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Frequent utilization of the emergency department for acute heart failure syndrome: a population-based study.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Hasegawa, Kohei Tsugawa, Yusuke Camargo, Carlos Arturo Brown, David F. M. |
| Copyright Year | 2014 |
| Abstract | BACKGROUND Although most research on patients with acute heart failure syndrome (AHFS) has focused on readmissions, this may provide an incomplete picture of health-care utilization. We examined the proportion and characteristics of patients with frequent emergency department (ED) visits for AHFS and associated health-care utilization. METHODS AND RESULTS A retrospective cohort study of adults with at least 1 ED visit for AHFS between 2010 and 2011 was performed, derived from population-based multipayer data of state ED and inpatient databases for 2 large and diverse states, California and Florida. The analytic sample comprised 113 033 patients with 175 491 ED visits for AHFS. During the 1-year follow-up period, 30.8% of patients had ≥2 (frequent) visits, accounting for 55.4% (95% confidence interval, 55.2-55.5%) of all ED visits for AHFS. In the multivariable model, significant predictors of frequent ED visits were non-Hispanic black race, Hispanic ethnicity, Medicaid insurance, and lower median household income (all P<0.001). At the visit level, patients with frequent ED visits accounted for 55.0% (95% confidence interval, 54.8-5.3%) of all AHFS hospitalizations via ED. Total charges for AHFS were $3.08 billion (95% confidence interval, $3.03-3.14 billion) in Florida alone; patients with frequent ED visits accounted for 53.3% of total charges (95% confidence interval, 53.2-53.3%). CONCLUSIONS In this large cohort study, we found that one third (31%) of ED patients with AHFS had frequent ED visits for this condition and that minority race/ethnicity and lower socioeconomic status were associated with frequent ED visits. Individuals with frequent ED visits accounted for the majority of ED visits, hospitalizations, and hospital charges. |
| Starting Page | 483 |
| Ending Page | 484 |
| Page Count | 2 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://circoutcomes.ahajournals.org/content/circcvoq/7/5/735.full.pdf?download=true |
| Alternate Webpage(s) | http://circoutcomes.ahajournals.org/content/circcvoq/early/2014/08/19/CIRCOUTCOMES.114.000949.full.pdf?download=true |
| Alternate Webpage(s) | http://circoutcomes.ahajournals.org/content/circcvoq/early/2014/08/19/CIRCOUTCOMES.114.000949.full.pdf |
| Alternate Webpage(s) | http://circoutcomes.ahajournals.org/content/circcvoq/7/5/735.full.pdf |
| PubMed reference number | 25139183v1 |
| Alternate Webpage(s) | https://doi.org/10.1161/CIRCOUTCOMES.114.000949 |
| DOI | 10.1161/CIRCOUTCOMES.114.000949 |
| Journal | Circulation. Cardiovascular quality and outcomes |
| Volume Number | 7 |
| Issue Number | 5 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Accident and Emergency department Confidence Intervals Erectile dysfunction Heart failure Hospitalization Liver Failure, Acute Patient Visit Patients Published Database |
| Content Type | Text |
| Resource Type | Article |
