{"id":20143,"date":"2024-08-14T09:25:07","date_gmt":"2024-08-14T13:25:07","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&p=20143"},"modified":"2024-08-15T09:33:23","modified_gmt":"2024-08-15T13:33:23","slug":"physician-follow-up-of-pediatric-and-young-adult-emergency-department-visits-for-substance-use-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/physician-follow-up-of-pediatric-and-young-adult-emergency-department-visits-for-substance-use-in-ontario-canada\/","title":{"rendered":"Physician follow-up of pediatric and young adult emergency department visits for substance use in Ontario, Canada"},"content":{"rendered":"

Purpose<\/strong> \u2014 To study the proportion and predictors of outpatient physician follow-up within 60 days of substance-related emergency department (ED) visits for Ontario youth.<\/p>\n

Methods<\/strong> \u2014 We examined administrative data on substance-related ED visits before and during the COVID-19 pandemic among youths aged 10-24 years in Ontario, Canada. Substance-related visits were identified using International Classification of Diseases-10-CA codes. We described demographic characteristics, receipt of mental health services in the year before the ED visit, disposition from the ED, and follow-up services within 60 days of the ED visit.<\/p>\n

Results<\/strong> \u2014 Between April 1, 2017, and May 31, 2021, 64,236 youth had at least one ED visit for substance use. Visits for alcohol were the most common (49%), followed by cannabis (32.3%). ED visits for all substances were more prevalent during the pandemic than prepandemic, except visits for alcohol. The receipt of follow-up physician care for substance use was low (33.2% prepandemic) but increased during the pandemic (41.7%; adjusted odds ratio 1.34, 95% CI 1.28, 1.39) and varied between substances. Mental health service history in the year before the substance-related ED visit had the strongest association with receipt of follow-up physician care within 60 days (adjusted odds ratio 6.86, 95% CI 6.57, 7.17).<\/p>\n

Discussion<\/strong> \u2014 Youth frequently do not receive physician follow-ups within two months of the substance-related ED visit, although higher follow-up proportions were seen during the pandemic after the implementation of virtual care. Further research is required to understand why follow-up is low and to examine interventions that can increase connection to care.<\/p>\n","protected":false},"excerpt":{"rendered":"

Purpose \u2014 To study the proportion and predictors of outpatient physician follow-up within 60 days of substance-related emergency department (ED) visits for Ontario youth. Methods \u2014 We examined administrative data on substance-related ED visits before and during the COVID-19 pandemic among youths aged 10-24 years in Ontario, Canada. Substance-related visits were identified using International Classification […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,16,34],"migration-helper-qa-sample-set":[],"class_list":["post-20143","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-children-and-young-people","topic-mental-health-and-addictions"],"acf":{"citation":"Rosic T, Cloutier P, Myran D, Imsirovic H, Kurdyak P, Gardner W. J Adolesc Health<\/em>. 2024; S1054-139X(24)00303-3. Epub 2024 Aug 14.","source_url":"https:\/\/doi.org\/10.1016\/j.jadohealth.2024.06.019","ices_scientist":[17551,1152,1240,21965],"site":[6734],"research_program":[6744],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"\nICES | Physician follow-up of pediatric and young adult emergency department visits for substance use in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Purpose \u2014 To study the proportion and predictors of outpatient physician follow-up within 60 days of substance-related emergency department (ED) visits\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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