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However, composite scores increased significantly with higher visit volumes and admission rates (Table 4).
In a multivariable linear regression analysis, only higher visit volumes were found to be significantly associated with higher composite scores for any crowding solution (Table 5).
Examining GP data, a 17% higher visit rate and 14% higher prescription of medications were shown.
Finally, our results also appear to capture interannual variability in dose response, with higher visit rates in anomalously warm years.
Shorter time intervals between visits in patients with higher visit counts suggest that these patients might also differ with regards visit clustering.
These are much higher visit and return visit rates than those reported in other studies [ 2, 6, 7] of older adults' ED use.
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Peaks and troughs in BP were also independently associated with adverse events.In patients with stable coronary heart disease, higher visit-to-visit variabilities of both systolic and diastolic BP are strong predictors of increased risk of cardiovascular events, independently of mean BP.
However, this is consistent with previous studies of GP visiting rates among private patients in Ireland, as is the higher visiting rate amongst female patients[ 17].
Higher VAS scorings were observed from next of kin with high visit frequency (≥5×/week).
The factors associated with over-reporting specialist visits were undergoing laparoscopic surgery and high visit frequency (>4 visits) in the previous six months (Table 3) however, only high frequency visits remained statistically significant in a logistic regression model (Table 4).
In general, the transition model provides a somewhat better prediction than the mixed effects model, especially at high visit numbers.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com