Emergency department utilization after hospitalization discharge for acute stroke: The COMprehensive Post‐Acute Stroke Services (COMPASS) study

2021 ◽  
Author(s):  
Wayne D Rosamond ◽  
Anna M Kucharska‐Newton ◽  
Sara B Jones ◽  
Matthew A Psioda ◽  
Barbara J Lutz ◽  
...  
Keyword(s):  
Emergency Department ◽  
Acute Stroke ◽  
Emergency Department Utilization ◽  
Stroke Services

Patterns of psychiatric emergency department utilization among community-dwelling Medicare beneficiaries under 65.

2017 ◽  
Vol 14 (3) ◽  
pp. 387-396
Author(s):  
Jingjing Qian ◽  
Saranrat Wittayanukorn ◽  
Richard A. Hansen
Keyword(s):  
Emergency Department ◽  
Community Dwelling ◽  
Psychiatric Emergency ◽  
Emergency Department Utilization ◽  
Medicare Beneficiaries

Assessment of a multi-center tele-urgent care program to decrease emergency department referral rates in the Veterans Health Administration

2021 ◽  
pp. 1357633X2110248
Author(s):  
Charlie M Wray ◽  
Myla Junge ◽  
Salomeh Keyhani ◽  
Janeen E Smith
Keyword(s):  
Emergency Department ◽  
Emergency Department Visit ◽  
Care Program ◽  
Urgent Care ◽  
Emergency Department Utilization ◽  
Emergency Department Care ◽  
Referral Rates ◽  
Care Assessment ◽  
The Impact ◽  
Care Evaluation

The use of emergency departments for non-emergent issues has led to overcrowding and decreased the quality of care. Telemedicine may be a mechanism to decrease overutilization of this expensive resource. From April to September 2020, we assessed (a) the impact of a multi-center tele-urgent care program on emergency department referral rates and (b) the proportion of individuals who had a subsequent emergency department visit within 72 h of tele-urgent care evaluation when they were not referred to the emergency department. We then performed a chart review to assess whether patients presented to the emergency department for the same reason as was stated for their tele-urgent care evaluation, whether subsequent hospitalization was needed during that emergency department visit, and whether death occurred. Among the 2510 patients who would have been referred to in-person emergency department care, but instead received tele-urgent care assessment, one in five (21%; n = 533) were subsequently referred to the emergency department. Among those not referred following tele-urgent care, 1 in 10 (11%; n = 162) visited the emergency department within 72 h. Among these 162 individuals, most (91%) returned with the same or similar complaint as what was assessed during their tele-urgent care visit, with one in five requiring hospitalization (19%, n = 31) with one individual (0.01%) dying. In conclusion, tele-urgent care may safely decrease emergency department utilization.

scholarly journals Emergency Department Utilization for Emergency Conditions During COVID-19

2021 ◽  
Author(s):  
Arjun K. Venkatesh ◽  
Alexander T. Janke ◽  
Li Shu-Xia ◽  
Craig Rothenberg ◽  
Pawan Goyal ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Department Utilization

scholarly journals Stroke prediction in patients presenting with isolated dizziness in the emergency department

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
June-sung Kim ◽  
Hong Jun Bae ◽  
Muyeol Kim ◽  
Shin Ahn ◽  
Chang Hwan Sohn ◽  
...  
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Multivariate Analysis ◽  
Acute Stroke ◽  
Neurological Deficits ◽  
Cerebrovascular Injury ◽  
Risk Patients ◽  
History Of ◽  
Independent Risk Factors ◽  
Record Review

AbstractDiagnosing stroke in patients experiencing dizziness without neurological deficits is challenging for physicians. The aim of this study was to evaluate the prevalence of acute stroke in patients who presented with isolated dizziness without neurological deficits at the emergency department (ED), and determine the relevant stroke predictors in this population. This was an observational, retrospective record review of consecutive 2215 adult patients presenting with dizziness at the ED between August 2019 and February 2020. Multivariate analysis was performed to identify risk factors for acute stroke. 1239 patients were enrolled and analyzed. Acute stroke was identified in 55 of 1239 patients (4.5%); most cases (96.3%) presented as ischemic stroke with frequent involvement (29.1%) of the cerebellum. In the multivariate analysis, the history of cerebrovascular injury (odds ratio [OR] 3.08 [95% confidence interval {CI} 1.24 to 7.67]) and an age of > 65 years (OR 3.01 [95% CI 1.33 to 6.83]) were the independent risk factors for predicting acute stroke. The combination of these two risks showed a higher specificity (94.26%) than that of each factor alone. High-risk patients, such as those aged over 65 years or with a history of cerebrovascular injury, may require further neuroimaging workup in the ED to rule out stroke.

scholarly journals Emergency Department Utilization and Patient Outcomes During the COVID-19 Pandemic in America

2021 ◽  
Author(s):  
Scott Gutovitz ◽  
Jonathan Pangia ◽  
Alexis Finer ◽  
Karen Rymer ◽  
Dean Johnson
Keyword(s):  
Emergency Department ◽  
Patient Outcomes ◽  
Emergency Department Utilization

scholarly journals 169 Emergency Department Utilization Trends during the COVID-19

2020 ◽  
Vol 76 (4) ◽  
pp. S66
Author(s):  
E.M. Castillo ◽  
A.O. Cronin ◽  
G.M. Vilke ◽  
J.P. Killeen ◽  
J.J. Brennan
Keyword(s):  
Emergency Department ◽  
Emergency Department Utilization

Effects of Social Work Intervention on Nonemergent Pediatric Emergency Department Utilization

2004 ◽  
Vol 29 (4) ◽  
pp. 263-273 ◽  
Author(s):  
J. W. Ross ◽  
D. Roberts ◽  
J. Campbell ◽  
K. S. Solomon ◽  
B. H. Brouhard
Keyword(s):  
Emergency Department ◽  
Social Work ◽  
Pediatric Emergency ◽  
Emergency Department Utilization ◽  
Pediatric Emergency Department ◽  
Work Intervention
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