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Preventable ed visits7/26/2023 ![]() Factors such as residence in a nursing home (odds ratio, 1.73 95% CI, 1.25-2.41) were positively associated with having a potentially preventable ED visit, and factors such as the presence of more than 1 comorbidity (odds ratio, 1.82 95% CI, 1.43-2.32) were positively associated with having an unplanned hospitalization.Ĭonclusions and Relevance In this study, 51.6% of ED visits among patients with cancer were identified as potentially preventable, and the absolute number of potentially preventable ED visits increased substantially between 20. Overall, 28.9% of ED visits resulted in unplanned hospitalizations, which did not change significantly over time (from 32.2% in 2012 to 26.6% in 2019 P = .78 for trend). The number of patients who visited an ED because of pain increased from 1 192 197 in 2012 to 2 405 849 in 2019 (a 101.8% increase). Pain (36.9%) was the most common reason for potentially preventable ED visits. From 2012 to 2019, potentially preventable ED visits increased from 1 851 692 to 3 214 276. A total of 18 316 373 ED visits (51.6%) were identified as potentially preventable, and 5 770 571 visits (21.3%) were classified as high acuity. Results Among 854 911 106 ED visits, 35 510 014 (4.2%) were made by patients with cancer (mean age, 66.2 years) of those, 55.2% of visits were among women, 73.2% were among non-Hispanic White individuals, 89.8% were among patients living in a private residence, and 54.3% were among Medicare enrollees. Multivariable logistic regression analyses were performed to examine the associations of patient, hospital, and temporal factors with potentially preventable ED use and ED use resulting in hospitalization. The Wilcoxon rank sum test was used to calculate trends in ED visits among patients with cancer over time. The Emergency Severity Index, a triage algorithm that ranks patients based on the urgency of their health care condition, was used to measure the immediacy of ED visits (immediate, emergent, urgent, less urgent, and nonurgent), with the categories of immediate and emergent classified as high acuity. Potentially preventable ED visits were identified using the Centers for Medicare & Medicaid Services definition. Main Outcomes and Measures The primary outcome was potentially preventable ED visits, and secondary outcomes were unplanned hospitalizations and the immediacy of the ED visits. Frequencies and trends among 35 510 014 ED visits by adult patients (aged ≥18 years) with cancer were calculated. ![]() Objective To explore nationwide trends and characteristics of ED visits and examine factors associated with potentially preventable ED visits and unplanned hospitalizations among patients with cancer in the US.ĭesign, Setting, and Participants This cross-sectional study used data on ED visits from the National Hospital Ambulatory Medical Care Survey from January 1, 2012, to DecemUS Cancer Statistics reports were used to estimate new cancer cases each year. ![]() Importance An initial step to reducing emergency department (ED) visits among patients with cancer is to identify the characteristics of patients visiting the ED and examine which of those visits could be prevented. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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