Avoidable visits to the emergency department(ED) and their association with sex, age and race in a cohort of low socio-economic status patients on hemodialysis in the Bronx

PloS One
Ladan GolestanehYungtai Lo

Abstract

In national samples drawn from the USRDS, female patients utilize the hospital ED and inpatient services at a higher rate than their male counterparts and have a higher rate of re-hospitalization. We wanted to explore the association of sex with avoidable ED visits made by a cohort of patients on hemodialysis in a mostly minority, lower socioeconomic status (SES), population in the Bronx to test the applicability of the USRDS findings. We used Montefiore's clinical database to build a cohort of patients on hemodialysis with a first ED visit between 2013 and 2017. All ED visits after the index ED visit and those within one year prior to the index visit were recorded. None of the ED visits resulted in a hospitalization and were thus labeled "avoidable". Bivariate analysis tested the association of demographic and clinical variables with sex. We used negative binomial regression to test the association of each variable with avoidable ED visit count. The multivariate model used negative binomial regression with avoidable ED visit count as outcome and sex as the exposure variable and included ancestral variables age and race. Potential mediators were added to the model to measure their effects on the association of sex with avoidabl...Continue Reading

References

Jan 1, 1993·Health Affairs·J BillingsL Newman
Aug 26, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Apr 15, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·P L Kimmel
Jul 14, 2001·The New England Journal of Medicine·A V Diez RouxR L Watson
Dec 1, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·K Kalantar-Zadeh, J D Kopple
Mar 5, 2003·Advances in Renal Replacement Therapy·Paul L Kimmel, Samir S Patel
Feb 27, 2009·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Ilia BeberashviliJoshua Weissgarten
Mar 2, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Gisela SturmFlorian Kronenberg
May 1, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Laura C PlantingaBernard G Jaar
May 11, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Eran BellinNavneet Srivastava
Aug 12, 2010·JAMA : the Journal of the American Medical Association·Ning TangRalph Gonzales
Oct 23, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Aurélie UntasChristian Combe
Mar 16, 2013·Clinical Journal of the American Society of Nephrology : CJASN·Guofen YanKeith C Norris
Apr 16, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Natasha WiebeUNKNOWN Alberta Kidney Disease Network
May 9, 2014·Journal of the American Society of Nephrology : JASN·Raymond M Hakim, Allan J Collins
Jun 14, 2014·Journal of the American Society of Nephrology : JASN·Tanya S JohnsL Ebony Boulware
Jun 21, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Guofen YanAlfred K Cheung
Apr 18, 2015·Journal of the American Society of Nephrology : JASN·John KalbfleischYi Li
Aug 16, 2015·Current Diabetes Reports·Melena D BellinSrinath Chinnakotla
Oct 10, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Guofen YanKeith C Norris
Nov 9, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Paul E RonksleyMarcello Tonelli
Jan 26, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Paul E RonksleyBrenda R Hemmelgarn
Apr 1, 2017·Clinical Nutrition ESPEN·Mariana Clementoni Costa BorgesJacqueline Costa Teixeira Caramori
Apr 23, 2017·Journal of the American Society of Nephrology : JASN·Scott V AdamsRajnish Mehrotra
Jun 8, 2017·Transplantation·Kira L NewmanRachel E Patzer

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Citations

Jul 17, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ladan GolestanehKeith C Norris
Feb 23, 2021·KI Reports·Ladan GolestanehKeith C Norris

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