FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3008260046> ?p ?o ?g. }

• W3008260046 endingPage "216" @default.
• W3008260046 startingPage "209" @default.
• W3008260046 abstract "Introduction: Emergency departments (ED) in the United States (US) have increasingly taken the central role for the expedited diagnosis and treatment of acute episodic illnesses and exacerbations of chronic diseases, allowing outpatient management to be possible for many conditions that traditionally required hospitalization and inpatient care. The goal of this analysis was to examine the changes in ED care intensity in this context through the changes in ED patient population and ED care provided. Methods: We analyzed the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 2007-2016. Incorporating survey design and weight, we calculated the changes in ED patient characteristics and ED care provided between 2007 and 2016. We also calculated changes in the proportion of visits with low-severity illnesses that may be safely managed at alternative settings. Lastly, we compared ED care received and final ED dispositions by calculating adjusted relative risk (aRR) comparing ED visits in 2007 to 2016, using survey weighted multivariable logistic regression. Results: NHAMCS included 35,490 visits in 2007 and 19,467 visits in 2016, representing 117 million and 146 million ED visits, respectively. Between 2007 and 2016, there was an increase in the proportion of ED patients aged 45-64 (21.0% to 23.6%) and 65-74 (5.9% to 7.5%), while visits with low-severity illnesses decreased from 37.3% to 30.4%. There was a substantial increase in the proportion of Medicaid patients (22.2% to 34.0%) with corresponding decline in the privately insured (36.2% to 28.3%) and the uninsured (15.4% to 8.6%) patients. After adjusting for patient and visit characteristics, there was an increase in the utilization of advanced imaging (aRR 1.29; 95% confidence interval [CI], 1.17-1.41), blood tests (aRR 1.16; 95% CI, 1.10-1.22), urinalysis (aRR 1.22; 95% CI, 1.13-1.31), and visits where the patient received four or more medications (aRR 2.17; 95% CI, 1.88-2.46). Lastly, adjusted hospitalization rates declined (aRR 0.74; 95% CI, 0.64-0.84) while adjusted discharge rates increased (aRR 1.06; 95%CI 1.03-1.08). Conclusion: From 2007 to 2016, ED care intensity appears to have increased modestly, including aging of patient population, increased illness severity, and increased resources utilization. The role of increased care intensity in the decline of ED hospitalization rate requires further study." @default.
• W3008260046 created "2020-03-06" @default.
• W3008260046 creator A5002508727 @default.
• W3008260046 creator A5024248557 @default.
• W3008260046 creator A5048459908 @default.
• W3008260046 date "2020-02-21" @default.
• W3008260046 modified "2023-09-30" @default.
• W3008260046 title "Changes in Emergency Department Care Intensity from 2007-16: Analysis of the National Hospital Ambulatory Medical Care Survey" @default.
• W3008260046 cites W1484957028 @default.
• W3008260046 cites W1547683213 @default.
• W3008260046 cites W1595866099 @default.
• W3008260046 cites W168071506 @default.
• W3008260046 cites W1978208676 @default.
• W3008260046 cites W2014156332 @default.
• W3008260046 cites W2022864094 @default.
• W3008260046 cites W2024332897 @default.
• W3008260046 cites W2038396573 @default.
• W3008260046 cites W2045352610 @default.
• W3008260046 cites W2088139330 @default.
• W3008260046 cites W2102657613 @default.
• W3008260046 cites W2162346363 @default.
• W3008260046 cites W2551852979 @default.
• W3008260046 cites W2790567685 @default.
• W3008260046 cites W2801554843 @default.
• W3008260046 cites W2805895209 @default.
• W3008260046 cites W2833668512 @default.
• W3008260046 cites W2888459897 @default.
• W3008260046 cites W2896853260 @default.
• W3008260046 cites W2914326292 @default.
• W3008260046 cites W2970744435 @default.
• W3008260046 cites W4254196630 @default.
• W3008260046 cites W4377606358 @default.
• W3008260046 cites W2184429038 @default.
• W3008260046 doi "https://doi.org/10.5811/westjem.2019.10.43497" @default.
• W3008260046 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7081865" @default.
• W3008260046 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32191178" @default.
• W3008260046 hasPublicationYear "2020" @default.
• W3008260046 type Work @default.
• W3008260046 sameAs 3008260046 @default.
• W3008260046 citedByCount "9" @default.
• W3008260046 countsByYear W30082600462021 @default.
• W3008260046 countsByYear W30082600462022 @default.
• W3008260046 countsByYear W30082600462023 @default.
• W3008260046 crossrefType "journal-article" @default.
• W3008260046 hasAuthorship W3008260046A5002508727 @default.
• W3008260046 hasAuthorship W3008260046A5024248557 @default.
• W3008260046 hasAuthorship W3008260046A5048459908 @default.
• W3008260046 hasBestOaLocation W30082600461 @default.
• W3008260046 hasConcept C118552586 @default.
• W3008260046 hasConcept C124306116 @default.
• W3008260046 hasConcept C126322002 @default.
• W3008260046 hasConcept C151730666 @default.
• W3008260046 hasConcept C151956035 @default.
• W3008260046 hasConcept C160735492 @default.
• W3008260046 hasConcept C162324750 @default.
• W3008260046 hasConcept C194828623 @default.
• W3008260046 hasConcept C2776534028 @default.
• W3008260046 hasConcept C2779343474 @default.
• W3008260046 hasConcept C2780724011 @default.
• W3008260046 hasConcept C2781385661 @default.
• W3008260046 hasConcept C2908647359 @default.
• W3008260046 hasConcept C3018838755 @default.
• W3008260046 hasConcept C35785553 @default.
• W3008260046 hasConcept C50522688 @default.
• W3008260046 hasConcept C545542383 @default.
• W3008260046 hasConcept C71924100 @default.
• W3008260046 hasConcept C86803240 @default.
• W3008260046 hasConcept C99454951 @default.
• W3008260046 hasConceptScore W3008260046C118552586 @default.
• W3008260046 hasConceptScore W3008260046C124306116 @default.
• W3008260046 hasConceptScore W3008260046C126322002 @default.
• W3008260046 hasConceptScore W3008260046C151730666 @default.
• W3008260046 hasConceptScore W3008260046C151956035 @default.
• W3008260046 hasConceptScore W3008260046C160735492 @default.
• W3008260046 hasConceptScore W3008260046C162324750 @default.
• W3008260046 hasConceptScore W3008260046C194828623 @default.
• W3008260046 hasConceptScore W3008260046C2776534028 @default.
• W3008260046 hasConceptScore W3008260046C2779343474 @default.
• W3008260046 hasConceptScore W3008260046C2780724011 @default.
• W3008260046 hasConceptScore W3008260046C2781385661 @default.
• W3008260046 hasConceptScore W3008260046C2908647359 @default.
• W3008260046 hasConceptScore W3008260046C3018838755 @default.
• W3008260046 hasConceptScore W3008260046C35785553 @default.
• W3008260046 hasConceptScore W3008260046C50522688 @default.
• W3008260046 hasConceptScore W3008260046C545542383 @default.
• W3008260046 hasConceptScore W3008260046C71924100 @default.
• W3008260046 hasConceptScore W3008260046C86803240 @default.
• W3008260046 hasConceptScore W3008260046C99454951 @default.
• W3008260046 hasIssue "2" @default.
• W3008260046 hasLocation W30082600461 @default.
• W3008260046 hasLocation W30082600462 @default.
• W3008260046 hasLocation W30082600463 @default.
• W3008260046 hasLocation W30082600464 @default.
• W3008260046 hasLocation W30082600465 @default.
• W3008260046 hasLocation W30082600466 @default.
• W3008260046 hasOpenAccess W3008260046 @default.
• W3008260046 hasPrimaryLocation W30082600461 @default.
• W3008260046 hasRelatedWork W2006651760 @default.

• next