scholarly journals Analysis of Patients with Urolithiasis Visiting the Emergency Department between 2014 and 2016 in Korea: Data from the National Emergency Department Information System

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Jong Wook Kim ◽  
Jung-Youn Kim ◽  
Sun Tae Ahn ◽  
Mi Mi Oh ◽  
Du Geon Moon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Information System ◽  
Early Morning ◽  
Emergency Department Visits ◽  
Treatment Result ◽  
National Database ◽  
Annual Percent Change ◽  
Hospitalization Rates ◽  
Hot Season ◽  
National Emergency

Abstract This study investigated the characteristics of patients with urolithiasis visiting an emergency department based on a national database system in Korea. This study spanned a period of three years from January 1, 2014 to December 31, 2016. A retrospective census was conducted using the National Emergency Department Information System for urolithiasis patients. Patient data, including age, sex, insurance type, emergency department visit date and time, discharge date and time, emergency department treatment result, visit flow, and hospitalization route, were extracted and analyzed. Overall, 103,981, 112,083, and 120,647 patients/year during the 2014–2016 study period visited an emergency department with a diagnosis related to urolithiasis. Total monthly emergency department visits ranged from 35,927 in August (highest) to 24,008 in February. Overall, 13.2% of patients were hospitalized and the hospitalization rate was stable (estimated annual percent change) over the study period. Patients aged <9 years or ≥70 years and those with medical aid had higher hospitalization rates. A higher number of visits occurred in the hot season, on weekends, and in the 6 a.m. and 8 p.m. time slots. This nationwide study revealed that the percentage of patients visiting an emergency department with urolithiasis was higher in August, in the early morning, and at weekends.

scholarly journals Prevalence and direct costs of emergency department visits and hospitalizations for selected diseases that can be transmitted by water, United States

2017 ◽  
Vol 15 (5) ◽  
pp. 673-683 ◽  
Author(s):  
E. A. Adam ◽  
S. A. Collier ◽  
K. E. Fullerton ◽  
J. W. Gargano ◽  
M. J. Beach
Keyword(s):  
Emergency Department ◽  
Otitis Externa ◽  
Hepatitis A Virus ◽  
Direct Costs ◽  
Emergency Department Visits ◽  
Escherichia Coli Infection ◽  
Waterborne Transmission ◽  
Ed Visits ◽  
National Emergency ◽  
Attribution Process

National emergency department (ED) visit prevalence and costs for selected diseases that can be transmitted by water were estimated using large healthcare databases (acute otitis externa, campylobacteriosis, cryptosporidiosis, Escherichia coli infection, free-living ameba infection, giardiasis, hepatitis A virus (HAV) infection, Legionnaires’ disease, nontuberculous mycobacterial (NTM) infection, Pseudomonas-related pneumonia or septicemia, salmonellosis, shigellosis, and vibriosis or cholera). An estimated 477,000 annual ED visits (95% CI: 459,000–494,000) were documented, with 21% (n = 101,000, 95% CI: 97,000–105,000) resulting in immediate hospital admission. The remaining 376,000 annual treat-and-release ED visits (95% CI: 361,000–390,000) resulted in $194 million in annual direct costs. Most treat-and-release ED visits (97%) and costs ($178 million/year) were associated with acute otitis externa. HAV ($5.5 million), NTM ($2.3 million), and salmonellosis ($2.2 million) were associated with next highest total costs. Cryptosporidiosis ($2,035), campylobacteriosis ($1,783), and NTM ($1,709) had the highest mean costs per treat-and-release ED visit. Overall, the annual hospitalization and treat-and-release ED visit costs associated with the selected diseases totaled $3.8 billion. As most of these diseases are not solely transmitted by water, an attribution process is needed as a next step to determine the proportion of these visits and costs attributable to waterborne transmission.

Abstract P168: Impact of Oral Anticoagulation Choice on Healthcare Utilization for the Primary Treatment of Venous Thromboembolism

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Rob F Walker ◽  
Richard F Maclehose ◽  
J'Neka Claxton ◽  
Terrence Adam ◽  
Alvaro Alonso ◽  
...  
Keyword(s):  
Emergency Department ◽  
Healthcare Utilization ◽  
Oral Anticoagulation ◽  
Primary Treatment ◽  
Emergency Department Visits ◽  
Office Visits ◽  
International Classification Of Disease ◽  
Hospitalization Rates ◽  
The Impact

Introduction: Little is known about the impact of oral anticoagulation (OAC) choice on healthcare encounters during the primary treatment of VTE. Hypothesis: Among anticoagulant-naïve VTE patients we tested the hypotheses that the number of hospitalizations, days hospitalized, emergency department visits, and outpatient office visits would be lower among users of rivaroxaban or apixaban than among users of warfarin. Methods: MarketScan databases for years 2016 and 2017 were used to identify VTE cases and comorbidities using international classification of disease codes, and prescriptions for OACs via outpatient pharmaceutical claims data. Healthcare utilization was identified in the first 6 months after initial VTE diagnoses. Results: The 23,864 individuals with VTE cases were on average (± standard deviation) 55.7 ± 16.1 years old and 50.6% female. Participants had on average 0.2 ± 0.5 hospitalizations, spent 1.3 ± 5.2 days in the hospital, had 5.7 ± 5.1 outpatient encounters, and visited an emergency department 0.4 ± 1.1 times. As compared to warfarin, rivaroxaban and apixaban were associated with fewer hospitalizations, days hospitalized, office visits and emergency department visits, after accounting for age, sex, comorbidities and medications (Table 1). For example, hospitalization rates were 24% lower [IRR: 0.76 (95% CI: 0.69, 0.83)] for patients prescribed rivaroxaban and 22% lower [IRR: 0.78 (95% CI: 0.71, 0.87)] for patients prescribed apixaban, as compared to those prescribed warfarin. When comparing apixaban to rivaroxaban, there were no differences in healthcare utilization. Conclusions: VTE patients prescribed rivaroxaban and apixaban had lower healthcare utilization than did those prescribed warfarin, while there was no difference when comparing apixaban to rivaroxaban. These findings complement existing literature supporting the use of direct OACs over warfarin given their similar effectiveness, slightly better safety profile, and perceived lower patient burden.

scholarly journals Health service inequalities during the COVID-19 pandemic among elderly people living in large urban and non-urban areas in Florida, USA

2020 ◽  
Vol 8 ◽  
pp. 205031212097416
Author(s):  
Xinhua Yu
Keyword(s):  
Emergency Department ◽  
Elderly People ◽  
Rural Areas ◽  
Urban Areas ◽  
Metropolitan Areas ◽  
Elderly Women ◽  
Logistic Models ◽  
Emergency Department Visits ◽  
Hospitalization Rates ◽  
Adjusted Incidence

Objective: Health inequalities were often exacerbated during the emerging epidemic. This study examined urban and non-urban inequalities in health services among COVID-19 patients aged 65 years or above in Florida, USA, from 2 March to 27 May 2020. Methods: A retrospective time series analysis was conducted using individual patient records. Multivariable Poisson’s and logistic models were used to calculate adjusted incidence of COVID-19 and the associated rates of emergency department visits, hospitalizations, and deaths. Results: As of 27 May 2020, there were 13,659 elderly COVID-19 patients (people aged 65 years or above) in Florida and 14.9% of them died. Elderly people living in small metropolitan areas might be less likely to be confirmed with COVID-19 infection than those living in large metropolitan areas. The emergency department visit and hospitalization rates decreased significantly across metropolitan statuses for both men and women. Those patients living in small metropolitan or rural areas were less likely to be hospitalized than those living in large metropolitan areas (35% and 34% vs 41%). Elderly women aged 75 years or above living in rural areas had 113% higher adjusted incidence of COVID-19 than those living in large metropolitan areas, and the rates of hospitalizations were lower compared with those counterparts living in large metropolitan areas (29% vs 46%; odds ratio: 0.37 (0.25–0.54), p < 0.001). Conclusion: For elderly people living in Florida, USA, those living in small metropolitan or rural areas were less likely to receive adequate health care than those living in large or medium metropolitan areas during the COVID-19 pandemic.

scholarly journals Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Sung Joon Park ◽  
Jung-Youn Kim ◽  
Young-Hoon Yoon ◽  
Eu Sun Lee ◽  
Hyun-Jin Kim ◽  
...  
Keyword(s):  
Emergency Department ◽  
Information System ◽  
Emergency Medical Services ◽  
Secondary Data ◽  
The Other ◽  
Limited Resources ◽  
Medical Services ◽  
Emergency Medical ◽  
Prehospital Emergency ◽  
National Emergency

Introduction. Proper ambulance use is important not only due to the patient’s transport quality but also because of the need for efficient use of limited resources allotted by the system. Therefore, this study was conducted to check for overuse or underuse of the ambulance system by patients who visited the emergency department (ED). Methods. In this study, a secondary data analysis was conducted using the existing database of the National Emergency Department Information System with all patients who visited EDs over the three-year study period from 2016 to 2018. The study subjects were classified into the following groups: (1) appropriate Emergency Medical Services (EMS) usage; (2) appropriate no EMS usage; (3) underuse; and (4) overuse groups. Results. Of 18,298,535 patients, 11,668,581 (63.77%) were classified under the appropriate usage group, while 6,629,954 (36.23%) were classified under the inappropriate usage group. In the appropriate EMS usage group, there were 2,408,845 (13.16%) patients. In the appropriate no EMS usage group, there were 9,259,706 (50.60%) patients. As for the inappropriate usage group, there were 5,147,352 (28.13%) patients categorized under the underuse group. On the other hand, there were 1,482,602 (8.10%) patients under the overuse group. Conclusion. There are many patients who use ambulances appropriately, but there are still many overuse and underuse. Guidelines on ambulance use are necessary for the efficient use of emergency medical resources and for the safety of patients.

scholarly journals Analysis of Neck Trauma Patients Using the Korean National Emergency Department Information System

2018 ◽  
Vol 8 (1) ◽  
pp. 7-12
Author(s):  
Jung Hun Kim ◽  
Sung Won Jung ◽  
Jin Suk Lee ◽  
Jong-Min Park ◽  
Han Deok Yoon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Information System ◽  
Trauma Patients ◽  
Neck Trauma ◽  
National Emergency

Pediatric Oral Electrical Burns

2016 ◽  
Vol 155 (1) ◽  
pp. 94-98 ◽  
Author(s):  
Lauren A. Umstattd ◽  
C. W. David Chang
Keyword(s):  
Emergency Department ◽  
Surveillance System ◽  
Emergency Department Visits ◽  
Injury Surveillance ◽  
Consumer Product ◽  
National Database ◽  
Weighted Estimate ◽  
Injury Surveillance System ◽  
System Database ◽  
Electrical Burns

Objectives To investigate the epidemiology of emergency department visits for pediatric patients presenting with electrical burns to the mouth. Study Design Cross-sectional analysis of a national database. Setting National Electronic Injury Surveillance System Database. Subjects and Methods The Consumer Product Safety Commission’s National Electronic Injury Surveillance System database was used to derive a national weighted estimate of emergency department visits for oral electrical burns and was queried for each patient’s age, sex, race, local of incidence, disposition, and related consumer product. Results There were an estimated 1042 emergency department visits for pediatric oral electrical burns from 1997 to 2012, or an average of approximately 65.1 cases per year. A total of 59.6% of patients were male. Nearly half of emergency department visits involved patients <3 years of age, and more than three-fourths of emergency department visits involved patients <5 years of age. A total of 77.2% of patients were examined, treated, and released from the emergency department, while 19.2% were admitted to the hospital. Most injuries involved electrical outlets or receptacles (10.8%), extension cords (18.5%), and electrical wires (21.5%). Conclusion Earlier incidence estimates of pediatric oral electrical burns varied substantially within the literature and varied from small case reports to single-year studies. Our multiyear data analysis provides evidence of decreasing annual incidence when compared with historical estimates for a common but potentially morbid injury among the pediatric population.

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