High Rate of Hospital Admissions Among Patients with Cirrhosis Seeking Care in US Emergency Departments

Digestive Diseases and Sciences
Chanda K HoRalph Gonzales

Abstract

Emergency Departments (ED) can serve as a gateway to specialty care for patients with cirrhosis with limited care access. We described the rates and characteristics of patients with cirrhosis who access United States (US) EDs, and identified factors associated with subsequent hospitalization. Using data from the National Hospital Ambulatory Medical Care Survey, cirrhosis-related ED from 2000 to 2009 were identified and compared to all other ED visits. From 2000 to 2009, there were an estimated 1,029,693 cirrhosis and 877 million non-cirrhosis visits. Compared to the general ED population, those with cirrhosis were more frequently male (58 vs. 44 %, p = 0.02), Hispanic (18.6 vs. 10.6 %, p < 0.05), seeking care in urban areas (91.6 vs. 73.4 %, p < 0.05) and had Medicaid/no insurance (43 vs. 35 %, p < 0.01). Patients with cirrhosis were more frequently triaged immediately or emergently (72.3 vs. 54.2 %, p < 0.01). The majority were admitted or transferred to another hospital (66.8 vs. 17.4 %, p < 0.01). Among patients with cirrhosis, patients with age ≥ 65 years were more likely to be admitted (adjusted OR 2.49, 95 % CI 1.08-5.73), and Medicaid/uninsured (adjusted OR 0.34; 95 % CI 0.17-0.67) were less likely to be admitted, after ...Continue Reading

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Citations

Apr 3, 2018·Journal of Clinical Gastroenterology·Haley BushZobair M Younossi
Sep 19, 2018·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Michael L VolkFasiha Kanwal
Oct 13, 2020·Endoscopy International Open·Robert J HuangUri Ladabaum

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