Emergency department use by patients with end-stage renal disease in the United States
Dublin Core
Title
Emergency department use by patients with end-stage renal disease in the United States
Subject
End-stage renal disease, Emergency medicine, National characteristics, Resource utilization
Description
Background: We 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.
Methods: We 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.
Results: Approximately 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.
Conclusion: We 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.
disease (ESRD) in the United States in order to improve the emergency treatment and screening of ESRD patients.
Methods: We 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.
Results: Approximately 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.
Conclusion: We 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.
Creator
Ningyuan Wang, Jiao Pei, Hui Fan, Yaseen Ali, Anna Prushinskaya, Jian Zhao and Xingyu Zhang
Publisher
BMC Emergency Medicine
Date
(2021) 21:25
Contributor
Fajar bagus W
Format
PDF
Language
Indonesia
Type
Text
Files
Collection
Citation
Ningyuan Wang, Jiao Pei, Hui Fan, Yaseen Ali, Anna Prushinskaya, Jian Zhao and Xingyu Zhang, “Emergency department use by patients with end-stage renal disease in the United States,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/3768.