CHARACTERISTICS AND TRENDS OF EMERGENCY DEPARTMENT VISITS IN THE UNITED STATES (2010-2014)
CHARACTERISTICS AND TRENDS OF EMERGENCY DEPARTMENT VISITS IN THE UNITED STATES (2010-2014)
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DOI：
10.1016/j.jemermed.2018.12.025
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发表时间：
2019-03-01
影响因子：
1.5
通讯作者：
Oglesby, Michelle M.
中科院分区：
文献类型：
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作者：
Hooker, Edmond A.;Mallow, Peter J.;Oglesby, Michelle M.
背景资料：重要的是，政策制定者，卫生管理人员和急诊医生有最新的统计数据，最常见的诊断病人在急诊科（艾德）。目的：我们试图描述2010年至2014年艾德就诊的变化，并描述不同艾德诊断的频率。方法：这是一项对2010年至2014年国家急诊科样本的艾德就诊数据的回顾性分析。按年龄、性别、保险状况、处置、诊断和诊断类别对访视进行分层。我们按诊断和诊断类别计算了每年艾德就诊总次数和艾德就诊率。结果：2010年至2014年，美国艾德就诊人数从1.289亿增加到1.378亿。每1000人的艾德访视率从2010年的416.92（95%置信区间[CI] 399.47-434.37）增加至2014年的432.51（95% CI 411.51-453.61）（p = 0.0136）。艾德就诊人数的增长速度（1.7%）是总人口（0.7%）的两倍。艾德访视的最常见原因是腹痛（11.75% [95% CI 11.61-11.89]）。其次是心理健康问题（4.45% [95% CI 4.19-4.72]）。结论：美国的艾德就诊人数继续以高于人口增长率的速度增长。腹部问题和心理健康问题，包括药物滥用，是2014年艾德就诊的最常见原因。(C)2018爱思唯尔公司All rights reserved.
Background: It is important that policy makers, health administrators, and emergency physicians have up-to-date statistics on the most common diagnoses of patients seen in the emergency department (ED). Objectives: We sought to describe the changes that occurred in ED visits from 2010 through 2014 and to describe the frequency of different ED diagnoses. Methods: This is a retrospective analysis of ED visit data from the National Emergency Department Sample from 2010 through 2014. Visits were stratified by age, sex, insurance status, disposition, diagnosis, and diagnostic category. We calculated the total annual ED visits and the ED visit rates by diagnoses and diagnostic categories. Results: Between 2010 and 2014, the number of U.S. ED visits increased from 128.9 million to 137.8 million. The rate of ED Visits per 1000 persons increased from 416.92 (95% confidence interval [CI] 399.47-434.37) in 2010 to 432.51 (95% CI 411.51-453.61) in 2014 (p = 0.0136). ED visits grew twice as quickly (1.7%) as the overall population (0.7%). The most common reason for an ED visit was abdominal pain (11.75% [95% CI 11.61-11.89]). This was followed by mental health problems (4.45% [95% CI 4.19-4.72]). Conclusion: The number of ED visits in the United States continues to increase faster than the rate of population growth. Abdominal problems and mental health issues, including substance abuse, were the most common reasons for an ED visit in 2014. (C) 2018 Elsevier Inc. All rights reserved.