Compared to usual care, CATCH-ED participants saw a 14% reduction in frequency of ED visits during the 12-month post-randomization period [rate ratio (RR) = 0.86, 95% CI 0.64–1.15)], however, this finding did not reach statistical significance.
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The effect of brief case management on emergency department use of frequent users in mental health: Findings of a randomized controlled trial.
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Similar to our study, the most recent trial used the same definition of frequent users (≥5 ED visits in past 12 months), was held in a country with universal health insurance coverage and privately delivered health care (Switzerland) and showed a trend towards reduced ED use which did not reach statistical significance [ 33 ].