Annals of Emergency Medicine
Volume 53, Issue 5 , Pages 587-593 , May 2009

Comparisons of High Versus Low Emergency Department Utilizers in Sickle Cell Disease

  • Imoigele P. Aisiku, MD, MSCR

      Affiliations

    • Departments of Anesthesiology and Emergency Medicine, Virginia Commonwealth University Reanimation Engineering Shock Center (VCURES), Virginia Commonwealth University, Richmond, VA
    • Corresponding Author InformationAddress for correspondence: Imoigele P. Aisiku, MD, MSCR, Virginia Commonwealth University, Departments of Anesthesiology and Emergency Medicine, VCU Reanimation Engineering Shock Center (VCURES), Box 980401, Richmond, VA 23298; 804-828-6938, fax 804-828-4862
  • ,
  • Wally R. Smith, MD

      Affiliations

    • Division of Quality Health Care, Virginia Commonwealth University, Richmond, VA
    • Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA
  • ,
  • Donna K. McClish, PhD

      Affiliations

    • Department of Biostatistics, Virginia Commonwealth University, Richmond, VA
  • ,
  • James L. Levenson, MD

      Affiliations

    • Department of Psychiatry, Virginia Commonwealth University, Richmond, VA
  • ,
  • Lynne T. Penberthy, MD, MPH

      Affiliations

    • Division of Quality Health Care, Virginia Commonwealth University, Richmond, VA
  • ,
  • Susan D. Roseff, MD

      Affiliations

    • Department of Pathology, Virginia Commonwealth University, Richmond, VA
  • ,
  • Viktor E. Bovbjerg, PhD, MPH

      Affiliations

    • University of North Carolina-Chapel Hill Schools of Medicine and Public Health, Chapel Hill, NC
  • ,
  • John D. Roberts, MD

      Affiliations

    • Division of Hematology/Oncology, Virginia Commonwealth University, Richmond, VA

Received 7 March 2008 ,Revised 12 July 2008 ,Accepted 30 July 2008.

References 

  1. Marlowe KF, Chicella MF. Treatment of sickle cell pain. Pharmacotherapy. 2002;22:484–491
  2. Galloway SJ, Harwood-Nuss AL. Sickle-cell anemia—a review. J Emerg Med. 1988;6:213–226
  3. Levenson JL, McClish DK, Dahman BA, et al. Depression and anxiety in adults with sickle cell disease: the PiSCES Project. Psychosom Med. 2008;70:192–196
  4. McClish DK, Penberthy LT, Bovbjerg VE, et al. Health related quality of life in sickle cell patients: the PiSCES project. Health Qual Life Outcomes. 2005;3:50
  5. Platt OS, Brambilla DJ, Rosse WF, et al. Mortality in sickle cell disease (Life expectancy and risk factors for early death). N Engl J Med. 1994;330:1639–1644
  6. Smith WR, Penberthy LT, Bovbjerg VE, et al. Daily assessment of pain in adults with sickle cell disease. Ann Intern Med. 2008;148:94–101
  7. Gorman K. Sickle cell disease (Do you doubt your patient's pain?). Am J Nurs. 1999;99:38–43quiz 4
  8. McCaffery M, Pasero C. Stigmatizing patients as addicts. Am J Nurs. 2001;101:77–7881
  9. Ducharme J, Barber C. A prospective blinded study on emergency pain assessment and therapy. J Emerg Med. 1995;13:571–575
  10. Todd KH. Emergency medicine and pain: a topography of influence. Ann Emerg Med. 2004;43:504–506
  11. Todd KH, Lee T, Hoffman JR. The effect of ethnicity on physician estimates of pain severity in patients with isolated extremity trauma. JAMA. 1994;271:925–928
  12. Tanabe P. Recognizing pain as a component of the primary assessment: adding D for discomfort to the ABCs. J Emerg Nurs. 1995;21:299–304
  13. Tanabe P, Buschmann M. A prospective study of ED pain management practices and the patient's perspective. J Emerg Nurs. 1999;25:171–177
  14. Shapiro BS, Benjamin LJ, Payne R, et al. Sickle cell-related pain perceptions of medical practitioners. J Pain Symptom Manage. 1997;14:168–174
  15. Smith WR, Bovbjerg VE, Penberthy LT, et al. Understanding pain and improving management of sickle cell disease: the PiSCES study. J Natl Med Assoc. 2005;97:183–193
  16. McHorney CA, Ware JE, Rogers W, et al. The validity and relative precision of MOS short- and long-form health status scales and Dartmouth COOP charts (Results from the Medical Outcomes Study). Med Care. 1992;30(5 suppl):MS253–MS265
  17. Stewart AL, Hays RD, Ware JE. The MOS short-form general health survey (Reliability and validity in a patient population). Med Care. 1988;26:724–735
  18. Wittink H, Turk DC, Carr DB, et al. Comparison of the redundancy, reliability, and responsiveness to change among SF-36, Oswestry Disability Index, and Multidimensional Pain Inventory. Clin J Pain. 2004;20:133–142
  19. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study (Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire). JAMA. 1999;282:1737–1744
  20. Charache S, Terrin ML, Moore RD, et al. Effect of hydroxyurea on the frequency of painful crises in sickle cell anemia (Investigators of the Multicenter Study of Hydroxyurea in Sickle Cell Anemia). N Engl J Med. 1995;332:1317–1322
  21. Hansagi H, Olsson M, Sjoberg S, et al. Frequent use of the hospital emergency department is indicative of high use of other health care services. Ann Emerg Med. 2001;37:561–567
  22. Sun BC, Burstin HR, Brennan TA. Predictors and outcomes of frequent emergency department users. Acad Emerg Med. 2003;10:320–328
  23. Zuckerman S, Shen YC. Characteristics of occasional and frequent emergency department users: do insurance coverage and access to care matter?. Med Care. 2004;42:176–182
  24. Byrne M, Murphy AW, Plunkett PK, et al. Frequent attenders to an emergency department: a study of primary health care use, medical profile, and psychosocial characteristics. Ann Emerg Med. 2003;41:309–318
  25. Olsson M, Hansagi H. Repeated use of the emergency department: qualitative study of the patient's perspective. Emerg Med J. 2001;18:430–434
  26. Andren KG, Rosenqvist U. Heavy users of an emergency department: psycho-social and medical characteristics, other health care contacts and the effect of a hospital social worker intervention. Soc Sci Med. 1985;21:761–770
  27. Malone RE. Whither the almshouse? (Overutilization and the role of the emergency department). J Health Politics Policy Law. 1998;23:795–832
  28. Padgett DK, Brodsky B. Psychosocial factors influencing non-urgent use of the emergency room: a review of the literature and recommendations for research and improved service delivery. Soc Sci Med. 1992;35:1189–1197
  29. Lockett DM, Campbell JF. The effects of aerobic exercise on migraine. Headache. 1992;32:50–54
  30. Blank FS, Li H, Henneman PL, et al. A descriptive study of heavy emergency department users at an academic emergency department reveals heavy ED users have better access to care than average users. J Emerg Nurs. 2005;31:139–144
  31. Maxwell K, Streetly A, Bevan D. Experiences of hospital care and treatment seeking for pain from sickle cell disease: qualitative study. BMJ. 1999;318:1585–1590
  32. Sawyer J. Sickle cell pain management meets technology: Everybody wins. J Acute Pain. 2005;7:1–3
  33. Pletcher MJ, Kertesz SG, Kohn MA, et al. Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments. JAMA. 2008;299:70–78

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 Supervising editor: Knox H. Todd, MD, MPH

 Author contributions: All authors helped conceive the study, design the trial, and supervise conduct of trial data collection. WRS obtained funding. All authors contributed to study subject recruitment supervision. IPA drafted the article, and all authors contributed substantially to the article. IPA is the guarantor of the article. IPA takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This research was funded by an NIH grant: Pain in Sickle Cell Epidemiology Study 1R01HL064122-01.

 Publication dates: Available online October 16, 2008.

 Reprints not available from the authors.

PII: S0196-0644(08)01635-1

doi: 10.1016/j.annemergmed.2008.07.050

Annals of Emergency Medicine
Volume 53, Issue 5 , Pages 587-593 , May 2009