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We next examined whether the patterns of PES use by multiple visit patients included admissions at other services.
As for geographical variables Oyewumi et al. [ 4] reported that up to 23% of their multiple visit patients (in Saskatoon, Canada) visited several, rather than the same PES.
Whether this subgroup of multiple visit patients differed diagnostically from those making all of their visits at the same PES was not assessed.
These patterns, combined with distinct diagnostic profiles, could potentially lead to the more rapid identification and treatment of specific sub-groups of multiple visit patients.
In addition, a subgroup of multiple visit patients was characterized by having 50% or more of their visits at other services.
Although the single visit patients seemed to experience more pain (slight, moderate/severe) than did the multiple visit patients during the first 24 hours, the differences were not statistically significant (Table 5).
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First, to assess whether the diagnostic profiles of different multiple visit patient groups could be matched to distinct temporal or geographical patterns of PES use.
Although distinct, these profiles are by themselves not sufficiently unique to be used as potential markers for early multiple visit patient detection.
Lastly, multiple-visit patients became increasing familiar to the regular PES staff, who routinely referred them to multidisciplinary treating teams (psychiatrists, social workers, nurse clinicians, psychologists) responsible for both their outpatient and inpatient care.
For the multiple visit procedures, Patients that defaulted after the first appointment (incomplete treatment) were excluded from the study.
Twenty-eight patients had multiple visits; four patients underwent evaluation on three separate occasions (Table 1).
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