High users of emergency departments in Quebec among patients with both schizophrenia and a substance use disorder.

TitleHigh users of emergency departments in Quebec among patients with both schizophrenia and a substance use disorder.
Publication TypeJournal Article
Year of Publication2014
AuthorsNgamini-Ngui A, MJ Fleury, Moisan J, Grégoire J-P, Lesage A, Vanasse A
JournalPsychiatr Serv
Volume65
Issue11
Pagination1389-91
Date Published2014 Nov 01
ISSN1557-9700
Abstract

OBJECTIVE: The study assessed factors associated over time with high use of emergency departments by patients in Quebec who had schizophrenia and a co-occurring substance use disorder.METHODS: The cohort study included 2,921 patients who received a diagnosis of schizophrenia in 2006 and had at least one emergency department visit during fiscal year 2006-2007. Generalized estimating equations were used to estimate predictors of high use of emergency departments over time.RESULTS: After adjustment for all covariates, predictors of high use over time were as follows: living in either a university medical region (OR=2.10) or a peripheral medical region (OR=2.10), frequent hospitalization (OR=1.16), and greater number of psychiatric (OR=1.64) or physical comorbidities (OR=1.23).CONCLUSIONS: Because high use of emergency departments is a strong indicator of poor care continuity, identified associated factors could help develop and offer new programs to be deployed in the community to better support these patients with greater needs.

DOI10.1176/appi.ps.201300474
Alternate JournalPsychiatr Serv
PubMed ID25124150