|
Experimental Biology 2010: Patient Characteristics Are Associated With ED Outcomes For Children
Back to 2010 Eastern Program
Patient Characteristics Are Associated With ED Outcomes For Children
M.C. Levine1, X. Zeng2, E. Bish2, R. Xie2, A.D. Slonim3; 1 Emergency Medicine, Children's National Medical Center, Washington, DC 2. Grado Department of Industrial Engineering, Virginia Polytechnic Institute, Blacksburg, VA 3. Virginia Tech-Carilion School of Medicine, Carilion Medical Center, Roanoke, VA
Purpose of Study: The study's objective was to describe the patient characteristics associated with ED outcomes for children. Methods Used: Data were obtained from AHRQ’s 2007 NJ State Emergency Department Database. Patient characteristics including age, race, payer and diagnosis were investigated and compared across the outcomes of mortality, left without being seen (LWBS), and length of stay (LOS). Bivariable analyses compared outcomes with patient characteristics using the Chi square test. Analyses were performed using SPSS (Version 17.0); p-values < 0.05 were significant. Summary of Results: Age, race and insurance status were associated with ED outcomes. A biphasic relationship was noted for age and LOS; youngest and oldest patients had ED LOS >6 hours (OR 1.2; p-value <0.001 1-12 months and OR 1.2; p value <0.001 12-18 years). Infants < 12 months had the most visits (12.1%), were more likely to die (OR 7.0; p value <0.001) and LWBS (OR 1.5; p value 0.002 for infants < 1 month and OR 1.3; p value <0.001 for infants < 12 months). White patients had the lowest ED mortality (0.02%), LWBS rate (0.51%) and LOS (4.0 hours). Minority patients had the highest mortality (OR 2.6 for Blacks; p value <0.001) and a high odds of LWBS (OR 1.6; p value <0.001 for Blacks and OR 1.8; p value <0.001 for Hispanics). Privately insured patients had the lowest mortality (0.02%) and odds of LWBS (OR 1.3; p value <0.001) compared to self pay patients (OR 4.9; p value <0.001 and 2.2; p value <0.001, respectively) or Medicaid (OR 1.5; p value 0.032 and 1.8; p value <0.001, respectively). Children with chronic conditions (CC) had an ED visit rate of 7.1% with the most frequent CCs being respiratory (3.2%) and mental CCs (2.4%). Patients with CCs were more likely to die (OR 26.1; p-value <0.001) and to have ED LOS > 6 hours (OR 2.0; p value <0.001) than those without CCs. Conclusions: Patient characteristics including age, race, insurance status and diagnosis demonstrated important associations with outcomes of ED care.
Back to 2010 Eastern Program
|
