A new type of addiction: Emergency service abuse

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Ensar Durmus
Fatih Guneysu


Objective: Patients repeatedly applying to the emergency department have become a common problem for many hospitals. With this study, the demographic characteristics of the patients who applied to an emergency department in 12 or more times in a year, the patients' hospitalization status, and the rate of using ambulance service were retrospectively examined.

Material and Methods: This study is a retrospective, descriptive, cross-sectional research article. The study was conducted in the 1300-bed Sakarya Training and Research Hospital (SEAH) adult emergency room (ER), the largest hospital in Sakarya Province, the study period was 2019. Adult patients with 12 or more emergency department applications per year were selected for the study.

Results: In the SEAH adult emergency department, 220.296 patients have examined a total of 382.413 times (1.74 per person) during 2019. The applying patients' to the SEAH adult emergency room 12 times or more in a year was 808 in 2019. These patients' emergency examinations' total quantity was 14369, presenting 3.76% of all emergency examinations, 625 (77.4%) were never hospitalized. Of these patients 420 (52%) were male; the median age was 47. The emergency department examinations estimate was 17.78 (±10.98) times averagely, the median amount was 15 times, and was between 12-192. Of them, 305 (37.7%) had also applied to the psychiatry outpatient clinic at least once. A weak but notable correlation was perceived between the number of outpatient clinic admissions and emergency service admissions (p = 0.001, r = 0.245).

Conclusion: Frequent users visit the ER and other polyclinics regularly. Limitations should be required on these patients using emergency services in non-emergency situations. It is essential to pay specific attention to frequent emergency room users and investigate the motivations for proceeding to the emergency room


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How to Cite
Durmus, E., & Guneysu, F. (2021). A new type of addiction: Emergency service abuse. Medical Science and Discovery, 8(2), 132–135. https://doi.org/10.36472/msd.v8i2.485
Research Article
Received 2021-02-07
Accepted 2021-02-23
Published 2021-02-24


Yarmohammadian MH, Rezaei F, Haghshenas A, Tavakoli N. Overcrowding in emergency departments: A review of strategies to decrease future challenges. J Res Med Sci [Internet]. 2017 Feb 16 [cited 2021 Feb 2];22. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377968/

LaCalle E, Rabin E. Frequent Users of Emergency Departments: The Myths, the Data, and the Policy Implications. Annals of Emergency Medicine. 2010 Jul;56(1):42–8.

Capp R, Kelley L, Ellis P, Carmona J, Lofton A, Cobbs-Lomax D, et al. Reasons for Frequent Emergency Department Use by Medicaid Enrollees: A Qualitative Study. Acad Emerg Med. 2016 Apr;23(4):476–81.

Grover CA, Close RJ. Frequent Users of the Emergency Department: Risky Business. West J Emerg Med. 2009 Aug;10(3):193–4.

Pham JC, Bayram J, Moss DK. Characteristics of Frequent Users of Three Hospital Emergency Departments [Internet]. [cited 2021 Feb 5]. Available from: http://www.ahrq.gov/professionals/systems/hospital/edenvironmentalscan/researchbrief.html

Slankamenac K, Zehnder M, Langner TO, Krähenmann K, Keller DI. Recurrent Emergency Department Users: Two Categories with Different Risk Profiles. J Clin Med. 2019 Mar 9;8(3).

Rising KL, Padrez KA, O’Brien M, Hollander JE, Carr BG, Shea JA. Return Visits to the Emergency Department: The Patient Perspective. Annals of Emergency Medicine. 2015 Apr;65(4):377-386.e3.

Raven MC, Carrier ER, Lee J, Billings JC, Marr M, Gourevitch MN. Substance use treatment barriers for patients with frequent hospital admissions. Journal of Substance Abuse Treatment. 2010 Jan 1;38(1):22–30.

Alper M. Top 100 Hospitals in Each Branch-2017 Number of Public Hospitals Examination, Hospitalization, Intensive Care, Surgery, Emergency Service and Births [İnternet]. Türkiye Cumhuriyeti Sağlık Bakanlığı Kamu Hastaneleri Genel Müdürlüğü İstatistik, Analiz, Raporlama ve Stratejik Yönetim Dairesi Başkanlığı; 2017 [cited 2020 Mar 12]. Available from: https://khgmistatistikdb.saglik.gov.tr/TR,43819/her-bransta-ilk-100-hastane-2017-yili-kamu-hastaneleri-muayene-yatis-yogun-bakim-ameliyat-acil-servis-ve-dogum-sayilari.html

Salway R, Valenzuela R, Shoenberger J, Mallon W, Viccellio A. EMERGENCY DEPARTMENT (ED) OVERCROWDING: EVIDENCE-BASED ANSWERS TO FREQUENTLY ASKED QUESTIONS. Revista Médica Clínica Las Condes. 2017 Mar 1;28(2):213–9.

Birmingham LE, Cochran T, Frey JA, Stiffler KA, Wilber ST. Emergency department use and barriers to wellness: a survey of emergency department frequent users. BMC Emerg Med. 2017 May 10;17(1):16.

Soytutan Caglar I. Health Statistics Yearbook 2019 Newsletter (Sağlık İstatistikleri Yıllığı 2019 Haber Bülteni) [İnternet]. Internet: Republic of Turkey Ministry of Health; 2020 Sep [cited 2021 Feb 5] p. 5. Available from: https://dosyamerkez.saglik.gov.tr/Eklenti/39024,haber-bulteni-2019pdf.pdf?0

George D, Mallery P. IBM SPSS statistics 25 step by step: a simple guide and reference. Fifteenth edition. New York ; London: Routledge, Taylor & Francis Group; 2019. 404 p.

Nourazari S, Hoch DB, Capawanna S, Sipahi R, Benneyan JC. Can improved specialty access moderate emergency department overuse?: Effect of neurology appointment delays on ED visits. Neurol Clin Pract. 2016 Dec;6(6):498–505.

S G, P P. Urban Patient Navigator Program Associated with Decreased Emergency Department Use, and Increased Primary Care Use, among Vulnerable Patients. J Community Med Health Educ [Internet]. 2016 [cited 2021 Feb 6];6(3). Available from: https://www.omicsonline.org/open-access/urban-patient-navigator-program-associated-with-decreased-emergency-department-use-and-increased-primary-care-use-among-vulnerable-2161-0711-1000440.php?aid=74449

Slankamenac K, Heidelberger R, Keller DI. Prediction of Recurrent Emergency Department Visits in Patients With Mental Disorders. Front Psychiatry. 2020 Feb 25;11:48.