Emergency department revisits for patients with kidney stones in California

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Charles D ScalesNIDDK Urologic Diseases in America Project

Abstract

Kidney stones affect nearly one in 11 persons in the United States, and among those experiencing symptoms, emergency care is common. In this population, little is known about the incidence of and factors associated with repeat emergency department (ED) visits. The objective was to identify associations between potentially mutable factors and the risk of an ED revisit for patients with kidney stones in a large, all-payer cohort. This was a retrospective cohort study of all patients in California initially treated and released from EDs for kidney stones between February 2008 and November 2009. A multivariable regression model was created to identify associations between patient-level characteristics, area health care resources, processes of care, and the risk of repeat ED visits. The primary outcome was a second ED visit within 30 days of the initial discharge from emergent care. Among 128,564 patients discharged from emergent care, 13,684 (11%) had at least one additional emergent visit for treatment of their kidney stone. In these patients, nearly one in three required hospitalization or an urgent temporizing procedure at the second visit. On multivariable analysis, the risk of an ED revisit was associated with insurance status...Continue Reading

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Citations

Nov 3, 2015·The Journal of Urology·Jonathan D HarperMichael R Bailey
Mar 12, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Charles D ScalesZiya Kirkali
Mar 27, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Andrew C Meltzer, Jesse M Pines
Sep 4, 2015·Urology·Charles D ScalesUNKNOWN NIDDK Urologic Diseases in America Project
Oct 19, 2016·The Journal of Urology·Vishnu GanesanManoj Monga
Nov 29, 2016·Contemporary Clinical Trials·Pamela K BurrowsUNKNOWN STONE Study Investigators
Feb 24, 2018·The Journal of Urology·Jane T KurtzmanGregory E Tasian
Aug 24, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Anna L Zisman
Feb 15, 2018·American Journal of Therapeutics·Billy SinSheena Punnapuzha
May 27, 2016·BMC Health Services Research·Chuan-Lan WangJin-Shing Chen
Mar 5, 2019·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Abdullah E LaherAhmed Adam
Oct 26, 2018·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Kyle GarciaPranav Sharma
Apr 3, 2020·Current Urology Reports·Daniel RobersonJustin Ziemba
Oct 23, 2018·Journal of Endourology·William D BrubakerSimon L Conti
Jul 3, 2020·Journal of the American College of Emergency Physicians Open·M Kennedy HallJonathan D Harper
Jan 5, 2021·Current Opinion in Urology·Anna BrewinBhaskar K Somani
Jul 1, 2020·Australasian Emergency Care·Claire L HutchinsonJudith Fethney

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