med, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Pek, Pin Pin
Lau, Charla Yanling
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Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Lau, Charla Yanling
Sim, Xueling
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Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Sim, Xueling
Tan, Kelvin Bryan
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Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore
Minist Hlth, Future Syst Off, Infocomm, Technol & Data Grp, Singapore, Singapore
Duke NUS Med Sch, Ctr Regulatory Excellence, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Tan, Kelvin Bryan
Mao, Desmond Ren-Hao
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Khoo Teck Puat Hosp, Acute & Emergency Care, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Mao, Desmond Ren-Hao
Liu, Zhenghong
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Singapore Gen Hosp, Dept Emergency Med, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Liu, Zhenghong
Ho, Andrew Fuwah
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Duke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Singapore Gen Hosp, Dept Emergency Med, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Ho, Andrew Fuwah
Liu, Nan
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Duke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Duke NUS Med Sch, Ctr Quantitat Med, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Liu, Nan
Ong, Marcus Eng Hock
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Duke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
Singapore Gen Hosp, Dept Emergency Med, Singapore, SingaporeDuke NUS Med Sch, Pre Hosp & Emergency Res Ctr, Hlth Serv & Syst Res, Singapore, Singapore
机构:
Univ New S Wales, Sch Publ Hlth & Community Med, Fac Med, Res Ctr Primary Hlth Care & Equ, Sydney, NSW 2052, AustraliaUniv New S Wales, Sch Publ Hlth & Community Med, Fac Med, Res Ctr Primary Hlth Care & Equ, Sydney, NSW 2052, Australia
Kirby, Sue E.
Dennis, Sarah M.
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Univ New S Wales, Sch Publ Hlth & Community Med, Fac Med, Res Ctr Primary Hlth Care & Equ, Sydney, NSW 2052, AustraliaUniv New S Wales, Sch Publ Hlth & Community Med, Fac Med, Res Ctr Primary Hlth Care & Equ, Sydney, NSW 2052, Australia
Dennis, Sarah M.
Jayasinghe, Upali W.
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Univ New S Wales, Sch Publ Hlth & Community Med, Fac Med, Res Ctr Primary Hlth Care & Equ, Sydney, NSW 2052, AustraliaUniv New S Wales, Sch Publ Hlth & Community Med, Fac Med, Res Ctr Primary Hlth Care & Equ, Sydney, NSW 2052, Australia
Jayasinghe, Upali W.
Harris, Mark F.
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Univ New S Wales, Sch Publ Hlth & Community Med, Fac Med, Res Ctr Primary Hlth Care & Equ, Sydney, NSW 2052, AustraliaUniv New S Wales, Sch Publ Hlth & Community Med, Fac Med, Res Ctr Primary Hlth Care & Equ, Sydney, NSW 2052, Australia
机构:
Christchurch Hosp, Emergency Dept, Private Bag 4710, Christchurch, New ZealandChristchurch Hosp, Emergency Dept, Private Bag 4710, Christchurch, New Zealand
Than, Martin
Richardson, Sandra
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Christchurch Hosp, Emergency Dept, Private Bag 4710, Christchurch, New ZealandChristchurch Hosp, Emergency Dept, Private Bag 4710, Christchurch, New Zealand
Richardson, Sandra
Pickering, John
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Univ Otago, Dept Med, Christchurch, New Zealand
Christchurch Hosp, Dept Emergency Med, Christchurch, New ZealandChristchurch Hosp, Emergency Dept, Private Bag 4710, Christchurch, New Zealand
机构:
Kings Coll London, Dept Gen Practice & Primary Care, London SE11 6SP, England
Southwark PCT, Clin Governance Dept, London, EnglandKings Coll London, Dept Gen Practice & Primary Care, London SE11 6SP, England
Moore, L.
Deehan, A.
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Kings Coll London, Dept Gen Practice & Primary Care, London SE11 6SP, EnglandKings Coll London, Dept Gen Practice & Primary Care, London SE11 6SP, England
Deehan, A.
Seed, P.
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Kings Coll London, Dept Gen Practice & Primary Care, London SE11 6SP, EnglandKings Coll London, Dept Gen Practice & Primary Care, London SE11 6SP, England
Seed, P.
Jones, R.
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Kings Coll London, Dept Gen Practice & Primary Care, London SE11 6SP, EnglandKings Coll London, Dept Gen Practice & Primary Care, London SE11 6SP, England
机构:
Duke NUS Grad Med Sch Singapore, Singapore, SingaporeDuke NUS Grad Med Sch Singapore, Singapore, Singapore
Boh, Connie
Li, Huihua
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Singapore Gen Hosp, Div Res, Hlth Serv Res & Biostat Unit, Singapore, SingaporeDuke NUS Grad Med Sch Singapore, Singapore, Singapore
Li, Huihua
Finkelstein, Eric
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Duke NUS Grad Med Sch Singapore, Hlth Serv & Syst Res Program, Singapore, SingaporeDuke NUS Grad Med Sch Singapore, Singapore, Singapore
Finkelstein, Eric
Haaland, Benjamin
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Duke NUS Grad Med Sch Singapore, Off Clin Sci, Singapore, SingaporeDuke NUS Grad Med Sch Singapore, Singapore, Singapore
Haaland, Benjamin
Xin, Xiaohui
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Singapore Gen Hosp, Div Med, Singapore, SingaporeDuke NUS Grad Med Sch Singapore, Singapore, Singapore
Xin, Xiaohui
Yap, Susan
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Singapore Gen Hosp, Dept Emergency Med, Singapore, SingaporeDuke NUS Grad Med Sch Singapore, Singapore, Singapore
Yap, Susan
Pasupathi, Yogeswary
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Singapore Gen Hosp, Dept Emergency Med, Singapore, SingaporeDuke NUS Grad Med Sch Singapore, Singapore, Singapore
Pasupathi, Yogeswary
Ong, Marcus E. H.
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Singapore Gen Hosp, Dept Emergency Med, Singapore, Singapore
Duke NUS Grad Med Sch Singapore, Off Clin Sci, Singapore, SingaporeDuke NUS Grad Med Sch Singapore, Singapore, Singapore