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Nationwide Emergency Department Sample

Christopher S Evans, Katherine M Hunld, Tony Rosen, Timothy F Platts-Mills
OBJECTIVES: To estimate the proportion of visits to U.S. emergency departments (EDs) in which a diagnosis of elder abuse is reached using two nationally representative datasets. DESIGN: Retrospective cross-sectional analysis. SETTING: U.S. ED visits recorded in the 2012 Nationwide Emergency Department Sample (NEDS) or the 2011 National Hospital Ambulatory Medical Care Survey (NHAMCS). PARTICIPANTS: All ED visits of individuals aged 60 and older...
October 18, 2016: Journal of the American Geriatrics Society
Suliman Alghnam, Glen H Tinkoff, Renan Castillo
BACKGROUND: Repeated injuries, as known as injury recidivism, pose a significant burden on population health and healthcare settings. Therefore, identifying those at risk of recidivism can highlight targeted populations for primary prevention in order to improve health and reduce healthcare expenditures. There has been limited research on factors associated with recidivism in the U.S. Using a population-based sample, we aim to: 1) identify the prevalence and risk factors for injury recidivism among non-institutionalized adults; 2) investigate the trend in nationwide recidivism rates over time...
December 2016: Injury Epidemiology
Joshua W Elder, M Kit Delgado, Benjamin I Chung, Elizabeth A Pirrotta, N Ewen Wang
BACKGROUND: Renal colic results in > 1 million ED visits per year, yet there exists a gap in understanding how the majority of these visits, namely uncomplicated cases, are managed. OBJECTIVE: We assessed patient- and hospital-level variation for emergency department (ED) management of uncomplicated kidney stones. METHODS: We identified ED visits from non-elderly adults (aged 19-79 years) with a primary diagnosis indicating renal stone or colic from the 2011 Nationwide Emergency Department Sample...
October 5, 2016: Journal of Emergency Medicine
Christoffer Torgaard Thomsen, Michael Eriksen Benros, Lene Halling Hastrup, Per Kragh Andersen, Domenico Giacco, Merete Nordentoft
INTRODUCTION: Patient-controlled hospital admission for individuals with severe mental disorders is a novel approach in mental healthcare. Patients can admit themselves to a hospital unit for a short stay without being assessed by a psychiatrist or contacting the emergency department. Previous studies assessing the outcomes of patient-controlled hospital admission found trends towards reduction in the use of coercive measures and length of hospital stay; however, these studies have methodological shortcomings and small sample sizes...
2016: BMJ Open
John Myers, Carlee Lehna
Changes in U.S. fireworks laws have allowed younger children to purchase fireworks. In addition, the changes have allowed individuals to purchase more powerful fireworks. The purpose of this study is to examine the epidemiology of pediatric firework-related burn injuries among a nationally representative sample of the United States for the years 2006 to 2012. We examined inpatient admissions for pediatric firework-related burn patients from 2006 to 2012 using the nationwide inpatient sample and examined emergency department admissions using the nationwide emergency department sample...
September 20, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Hatim A Alsulaim, Blair J Smart, Anthony O Asemota, R Sterling Haring, Joseph K Canner, David T Efron, Elliott R Haut, Eric B Schneider
BACKGROUND: Outcome studies in trauma using administrative data traditionally employ anatomy-based definitions of injury severity; however, physiologic factors, including consciousness, may correlate with outcomes. We examined whether accounting for conscious status in administrative data improved mortality prediction among patients with moderate to severe TBI. METHODS: Patients meeting Centers for Disease Control and Prevention (CDC) guidelines for TBI in the 2006 to 2011 Nationwide Emergency Department Sample were identified...
August 12, 2016: American Journal of Surgery
Michael A Granieri, Hsin-Hsiao S Wang, Jonathan C Routh, Andrew Peterson
OBJECTIVE: To evaluate the nationwide practice patterns of the management of acute urinary retention (AUR) secondary to urethral stricture (US) in an emergency department (ED) setting. METHODS: We used the 2006-2010 Nationwide Emergency Department Sample (NEDS) to identify men with US who received treatment for AUR. We excluded patients with benign prostatic hyperplasia, vesicourethral anastomotic stenosis, neurogenic bladder and bladder cancer. Primary outcome was urethral dilation or suprapubic tube (SPT) placement as initial AUR management...
September 19, 2016: Urology
Elizabeth R Burns, Judy A Stevens, Robin Lee
INTRODUCTION: This study sought to estimate the incidence, average cost, and total direct medical costs for fatal and non-fatal fall injuries in hospital, ED, and out-patient settings among U.S. adults aged 65 or older in 2012, by sex and age group and to report total direct medical costs for falls inflated to 2015 dollars. METHOD: Incidence data came from the 2012 National Vital Statistics System, 2012 Healthcare Cost and Utilization Project-Nationwide Inpatient Sample, 2012 Health Care Utilization Program National Emergency Department Sample, and 2007 Medical Expenditure Panel Survey...
September 2016: Journal of Safety Research
Brian Laurence, Nee-Kofi Mould-Millman, Kenneth E Nero, Reginald O Salter, Paramjeet K Sagoo
OBJECTIVES: The aim the study was to determine whether the presence of depression was associated with an increased likelihood of hospital admission among adult patients 50 years and over diagnosed with head and neck cancer (HNC) visiting emergency departments (EDs) in the United States. BACKGROUND: Head and neck cancer is associated with high morbidity and mortality. In patients with cancer, depression is predictive of increased mortality and the effect remains after adjusting for comorbidities...
August 31, 2016: Gerodontology
Sarah A Johnson, Junxin Shi, Jonathan I Groner, Rajan K Thakkar, Renata Fabia, Gail E Besner, Huiyun Xiang, Krista K Wheeler
PURPOSE: To describe the epidemiology of pediatric burn patients seen in U.S. emergency departments (EDs) and to determine factors associated with inter-facility transfer. METHODS: We analyzed data from the 2012 Nationwide Emergency Department Sample. Current American Burn Association (ABA) Guidelines were used to identify children <18 who met criteria for referral to burn centers. Burn patient admission volume was used as a proxy for burn expertise. Logistic models were fitted to examine the odds of transfer from low volume hospitals...
November 2016: Burns: Journal of the International Society for Burn Injuries
Yunru Huang, JoAnne E Natale, Jamie L Kissee, Parul Dayal, Jennifer L Rosenthal, James P Marcin
STUDY OBJECTIVE: Among children requiring hospital admission or transfer, we seek to determine whether insurance is associated with the decision to either admit locally or transfer to another hospital. METHODS: This cross-sectional study used Healthcare Cost and Utilization Project 2012 Nationwide Emergency Department Sample. Pediatric patients receiving care in emergency departments (EDs) who were either admitted or transferred were included. Clinical Classifications Software was used to categorize patients into noninjury diagnostic cohorts...
August 20, 2016: Annals of Emergency Medicine
Rosh K V Sethi, Elliott D Kozin, Matthew R Naunheim, Melissa Rosen, Mark G Shrime, Ahmad R Sedaghat, Stacey T Gray
OBJECTIVE: Computed tomography (CT) use among patients who present to emergency departments (EDs) with rhinosinusitis symptoms is not well described. We aim to: 1) describe sinus CT utilization patterns, and 2) identify predictors of use. We hypothesize that patient symptoms, socioeconomic factors, and gender may influence the decision to obtain a sinus CT scan. STUDY DESIGN: Retrospective review. METHODS: The Nationwide Emergency Department Sample (2009-2011) was queried for patient encounters with a primary diagnosis of sinusitis (International Classification of Diseases, Ninth Revision, Clinical Modification codes 461*, 473*)...
August 22, 2016: Laryngoscope
Hind A Beydoun, Megan Williams, May A Beydoun, Shaker M Eid, Alan B Zonderman
OBJECTIVES: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample. METHODS: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner)...
August 10, 2016: Journal of Women's Health
Molly P Jarman, Renan C Castillo, Anthony R Carlini, Lisa M Kodadek, Adil H Haider
BACKGROUND: Barriers to trauma care for rural populations are well documented, but little is known about the magnitude of urban-rural disparities in injury mortality. This study sought to quantify differences in injury mortality comparing rural and nonrural residents with traumatic injuries. METHODS: Using data from the 2009-2010 Nationwide Emergency Department Sample, multiple logistic regression analyses were conducted to estimate odds of death after traumatic injury for rural residents compared with nonrural residents, while controlling for age, sex, injury type and severity, comorbidities, trauma designation, and Census region...
August 6, 2016: Surgery
Michelle P Lin, Jiemin Ma, Joel S Weissman, Kenneth R Bernard, Jeremiah D Schuur
BACKGROUND: Outpatient management of atrial fibrillation can be a safe alternative to inpatient admission after emergency department (ED) visits. We aim to describe trends and predictors of hospital admission for atrial fibrillation and determine the variation in admission among US hospitals. METHODS: We analyzed ED visits and hospital admissions for adult patients with a principal diagnosis of atrial fibrillation or atrial flutter in the Nationwide Emergency Department Sample 2006 to 2011...
July 21, 2016: American Journal of Emergency Medicine
R Sterling Haring, Isaac D Sheffield, Roomasa Channa, Joseph K Canner, Eric B Schneider
Importance: Determining the national epidemiologic trends of chemical ocular burns can assist physicians and policy makers in appropriate allocation of resources for treatment and prevention. Objective: To describe the epidemiologic trends and risk factors for chemical burns of the eye. Design, Setting, and Participants: Between August 1, 2015, and April 25, 2016, data from the Nationwide Emergency Department Sample were analyzed from January 1, 2010, through December 31, 2013...
October 1, 2016: JAMA Ophthalmology
Shweta Shah, Abbey C Thomas, Joshua M Noone, Christopher M Blanchette, Erik A Wikstrom
BACKGROUND: Ankle sprains represent a common injury in emergency departments, but little is known about common complications, procedures, and charges associated with ankle sprains in emergency departments. HYPOTHESIS: There will be a higher incidence of ankle sprains among younger populations (≤25 years old) and in female patients. Complications and procedures will differ between ankle sprain types. Lateral ankle sprains will have lower health care charges relative to medial and high ankle sprains...
July 29, 2016: Sports Health
Ted R Miller, Bruce A Lawrence, Nancy N Carlson, Delia Hendrie, Sean Randall, Ian R H Rockett, Rebecca S Spicer
OBJECTIVE: To count and characterise injuries resulting from legal intervention by US law enforcement personnel and injury ratios per 10 000 arrests or police stops, thus expanding discussion of excessive force by police beyond fatalities. DESIGN: Ecological. POPULATION: Those injured during US legal police intervention as recorded in 2012 Vital Statistics mortality census, 2012 Healthcare Cost and Utilization Project nationwide inpatient and emergency department samples, and two 2015 newspaper censuses of deaths...
July 25, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
Satheesh Elangovan, Veerasathpurush Allareddy
OBJECTIVE: Objective of the current study is to provide nationally representative estimates of hospital based emergency department (ED) visits attributed to dental implant failures in the United States. METHODS: The Nationwide Emergency Department sample for the years 2008-2010 was used. All ED visits with a diagnosis of "dental implant failures" were selected for analysis. Patient demographics were examined. Outcomes of interest included disposition status following the ED visit and ED charges...
June 2016: Journal of Evidence-based Dental Practice
Margaret B Greenwood-Ericksen, Joaquim M Havens, Jiemin Ma, Joel S Weissman, Jeremiah D Schuur
INTRODUCTION: Diverticulitis is a common diagnosis in the emergency department (ED). Outpatient management of diverticulitis is safe in selected patients, yet the rates of admission and surgical procedures following ED visits for diverticulitis are unknown, as are the predictive patient characteristics. Our goal is to describe trends in admission and surgical procedures following ED visits for diverticulitis, and to determine which patient characteristics predict admission. METHODS: : We performed a cross-sectional descriptive analysis using data on ED visits from 2006-2011 to determine change in admission and surgical patterns over time...
July 2016: Western Journal of Emergency Medicine
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