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Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke
We aimed to provide estimates of the volume and associated charges of acute ischemic stroke (AIS) visits in the US, as well as to assess predictors of patient disposition following an emergency department (ED) visit for AIS. Our study was conducted using the 2010–2013 data from the Nationwide Emerge...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614785/ https://www.ncbi.nlm.nih.gov/pubmed/29033616 http://dx.doi.org/10.2147/OAEM.S146654 |
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author | Stuntz, Mark Busko, Katsiaryna Irshad, Shumaila Paige, Taylor Razhkova, Veranika Coan, Tim |
author_facet | Stuntz, Mark Busko, Katsiaryna Irshad, Shumaila Paige, Taylor Razhkova, Veranika Coan, Tim |
author_sort | Stuntz, Mark |
collection | PubMed |
description | We aimed to provide estimates of the volume and associated charges of acute ischemic stroke (AIS) visits in the US, as well as to assess predictors of patient disposition following an emergency department (ED) visit for AIS. Our study was conducted using the 2010–2013 data from the Nationwide Emergency Department Sample. We identified adult visits with AIS as the primary diagnosis. A generalized linear model was used to calculate mean charges per visit after adjusting for covariates. Multinomial logistic regression was used to assess predictors of patient disposition following an ED visit for AIS. The national incidence did not appreciably change over time, increasing from 26.4 to 27.0 visits per 10,000 adults. Adjusted mean charges per event were highest in the West, increasing from $3,761 in 2010 to $4,575 in 2013. Multinomial logistic regression showed that older age was associated with increased likelihood of both hospital admission and mortality in the ED, while male sex was associated with lower odds of mortality in the ED. Despite improvements in primary and secondary prevention of cardiovascular disease, AIS remains a significant burden on the health care system with a high volume of ED visits and increasing charges for care. |
format | Online Article Text |
id | pubmed-5614785 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-56147852017-10-13 Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke Stuntz, Mark Busko, Katsiaryna Irshad, Shumaila Paige, Taylor Razhkova, Veranika Coan, Tim Open Access Emerg Med Original Research We aimed to provide estimates of the volume and associated charges of acute ischemic stroke (AIS) visits in the US, as well as to assess predictors of patient disposition following an emergency department (ED) visit for AIS. Our study was conducted using the 2010–2013 data from the Nationwide Emergency Department Sample. We identified adult visits with AIS as the primary diagnosis. A generalized linear model was used to calculate mean charges per visit after adjusting for covariates. Multinomial logistic regression was used to assess predictors of patient disposition following an ED visit for AIS. The national incidence did not appreciably change over time, increasing from 26.4 to 27.0 visits per 10,000 adults. Adjusted mean charges per event were highest in the West, increasing from $3,761 in 2010 to $4,575 in 2013. Multinomial logistic regression showed that older age was associated with increased likelihood of both hospital admission and mortality in the ED, while male sex was associated with lower odds of mortality in the ED. Despite improvements in primary and secondary prevention of cardiovascular disease, AIS remains a significant burden on the health care system with a high volume of ED visits and increasing charges for care. Dove Medical Press 2017-09-19 /pmc/articles/PMC5614785/ /pubmed/29033616 http://dx.doi.org/10.2147/OAEM.S146654 Text en © 2017 Stuntz et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Stuntz, Mark Busko, Katsiaryna Irshad, Shumaila Paige, Taylor Razhkova, Veranika Coan, Tim Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke |
title | Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke |
title_full | Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke |
title_fullStr | Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke |
title_full_unstemmed | Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke |
title_short | Nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke |
title_sort | nationwide trends of clinical characteristics and economic burden of emergency department visits due to acute ischemic stroke |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614785/ https://www.ncbi.nlm.nih.gov/pubmed/29033616 http://dx.doi.org/10.2147/OAEM.S146654 |
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