Sankeerth Rampa

Hospital-based emergency department visits involving dental conditions: Profile and predictors of poor outcomes and resource utilization

BACKGROUND Untreated dental conditions may progress to lesions that are severe enough to necessitate emergency visits to hospitals. The authors conducted a study to investigate nationally representative trends in U.S. hospital-based emergency department (ED) visits involving dental conditions and to examine patient-related characteristics associated with ED charges. METHODS The authors used the Nationwide Emergency Department Sample of the Healthcare Cost and Utilization Project, sponsored by the Agency for Healthcare Research and Quality, for the years 2008 through 2010. They selected all ED visits involving patients with a diagnosis of either dental caries, pulpal or periapical lesions, gingival or periodontal conditions, or mouth cellulitis or abscess. Outcomes examined included post-ED disposition status and hospital ED charges. RESULTS During the study period, 4,049,361 ED visits involved diagnosis of a dental condition, which is about 1 percent of all ED visits occurring in the entire United States. Uninsured patients made about 40.5 percent of all dental condition-related ED visits. One hundred one patients in the study died in EDs. The mean hospital ED charge per visit was approximately

Firearm related injuries amongst children: Estimates from the nationwide emergency department sample

760 (adjusted to 2010 dollars), and the total ED charges across the entire United States during the three-year study period was

Emergency Department Visits With Facial Fractures Among Children and Adolescents: An Analysis of Profile and Predictors of Causes of Injuries

2.7 billion. CONCLUSIONS Patients without insurance are a cohort at high risk of seeking dental care in hospital-based ED settings. A substantial amount of hospital resources are used to treat dental conditions in ED settings. Patients with mouth cellulitis, periodontal conditions and numerous comorbidities are likely to incur higher ED charges. PRACTICAL IMPLICATIONS Dental conditions can be treated more effectively in a dental office setting than in hospital-based settings.

Epidemiology of Hospital-based Emergency Department Visits Due to Sports Injuries

OBJECTIVE The objective of this study is to provide estimates of firearm related injuries in children seeking care in hospital based emergency departments. METHODS The Nationwide Emergency Department Sample (NEDS) for the year 2008 was used for the current study. All ED visits occurring amongst children aged less than or equal to 18 years and that had an External Cause of Injury (E-Code) for any of the firearm related injuries were selected for analysis. RESULTS A total of 14,831 ED visits (in children) in the United States had a firearm injury. The average age of the ED visits was 15.9 years. Males constituted a predominant proportion of all ED visits (89.2%). A total of 494 patients died in the emergency departments (3.4% of all ED visits) whilst 323 died following in-patient admission into the same hospital (6% of all inpatient admissions). The most frequently documented firearms were assaults by firearms and explosives (55% of all ED visits), accidents caused by firearms and air gun missiles (33.6%), and injuries by firearms that were undetermined (7.4%). The average charge for each ED visit was

Outcomes of stem cell transplant patients with acute respiratory failure requiring mechanical ventilation in the United States

3642 (25th percentile is

Outcomes of Acute Chest Syndrome in Adult Patients with Sickle Cell Disease: Predictors of Mortality

1146, median is

Self Inflicted Injuries among Children in United States – Estimates from a Nationwide Emergency Department Sample

2003, and 75th percentile is

Hospital Based Emergency Department Visits Attributed to Child Physical Abuse in United States: Predictors of In-Hospital Mortality

4404). The mean charge for those visits that resulted in in-patient admission into the same hospital was

Predictors of Complications of Tonsillectomy With or Without Adenoidectomy in Hospitalized Children and Adolescents in the United States, 2001-2010: A Population-Based Study

70,164 (25th percentile is

Children in the United States make close to 200,000 emergency department visits due to poisoning each year.

16,704, median is