{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T21:02:47Z","timestamp":1773435767928,"version":"3.50.1"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2016,11,7]],"date-time":"2016-11-07T00:00:00Z","timestamp":1478476800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1481803516003870_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>The main objective of this study was to understand the five-year trend in total emergency department (ED) visits, frequency of use, and diagnoses and disposition of patients. Since the region has experienced a profound increase in opioid use disorder since 2009, we were particularly interested in changes in the volume of mental health and addiction (MHA) ED presentations.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803516003870_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Retrospective aggregate data analysis of ED visits to the Sioux Lookout Meno Ya Win Health Centre 2010-2014.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803516003870_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>ED visit volume increased 29% over the five-year study period, while MHA ED visits increased 73%. The admission rate remained stable at 6.9% of ED visits. Five-year trends in clinically grouped diagnostic categories identified respiratory, MHA, and abdominal\/pelvic complaints as the three most common ED presentations. In 2014, MHA presentations accounted for 10.3% of ED visits, 8.7% of admissions, and 20.0% of inter-hospital transfers.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803516003870_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>The dramatic increase in MHA ED visits mirrors the opioid epidemic the region is experiencing. MHA may soon become the commonest ED presentation. If reasons for ED visits serve as a proxy for unmet outpatient needs, increased efforts at developing community MHA services and addressing the related social determinants of health are required.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cem.2016.387","type":"journal-article","created":{"date-parts":[[2016,11,7]],"date-time":"2016-11-07T10:33:27Z","timestamp":1478514807000},"page":"381-385","source":"Crossref","is-referenced-by-count":14,"title":["A 5 year retrospective study of emergency department use in Northwest Ontario: a measure of mental health and addictions needs"],"prefix":"10.1007","volume":"19","author":[{"given":"Cai-lei","family":"Matsumoto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terry","family":"O\u2019Driscoll","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Lawrance","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Jakubow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharen","family":"Madden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Len","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2016,11,7]]},"reference":[{"key":"S1481803516003870_ref34","unstructured":"Northwest LHIN. 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