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  1. Emergency department utilization by adolescents in the United States.

    Article - En anglais


    Adolescents in the United States have been shown to underutilize primary care services and therefore may rely heavily on emergency service.

    Although several small studies have explored local emergency services for youth, there are no published reports of adolescent utilization of emergency services on a national scale.

    Furthermore, emergency services data have not been aggregated according to the age subgroups used by the current guidelines for adolescent care.


    To explore the utilization of emergency departments in the United States by early (11 to 14 years), middle (15 to 17 years), and late (18 to 21 years) adolescent subgroups.


    Secondary analysis of the emergency department component of the 1994 National Hospital Ambulatory Medical Care Survey.


    Nationally representative sample of 418 emergency departments in the United States.


    Approximately 26 547 visits by patients of all ages, representing 93.4 million total visits in 1994 and 14.8 million adolescent visits.

    Outcome Measures

    Number of visits, health insurance, reasons for visits, urgency of visits, resulting diagnoses, and hospitalization rates.


    Adolescents accounted for 15.4% of the population and 15.8% of emergency department visits in 1994.

    Late adolescents were overrepresented in emergency department visits relative to their population proportion (6.8% of visits, 5.3% of population), whereas early adolescents were underrepresented (4.6% of visits, 5. (...)

    Mots-clés Pascal : Service hospitalier, Utilisation, Préadolescent, Homme, Assurance maladie, Sexe, Urgence, Adolescent, Etats Unis, Amérique du Nord, Amérique, Age, Déterminant, Epidémiologie

    Mots-clés Pascal anglais : Hospital ward, Use, Preadolescent, Human, Health insurance, Sex, Emergency, Adolescent, United States, North America, America, Age, Determinant, Epidemiology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0285183

    Code Inist : 002B27B14C. Création : 27/11/1998.