Predictors of Return Visits Among Insured Emergency Department Mental Health and Substance Abuse Patients, 2005-2013
Predictors of Return Visits Among Insured Emergency Department Mental Health and Substance Abuse Patients, 2005-2013
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DOI：
10.5811/westjem.2017.6.33850
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发表时间：
2017-08-01
影响因子：
3.1
通讯作者：
Campbell, Ronna L.
中科院分区：
文献类型：
--
作者：
Lee, Sangil;Herrin, Jeph;Campbell, Ronna L.
导言：我们的目标是描述在美国精神健康和药物滥用(MHSA)相关的ED访问之后早期返回ED访问或住院患者的模式和确定风险因素。方法：我们使用Optom Labs Data Warehouse进行了一项回溯性队列研究，该数据库包含关于私人保险和Medicare Advantage投保人的行政索赔数据。作者确认了2005至2013年间出现在急诊室的初步诊断为MHSA的患者已出院。纳入研究需要在指数ED访问之前的12个月和之后的31天内连续投保。结果：共有49,672人(14.2%)在出院后30天内再次到急诊室就诊或住院治疗。下一次急诊或住院的平均时间为11.7天。年龄增加(65岁以上与年龄
Introduction: Our goal was to describe the pattern and identify risk factors of early-return ED visits or inpatient admissions following an index mental health and substance abuse (MHSA)-related ED visit in the United States.Methods: We performed a retrospective cohort study using Optum Labs Data Warehouse, a nationally representative database containing administrative claims data on privately insured and Medicare Advantage enrollees. Authors identified patients presenting to an ED with a primary diagnosis of MHSA between 2005 and 2013 who were discharged home. Study inclusion required continuous insurance enrollment for the 12 months preceding and the 31 days following the index ED visit. During the study period 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 days following discharge. Mean time to the next ED visit or inpatient admission was 11.7 days. An increased age (age 65+ vs. age