Predictors of Return Visits Among Insured Emergency Department Mental Health and Substance Abuse Patients, 2005-2013

Autor: Ryan D. Johnson, Jeph Herrin, Sangil Lee, Lindsey R. Sangaralingham, Ronna L. Campbell, William V. Bobo
Rok vydání: 2017
Předmět:
Adult
Male
Mental health and substance abuse
Claim data
Return visits
medicine.medical_specialty
Adolescent
Databases
Factual
Substance-Related Disorders
lcsh:Medicine
030209 endocrinology & metabolism
Medicare Advantage
Insurance Coverage
Young Adult
03 medical and health sciences
0302 clinical medicine
Risk Factors
Acute care
Behavioral Health
Humans
Medicine
Young adult
Original Research
Aged
Retrospective Studies
Insurance
Health
business.industry
Mental Disorders
lcsh:R
lcsh:Medical emergencies. Critical care. Intensive care. First aid
030208 emergency & critical care medicine
Retrospective cohort study
lcsh:RC86-88.9
General Medicine
Emergency department
Middle Aged
medicine.disease
Mental health
Comorbidity
Patient Discharge
United States
Hospitalization
Substance abuse
Emergency medicine
Emergency Medicine
Female
Emergency Service
Hospital
business
Zdroj: Western Journal of Emergency Medicine, Vol 18, Iss 5 (2017)
Western Journal of Emergency Medicine
Lee, Sangil; Herrin, Jeph; Bobo, William V.; Johnson, Ryan; Sangaralingha, Lindsey R.; & Campbell, Ronna L.(2017). Predictors of Return Visits Among Insured Emergency Department Mental Health and Substance Abuse Patients, 2005-2013. Western Journal of Emergency Medicine, 18(5). doi: 10.5811/westjem.2017.6.33850. Retrieved from: http://www.escholarship.org/uc/item/3tn3x0w2
ISSN: 1936-900X
DOI: 10.5811/westjem.2017.6.33850
Popis: Introduction: Our goal was to describe the pattern and identify risk factors of early-return ED visits orinpatient admissions following an index mental health and substance abuse (MHSA)-related ED visit in theUnited States. Methods: We performed a retrospective cohort study using Optum Labs Data Warehouse, a nationallyrepresentative database containing administrative claims data on privately insured and MedicareAdvantage enrollees. Authors identified patients presenting to an ED with a primary diagnosis of MHSAbetween 2005 and 2013 who were discharged home. Study inclusion required continuous insuranceenrollment for the 12 months preceding and the 31 days following the index ED visit. During the studyperiod we included only the first ED visit for each patient. Results: A total of 49,672 (14.2%) had a return visit to the ED or had a hospitalization within 30 daysfollowing discharge. Mean time to the next ED visit or inpatient admission was 11.7 days. An increasedage (age 65+ vs. age
Databáze: OpenAIRE
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