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Nationwide Emergency Department Sample

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https://www.readbyqxmd.com/read/27919932/trends-in-the-incidence-of-hypertensive-emergencies-in-us-emergency-departments-from-2006-to-2013
#1
Alexander T Janke, Candace D McNaughton, Aaron M Brody, Robert D Welch, Phillip D Levy
BACKGROUND: The incidence of hypertensive emergency in US emergency departments (ED) is not well established. METHODS AND RESULTS: This study is a descriptive epidemiological analysis of nationally representative ED visit-level data from the Nationwide Emergency Department Sample for 2006-2013. Nationwide Emergency Department Sample is a publicly available database maintained by the Healthcare Cost and Utilization Project. An ED visit was considered to be a hypertensive emergency if it met all the following criteria: diagnosis of acute hypertension, at least 1 diagnosis indicating acute target organ damage, and qualifying disposition (admission to the hospital, death, or transfer to another facility)...
December 5, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27909825/poor-outcomes-of-gastric-cancer-surgery-after-admission-through-the-emergency-department
#2
Ian Solsky, Patricia Friedmann, Peter Muscarella, Haejin In
BACKGROUND: Outcomes after nonelective surgery for gastric cancer (GC) are poorly defined. Our objective was to compare outcomes of patients undergoing nonelective GC surgery after admission through the emergency department (EDSx) with patients receiving elective surgery or surgery after planned admission (non-EDSx) nationally. METHODS: The Nationwide Inpatient Sample (NIS) database was used to examine patients undergoing GC surgery between 2008 and 2012. Demographics and outcomes were compared between EDSx and non-EDSx...
December 1, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27890333/diagnostic-evaluation-of-ovarian-torsion-an-analysis-of-pediatric-patients-using-the-nationwide-emergency-department-sample
#3
Kristy L Rialon, Steven Wolf, Jonathan C Routh, Obinna O Adibe
BACKGROUND: Ultrasonography (US) is the diagnostic modality of choice during work-up for ovarian torsion, although computed tomography (CT) may be used. We examined the utilization of CT in girls with ovarian torsion, and determined which patients are most likely to undergo this study. METHODS: The Nationwide Emergency Department Sample dataset was searched for patients <18 years who presented with ovarian torsion from 2006 to 2012. Hospitals were categorized by the volume of pediatric patients seen...
November 17, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27861934/the-burden-of-angioedema-on-united-states-emergency-departments-2006-2010
#4
Aaron Smith, Meredith Ray, Nikhita Jain, Hongmei Zhang, Merry Sebelik
OBJECTIVES/HYPOTHESIS: Angioedema (AE) is a condition that may prompt a visit to an emergency department (ED), and can quickly progress to airway obstruction. To optimize treatment of AE, it is necessary to understand epidemiology and practice patterns. This study measured the magnitude of AE ED visits and characterized demographics, management, frequency of airway interventions, and mortality. STUDY DESIGN: Analysis of two national data sets. METHODS: From the Nationwide Emergency Department Sample and National Hospital Ambulatory Medical Care Survey, we identified all patients presenting from 2006 to 2010 with a primary diagnosis of AE, characterized by the International Classification of Diseases, Ninth Edition, Clinical Modification code 995...
November 15, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27852333/emergency-department-visits-for-attempted-suicide-and-self-harm-in-the-usa-2006-2013
#5
J K Canner, K Giuliano, S Selvarajah, E R Hammond, E B Schneider
AIMS: To characterise and identify nationwide trends in suicide-related emergency department (ED) visits in the USA from 2006 to 2013. METHODS: We used data from the Nationwide Emergency Department Sample (NEDS) from 2006 to 2013. E-codes were used to identify ED visits related to suicide attempts and self-inflicted injury. Visits were characterised by factors such as age, sex, US census region, calendar month, as well as injury severity and mechanism. Injury severity and mechanism were compared between age groups and sex by chi-square tests and Wilcoxon rank-sum tests...
November 17, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27851174/1538-epidemiology-of-burn-injuries-in-children-estimates-from-the-nationwide-emergency-department-sample
#6
Veerajalandhar Allareddy, Min Kyeong Lee, Sankeerth Rampa, Romesh Nalliah, Veerasathpurush Allareddy
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27833690/impact-of-prior-therapeutic-opioid-use-by-emergency-department-providers-on-opioid-prescribing-decisions
#7
Adam C Pomerleau, Jeanmarie Perrone, Jason A Hoppe, Matthew Salzman, Paul S Weiss, Lewis S Nelson
INTRODUCTION: Our study sought to examine the opioid analgesic (OA) prescribing decisions of emergency department (ED) providers who have themselves used OA therapeutically and those who have not. A second objective was to determine if OA prescribing decisions would differ based on the patient's relationship to the provider. METHODS: We distributed an electronic survey to a random sample of ED providers at participating centers in a nationwide research consortium...
November 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27830939/burden-of-usa-hospital-charges-for-traumatic-brain-injury
#8
Jennifer R Marin, Matthew D Weaver, Rebekah C Mannix
OBJECTIVES: This study sought to estimate charges associated with USA hospital visits for traumatic brain injury (TBI), compare charges from 2006-2010 and evaluate factors associated with higher charges. METHODS: The Nationwide Emergency Department Sample database, 2006-2010, was used to estimate charges for emergency department visits and inpatient hospital stays associated with TBI and trends in charges over time were compared. Multivariable linear regression was used to evaluate factors associated with visit charges...
November 10, 2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27812702/epidemiology-of-sports-related-eye-injuries-in-the-united-states
#9
R Sterling Haring, Isaac D Sheffield, Joseph K Canner, Eric B Schneider
Importance: Ocular trauma can lead to lifelong sequelae, and sports-related ocular injuries have been shown to disproportionately affect the young. Studies quantifying and characterizing the incidence and type of injuries seen with sports-related ocular trauma may be useful for resource utilization, training, and prevention efforts. Objective: To examine the emergency department (ED) burden of sports-related ocular trauma in the United States. Design, Setting, and Participants: This retrospective, cross-sectional study examined the Nationwide Emergency Department Sample, containing data from approximately 30 million ED visits annually at more than 900 hospitals nationwide, from January 1, 2010, to December 31, 2013, to determine factors associated with sports-related ocular trauma...
December 1, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27789604/national-trends-in-home-treatment-of-acute-pulmonary-embolism
#10
Paul D Stein, Fadi Matta, Mary J Hughes
BACKGROUND: Management of patients with acute pulmonary embolism has evolved from obligatory hospitalization to home treatment of carefully selected low-risk patients. The purpose of this investigation is to determine national trends in the prevalence of home treatment of pulmonary embolism. METHODS: The Nationwide Emergency Department Sample was used to determine the number of patients seen in emergency departments throughout the United States with a primary (first-listed) diagnosis of pulmonary embolism and the proportion hospitalized according to age, from 2007 to 2012...
October 26, 2016: Clinical and Applied Thrombosis/hemostasis
https://www.readbyqxmd.com/read/27753066/diagnosis-of-elder-abuse-in-u-s-emergency-departments
#11
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
https://www.readbyqxmd.com/read/27747542/longitudinal-assessment-of-injury-recidivism-among-adults-in-the-united-states-findings-from-a-population-based-sample
#12
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
https://www.readbyqxmd.com/read/27720288/variation-in-the-intensity-of-care-for-patients-with-uncomplicated-renal-colic-presenting-to-u-s-emergency-departments
#13
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...
December 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27683519/patient-controlled-hospital-admission-for-patients-with-severe-mental-disorders-study-protocol-for-a-nationwide-prospective-multicentre-study
#14
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
https://www.readbyqxmd.com/read/27679958/effect-of-fireworks-laws-on-pediatric-fireworks-related-burn-injuries
#15
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
https://www.readbyqxmd.com/read/27663651/conscious-status-predicts-mortality-among-patients-with-isolated-traumatic-brain-injury-in-administrative-data
#16
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
https://www.readbyqxmd.com/read/27658662/a-nationwide-assessment-of-the-emergency-department-management-of-acute-urinary-retention-due-to-urethral-stricture
#17
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
https://www.readbyqxmd.com/read/27620939/the-direct-costs-of-fatal-and-non-fatal-falls-among-older-adults-united-states
#18
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
https://www.readbyqxmd.com/read/27578498/depression-and-hospital-admission-in-older-patients-with-head-and-neck-cancer-analysis-of-a-national-healthcare-database
#19
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
https://www.readbyqxmd.com/read/27554628/inter-facility-transfer-of-pediatric-burn-patients-from-u-s-emergency-departments
#20
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
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