2.50
Hdl Handle:
http://hdl.handle.net/10755/162773
Type:
Presentation
Title:
The LUNAR II Project: Recidivism in U.S. EDs
Abstract:
The LUNAR II Project: Recidivism in U.S. EDs
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:MacLean, Susan, RN, PhD
P.I. Institution Name:Emergency Nurses Association
Contact Address:915 Lee Street, Des Plaines, IL, 60016-6569, USA
Contact Telephone:847-460-4000
Co-Authors: Frank Cole, Mary Kamienski, Anne Manton, Arlene Reinking-Hanf, Kathleen Schrader, and Debbie Travers
Purpose: Approximately one-third of the 95 million annual emergency department visits are made by frequent users of emergency services. However, the reasons for the repeat visits are not known. Without a clear description of the problem, strategies to reduce recidivism may not be developed. Therefore, the purpose of the LUNAR II research was to describe the characteristics of individuals who make repeat emergency visits.

Design: Medical records were used to collect data at each site concerning 100 randomly selected individuals who used ED services two or more times within a three month period. From this population, a random sample of 20 patients was selected for telephone interview and in-depth medical record review.

Setting/Sample: This national multi-site study was conducted in 53 EDs by 178 emergency nurses, and involved 3,514 patients. There were 5,276 medical records and 434 telephone interviews in the study sample.

Methodology: The Medical Record Data Collection Form and the Telephone Interview Form were developed by the investigators. EDs self-selected to participate in the study. Each site was given training manual and study materials. Training and data collection began after Institutional Review Board approval was obtained.

Results: The most frequent reasons patients gave for coming to the ED were abdominal pain (7%), fever (7%), and headache (4%). The most frequent discharge diagnoses were abdominal pain (4%), otitis media (3%), and upper respiratory infection (3%). Asthma (7%), diabetes (5%), and hypertension (3%) were the patientsÆ most common chronic conditions. The results indicated that 80% were insured, 72% had primary care providers, 28% were children, 52% had non-urgent problems, 30% stated their problem was too serious to go anyplace else, 28% said their provider was not available, and 80% rated their health as good.

Conclusion: The results raise questions concerning the large numbers of children who were repeat patients and whether access to primary care providers is adequate. Further study on patients' and parents' interpretations of the seriousness of symptoms may reveal the need for additional health services, or may identify the need for education on when to seek emergency care. [Leadership Challenge - Research Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe LUNAR II Project: Recidivism in U.S. EDsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162773-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The LUNAR II Project: Recidivism in U.S. EDs</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">MacLean, Susan, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">915 Lee Street, Des Plaines, IL, 60016-6569, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">847-460-4000</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">smaclean@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value"> Frank Cole, Mary Kamienski, Anne Manton, Arlene Reinking-Hanf, Kathleen Schrader, and Debbie Travers</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Approximately one-third of the 95 million annual emergency department visits are made by frequent users of emergency services. However, the reasons for the repeat visits are not known. Without a clear description of the problem, strategies to reduce recidivism may not be developed. Therefore, the purpose of the LUNAR II research was to describe the characteristics of individuals who make repeat emergency visits.<br/><br/>Design: Medical records were used to collect data at each site concerning 100 randomly selected individuals who used ED services two or more times within a three month period. From this population, a random sample of 20 patients was selected for telephone interview and in-depth medical record review.<br/><br/>Setting/Sample: This national multi-site study was conducted in 53 EDs by 178 emergency nurses, and involved 3,514 patients. There were 5,276 medical records and 434 telephone interviews in the study sample.<br/><br/>Methodology: The Medical Record Data Collection Form and the Telephone Interview Form were developed by the investigators. EDs self-selected to participate in the study. Each site was given training manual and study materials. Training and data collection began after Institutional Review Board approval was obtained.<br/><br/>Results: The most frequent reasons patients gave for coming to the ED were abdominal pain (7%), fever (7%), and headache (4%). The most frequent discharge diagnoses were abdominal pain (4%), otitis media (3%), and upper respiratory infection (3%). Asthma (7%), diabetes (5%), and hypertension (3%) were the patients&AElig; most common chronic conditions. The results indicated that 80% were insured, 72% had primary care providers, 28% were children, 52% had non-urgent problems, 30% stated their problem was too serious to go anyplace else, 28% said their provider was not available, and 80% rated their health as good.<br/><br/>Conclusion: The results raise questions concerning the large numbers of children who were repeat patients and whether access to primary care providers is adequate. Further study on patients' and parents' interpretations of the seriousness of symptoms may reveal the need for additional health services, or may identify the need for education on when to seek emergency care. [Leadership Challenge - Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:54Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:54Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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