Exploring factors associated with high frequency emergency department use by children and young people: a retrospective cohort study - Report - MDSpire

Exploring factors associated with high frequency emergency department use by children and young people: a retrospective cohort study

  • By

  • Akshay Kumar

  • Rebecca M Simpson

  • Kerryn Husk

  • Graham D Johnson

  • Chris Burton

  • July 15, 2026

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Clinical Report: Investigating Factors Linked to Frequent Emergency Department Visits Among Children and Adolescents

Overview

This study identifies key factors associated with high frequency emergency department (ED) visits among children and adolescents, highlighting the role of age and socioeconomic deprivation.

Background

Emergency department visits have increased significantly, with a notable rise in unscheduled attendances. Understanding the drivers behind high frequency ED use, particularly among children and young people, is crucial.

Data Highlights

MeasureValue
Total ED attendances105,063
High frequency attenders27,560 (9.6%)
Proportion of total attendances by high frequency attenders25%

Key Findings

  • 9.6% of children and young people were classified as high frequency ED attenders.
  • High frequency attenders accounted for 25% of total ED attendances.
  • Younger age groups and higher levels of deprivation were associated with increased ED attendance rates.
  • Ethnicity influenced attendance rates, with mixed and other ethnicities showing higher rates compared to white individuals.
  • Deprivation and ethnic status interactions indicated lower attendance rates among ethnic minorities in the most deprived category.

Clinical Implications

Healthcare providers should consider age and socioeconomic factors when addressing frequent ED use among children and adolescents.

Conclusion

The findings highlight the factors driving frequent ED attendance among children and adolescents.

Related Resources & Content

  1. Akshay Kumar, Rebecca M Simpson et al., BMJ Paediatrics Open, 2026 -- High frequency emergency department use and heterogeneity of reasons for attendance
  2. DIGITAL HEALTH — Extracting structured clinical data from pediatric emergency records using LLMs: A multimodel retrospective study of children with medical complexity
  3. conexiant — Does Pediatric Readiness Reduce ED Imaging?
  4. BMJ Paediatrics Open — Paediatric suspected non-accidental or intentional self-harm injuries diagnosed after an emergency call: a national population-based cohort study from Denmark
  5. JAMA Network Open — Persistent Vomiting Among Children With Acute Gastroenteritis: A Secondary Analysis of a Randomized Clinical
  6. Facing the Future: Standards for children and young people in emergency care
  7. "High frequency emergency department use and heterogeneity of reasons f" by Akshay Kumar, Rebecca M Simpson et al.
  8. Overtriage and Undertriage of Children Presenting to the Emergency Department for Behavioral Health | Nursing | JAMA Network Open | JAMA Network

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