Cargando…

Emergency Department Utilization by Patients With Eating Disorders: A National Population-Based Study

Background There is a scarcity of national United States (U.S) data on emergency department (ED) utilization by patients with eating disorders. This study aims to determine the most common reasons for ED visits of patients with eating disorders, as well as baseline characteristics of patients who pr...

Descripción completa

Detalles Bibliográficos
Autores principales: Eseaton, Precious, Sanwo, Eseosa, Anighoro, Solomon O, John, Eboma, Okobia, Nelson O, Enosolease, Uaiye, Enejo, Rebecca E, Edigin, Ehizogie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9516871/
https://www.ncbi.nlm.nih.gov/pubmed/36185874
http://dx.doi.org/10.7759/cureus.28526
_version_ 1784798797482688512
author Eseaton, Precious
Sanwo, Eseosa
Anighoro, Solomon O
John, Eboma
Okobia, Nelson O
Enosolease, Uaiye
Enejo, Rebecca E
Edigin, Ehizogie
author_facet Eseaton, Precious
Sanwo, Eseosa
Anighoro, Solomon O
John, Eboma
Okobia, Nelson O
Enosolease, Uaiye
Enejo, Rebecca E
Edigin, Ehizogie
author_sort Eseaton, Precious
collection PubMed
description Background There is a scarcity of national United States (U.S) data on emergency department (ED) utilization by patients with eating disorders. This study aims to determine the most common reasons for ED visits of patients with eating disorders, as well as baseline characteristics of patients who present due to eating disorders. Methods We obtained data from the Nationwide Emergency Department Sample (NEDS), the largest all-payer ED database in the United States. Each ED visit in NEDS 2018 can have only one "principal" diagnosis, which is the main reason for the visit and up to 34 "secondary" diagnoses. We abstracted data for all ED visits with "any" diagnosis of an eating disorder, using the ICD-10 code "F50". We highlighted the 10 most common "principal" diagnoses based on the organ system involved and the 10 most specific "principal" diagnoses for all ED visits by patients with any diagnosis of eating disorder. We then highlighted baseline characteristics of ED visits with a "principal" diagnosis of an eating disorder. Results There were a total of 56,901 ED visits for patients with eating disorders in 2018. Among these, 7,979 had an eating disorder as the "principal" diagnosis. Patients who visited the ED principally for eating disorders were more likely to be young females and came from higher-income households; about a third were admitted with 22.1 million U.S. dollars in aggregate ED charges. Mental disorders, and injuries and poisoning were the most common principal diagnosis by organ system categories, while eating disorders, major depression disorder (MDD), hypokalemia, and dehydration are common specific reasons for ED visits among patients with eating disorders. Conclusions Eating disorders, and its medical complications and psychiatric comorbidities such as MDD are common reasons for ED visits among patients with eating disorders. Management of the underlying eating disorder and their psychiatric comorbidities through a multidisciplinary approach in the outpatient setting is invaluable in reducing ED utilization by these patients.
format Online
Article
Text
id pubmed-9516871
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-95168712022-09-30 Emergency Department Utilization by Patients With Eating Disorders: A National Population-Based Study Eseaton, Precious Sanwo, Eseosa Anighoro, Solomon O John, Eboma Okobia, Nelson O Enosolease, Uaiye Enejo, Rebecca E Edigin, Ehizogie Cureus Internal Medicine Background There is a scarcity of national United States (U.S) data on emergency department (ED) utilization by patients with eating disorders. This study aims to determine the most common reasons for ED visits of patients with eating disorders, as well as baseline characteristics of patients who present due to eating disorders. Methods We obtained data from the Nationwide Emergency Department Sample (NEDS), the largest all-payer ED database in the United States. Each ED visit in NEDS 2018 can have only one "principal" diagnosis, which is the main reason for the visit and up to 34 "secondary" diagnoses. We abstracted data for all ED visits with "any" diagnosis of an eating disorder, using the ICD-10 code "F50". We highlighted the 10 most common "principal" diagnoses based on the organ system involved and the 10 most specific "principal" diagnoses for all ED visits by patients with any diagnosis of eating disorder. We then highlighted baseline characteristics of ED visits with a "principal" diagnosis of an eating disorder. Results There were a total of 56,901 ED visits for patients with eating disorders in 2018. Among these, 7,979 had an eating disorder as the "principal" diagnosis. Patients who visited the ED principally for eating disorders were more likely to be young females and came from higher-income households; about a third were admitted with 22.1 million U.S. dollars in aggregate ED charges. Mental disorders, and injuries and poisoning were the most common principal diagnosis by organ system categories, while eating disorders, major depression disorder (MDD), hypokalemia, and dehydration are common specific reasons for ED visits among patients with eating disorders. Conclusions Eating disorders, and its medical complications and psychiatric comorbidities such as MDD are common reasons for ED visits among patients with eating disorders. Management of the underlying eating disorder and their psychiatric comorbidities through a multidisciplinary approach in the outpatient setting is invaluable in reducing ED utilization by these patients. Cureus 2022-08-29 /pmc/articles/PMC9516871/ /pubmed/36185874 http://dx.doi.org/10.7759/cureus.28526 Text en Copyright © 2022, Eseaton et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Eseaton, Precious
Sanwo, Eseosa
Anighoro, Solomon O
John, Eboma
Okobia, Nelson O
Enosolease, Uaiye
Enejo, Rebecca E
Edigin, Ehizogie
Emergency Department Utilization by Patients With Eating Disorders: A National Population-Based Study
title Emergency Department Utilization by Patients With Eating Disorders: A National Population-Based Study
title_full Emergency Department Utilization by Patients With Eating Disorders: A National Population-Based Study
title_fullStr Emergency Department Utilization by Patients With Eating Disorders: A National Population-Based Study
title_full_unstemmed Emergency Department Utilization by Patients With Eating Disorders: A National Population-Based Study
title_short Emergency Department Utilization by Patients With Eating Disorders: A National Population-Based Study
title_sort emergency department utilization by patients with eating disorders: a national population-based study
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9516871/
https://www.ncbi.nlm.nih.gov/pubmed/36185874
http://dx.doi.org/10.7759/cureus.28526
work_keys_str_mv AT eseatonprecious emergencydepartmentutilizationbypatientswitheatingdisordersanationalpopulationbasedstudy
AT sanwoeseosa emergencydepartmentutilizationbypatientswitheatingdisordersanationalpopulationbasedstudy
AT anighorosolomono emergencydepartmentutilizationbypatientswitheatingdisordersanationalpopulationbasedstudy
AT johneboma emergencydepartmentutilizationbypatientswitheatingdisordersanationalpopulationbasedstudy
AT okobianelsono emergencydepartmentutilizationbypatientswitheatingdisordersanationalpopulationbasedstudy
AT enosoleaseuaiye emergencydepartmentutilizationbypatientswitheatingdisordersanationalpopulationbasedstudy
AT enejorebeccae emergencydepartmentutilizationbypatientswitheatingdisordersanationalpopulationbasedstudy
AT ediginehizogie emergencydepartmentutilizationbypatientswitheatingdisordersanationalpopulationbasedstudy