Emergency department use by patients with end-stage renal disease in the United States

Autor: Jiao Pei, Ningyuan Wang, Yaseen Ali, Anna Prushinskaya, Xingyu Zhang, Jian Zhao, Hui Fan
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
medicine.medical_specialty
Emergency Medical Services
lcsh:Special situations and conditions
030232 urology & nephrology
Disease
Logistic regression
urologic and male genital diseases
End stage renal disease
law.invention
03 medical and health sciences
End-stage renal disease
0302 clinical medicine
law
medicine
Resource utilization
Humans
030212 general & internal medicine
Socioeconomic status
business.industry
lcsh:RC952-1245
lcsh:Medical emergencies. Critical care. Intensive care. First aid
Emergency department
lcsh:RC86-88.9
Patient Acceptance of Health Care
Intensive care unit
United States
female genital diseases and pregnancy complications
Health Care Surveys
National characteristics
Ambulatory
Emergency medicine
Kidney Failure
Chronic
Female
business
Emergency Service
Hospital
Research Article
Zdroj: BMC Emergency Medicine, Vol 21, Iss 1, Pp 1-9 (2021)
BMC Emergency Medicine
Popis: BackgroundWe sought to describe the national characteristics of ED visits by patients with end-stage renal disease (ESRD) in the United States in order to improve the emergency treatment and screening of ESRD patients.MethodsWe analyzed data from 2014 to 2016 ED visits provided by the National Hospital Ambulatory Medical Care Survey. We sampled adult (age ≥ 18 years) ED patients with ESRD. By proportion or means of weighted sample variables, we quantified annual ED visits by patients with ESRD. We investigated demographics, ED resource utilization, clinical characteristics, and disposition of patients with ESRD and compared these to those of patients without ESRD. Logistic regression models were used to estimate the association between these characteristics and ESRD ED visits.ResultsApproximately 722,692 (7.78%) out of 92,899,685 annual ED visits represented ESRD patients. Males were more likely to be ESRD patients than females (aOR: 1.34; 95% CI: 1.09–1.66). Compare to whites, non-Hispanic Blacks were 2.55 times more likely to have ESRD (aOR: 2.55; 95% CI: 1.97–3.30), and Hispanics were 2.68 times more likely to have ESRD (95% CI: 1.95–3.69). ED patients with ESRD were more likely to be admitted to the hospital (aOR: 2.70; 95% CI: 2.13–3.41) and intensive care unit (ICU) (aOR: 2.21; 95% CI: 1.45–3.38) than patients without ESRD. ED patients with ESRD were more likely to receive blood tests and get radiology tests.ConclusionWe described the unique demographic, socioeconomic, and clinical characteristics of ED patients with ESRD, using the most comprehensive, nationally representative study to date. These patients’ higher hospital and ICU admission rates indicate that patients with ESRD require a higher level of emergency care.
Databáze: OpenAIRE
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