Emergency room resource utilization by patients with low-back pain

Journal of Neurosurgery. Spine
Doniel DrazinFrank L Acosta

Abstract

OBJECTIVE The objective of this study was to determine factors associated with admission to the hospital through the emergency room (ER) for patients with a primary diagnosis of low-back pain (LBP). The authors further evaluated the impact of ER admission and patient characteristics on mortality, discharge disposition, and hospital length of stay. METHODS The authors conducted a retrospective analysis of patients with LBP discharged from hospitals according to the Nationwide Inpatient Sample (NIS) between 1998 and 2007. Univariate comparisons of patient characteristics according to the type of admission (ER versus non-ER) were conducted. Multivariate analysis evaluated factors associated with an ER admission, risk of mortality, and nonroutine discharge. RESULTS According to the NIS, approximately 183,151 patients with a primary diagnosis of LBP were discharged from US hospitals between 1998 and 2007. During this period, an average of 65% of these patients were admitted through the ER, with a significant increase from 1998 (54%) to 2005 (71%). Multivariate analysis revealed that uninsured patients (OR 2.1, 95% CI 1.7-2.6, p < 0.0001) and African American patients (OR 1.5, 95% CI 1.2-1.7, p < 0.0001) were significantly more likel...Continue Reading

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Citations

Nov 18, 2017·Emergency Medicine Australasia : EMA·Gustavo C MachadoChris G Maher
Jun 6, 2019·BMJ Quality & Safety·Giovanni E FerreiraChristopher G Maher
Sep 5, 2020·Journal of Comparative Effectiveness Research·Jane LeeRobert S White
Apr 3, 2020·International Journal of Rheumatic Diseases·Getahun Kebede BeyeraSteven Campbell

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