Table 5.
Multivariate model of factors associate with frequent (≥4 visits) emergency department use
| Variable | OR (95%CI) |
|---|---|
|
Socio demographic variables | |
| Health insurance | |
| No (Reference) | 1.0 |
| Yes | 0.6 (0.3, 1.2) |
|
| |
| Income | |
| <$22,500 | 11.5 (2.9, 45.3) |
| $22,500-39,999 | 5.3 (1.3, 21.5) |
| $40,000-59,999 | 2.8 (0.6, 13.0) |
| $60,000-89,999 | 3.7 (0.9, 16.4) |
| $90,000+ (Reference) | 1.0 |
|
| |
| Age | |
| ≤30 (Reference) | 1.0 |
| 31-40 | 0.8 (0.3, 1.9) |
| 41-50 | 0.7 (0.3, 1.6) |
| 51-65 | 0.7 (0.3, 1.6) |
| >65 | 0.5 (0.1, 1.7) |
|
| |
| Headache specific variables | |
|
| |
| MIDAS headache disability score | |
| 0-5 (Reference) | 1.0 |
| 6-10 | 1.6 (0.7, 3.9) |
| 11-20 | 3.1 (1.3, 7.3) |
| >20 | 3.7 (1.7, 8.3) |
|
| |
| Acute medication use | |
| -OTC only (Reference) | 1.0 |
| -Opiate, prescription NSAID | 1.4 (0.7, 2.6) |
| -Triptan or DHE | 1.8 (1.0, 3.2) |
|
| |
| Preventative medication | |
| -None | 1.0 |
| -Any | 1.5 (0.9, 2.7) |
|
| |
| Health professional seen most often for HA | |
| -None (Reference) | 1.0 |
| -Primary care | 1.0(0.5, 1.9) |
| - Headache specialist | 2.7(1.2, 6.1) |
|
| |
| Other healthcare variables | |
|
| |
| Frequent use of ED or urgent care (UC) for non-headache reasons | |
| 0 (Reference) | 1.0 |
| ≥4 | 42.0 (23.6, 74.9) |
|
| |
| Depression screener (PHQ9) | |
| Normal (Reference) | 1.0 |
| Elevated | 1.2 (0.6, 2.5) |
PHQ>=4 was considered elevated