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In this study, we focused on older adults in the ED with gray-area diagnoses as follows: diagnoses associated with clinical ambiguity or high rates of potentially preventable hospitalizations and variability in admissions [16,17].
JMIR Aging 2025;8:e55929
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—and the fact that the score can change over the course of ED evaluation, that is, due to changes in mental status and vital signs. A group from the Kaiser Permanente health system previously reported an automated clinical decision support (CDS) tool, which calculates the PESI score based on data already captured in the electronic health record [16].
JMIR Med Inform 2025;13:e58800
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Nearly 650,000 people are evaluated for suicide attempts in US EDs annually [13-15]; approximately 1.4 million ED visits annually are for suicidal ideation or deliberate nonsuicidal self-injury [16-18].
JMIR Form Res 2024;8:e52293
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A growing body of evidence indicates that these individuals face high risks of adverse outcomes after ED discharge, including falls [2] and functional decline [3]. While guidelines aim to identify those at risk of poor outcomes [4], existing fall risk screening tools using data at the time of the ED encounter have limited ability to predict which patients will fall [2].
JMIR Aging 2024;7:e57601
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Extended emergency department (ED) wait times are a major health care system problem worldwide [1-4]. Long wait times in the ED can threaten patients’ well-being, leading them to depart the ED without receiving the essential care they require. Additionally, this situation contributes to overcrowding within the ED and fosters a sense of dissatisfaction among both patients and ED personnel [2]. Previous studies have investigated many initiatives to reduce ED wait times.
JMIR Res Protoc 2024;13:e52612
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Lo and colleagues [6] found that between 2007 and 2016, pediatric mental health ED visits rose 60%, while general pediatric ED visits remained unchanged. Similar increases were found in 2 additional studies of national data sets between 2006 and 2015, finding increases ranging from 48% to 54% [7,8]. The proportion of ED visits for mental health conditions further increased following COVID-19 [9].
JMIR Form Res 2023;7:e47895
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In the ED group, 17.4% (77/443) and 4.5% (20/443) said that most or a lot of their sexual contact happened under the influence of alcohol or drugs, respectively, versus 6.50% (99/1523) and 1.97% (30/1523) of those without ED (P40% (77/176, 43.8%) were classified as having ED.
There was no significant correlation between the use of antidepressants and ED in our study population (P=.08).
JMIR Public Health Surveill 2021;7(10):e32542
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