Emergency Department Care in the United States: A Profile of National Data Sources

Owens, Pamela L; Barrett, Marguerite L; Gibson, Teresa B.; Andrews, Roxanne M; Weinick, Robin M.; Mutter, Ryan

doi:10.1016/j.annemergmed.2009.11.022

Cited by 188 publications

(136 citation statements)

References 6 publications

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“…4 The incidence per age for foot contusions during 2009 is shown. Ambulatory Medical Care Survey, National Electronic Injury Surveillance System, and the National Health Interview Survey) showed the NEISS contains the most comprehensive surveillance of injuries treated in the emergency department [11]. The database has been used for various studies [1,3,21,23,24].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Patients with Lower Extremity Injuries Presenting to US Emergency Departments by Anatomic Region, Disease Category, and Age

Lambers

Ootes

Ring

2012

Clinical Orthopaedics &Amp; Related Research

137

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Background The incidence of patients with lower extremity injuries presenting to emergency departments in the United States with respect to specific anatomic regions and disease categories is unknown. Such information might be used for injury prevention, resource allocation, and training priorities. Questions/purposes We determined the anatomic regions, disease categories, and circumstances that account for the highest incidence of leg problems among patients presenting to emergency departments in the United States. Methods We used the National Electronic Injury Surveillance System (NEISS) to obtain a probability sample of all lower extremity injuries treated at emergency departments during 2009. A total of 119,815 patients who presented to emergency departments with lower extremity injuries in 2009 were entered in the NEISS database. Patient and injury characteristics were analyzed. Incidence rates for various regions, disease categories, injuries, and age groups were calculated using US census data.Results We identified 112 unique combinations of disease categories and anatomic regions. Strains and sprains accounted for 36% of all lower extremity injuries. The injury with the greatest incidence was an ankle sprain (206 per 100,000; 95% confidence interval, 181-230). Younger patients were more likely to have ankle sprains, foot contusions/abrasions, and foot strains/sprains. Older patients were more likely to have lower trunk fractures and lower trunk contusions/abrasions. The most common incidence for injury was at home (45%). Conclusions Given relatively low-acuity leg problems such as strains and sprains account for a substantial number of emergency department visits pertaining to leg problems, use of telephone triage, scheduled same or next-day urgent care appointments, and other alternatives to the traditional emergency room might result in better use of emergency healthcare resources.

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Section: Discussionmentioning

confidence: 99%

Incidence of Patients with Lower Extremity Injuries Presenting to US Emergency Departments by Anatomic Region, Disease Category, and Age

Lambers

Ootes

Ring

2012

Clinical Orthopaedics &Amp; Related Research

137

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“…The NEDS is an all payer sample of emergency department (ED) visits, including encounters resulting in discharge, transfer, admission, and/or death. 20,21 The 2009-2010 NEDS contains 57,445,348 ED records (unweighted), of which 8,949,530 include an injury as the primary diagnosis based on the National Trauma Data Standard (NTDS). 22 The data are weighted based on geographic region, trauma center designation, urban-rural hospital location, teaching hospital status, and hospital ownership in order to provide a nationally representative sample of EDs.…”

Section: Methodsmentioning

confidence: 99%

Rural risk: Geographic disparities in trauma mortality

Jarman

Castillo

Carlini

et al. 2016

Surgery

113

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“…While the NIS was redesigned in 2012, use of the Agency for Healthcare Research and Quality's trend weights alleviates differences attributed to sampling rather than changes in utilization during the observation period and the new design is expected to provide more‐precise results 26. The benefits of using the NEDS for ED surveillance has been described previously 45. Although the NEDS does not contain all of the same hospitals as the NIS sample, it is structured similarly; therefore, it better lends itself to the application of the exclusion criteria used to determine mutually exclusive events compared with data sets that are structured differently from the NIS.…”

Section: Discussionmentioning

confidence: 99%

Million Hearts: Description of the National Surveillance and Modeling Methodology Used to Monitor the Number of Cardiovascular Events Prevented During 2012–2016

Ritchey

Loustalot

Wall

et al. 2017

JAHA

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BackgroundThis study describes the national surveillance and modeling methodology developed to monitor achievement of the Million Hearts initiative's aim of preventing 1 million acute myocardial infarctions, strokes, and other related cardiovascular events during 2012–2016.Methods and ResultsWe calculate sex‐ and age‐specific cardiovascular event rates (combination of emergency department, hospitalization, and death events) among US adults aged ≥18 from 2006 to 2011 and, based on log‐linear models fitted to the rates, calculate their annual percent change. We describe 2 baseline strategies to be used to compare observed versus expected event totals during 2012–2016: (1) stable baselines assume no rate changes, with modeled 2011 rates held constant through 2016; and (2) trend baselines assume 2006–2011 rate trends will continue, with the annual percent changes applied to the modeled 2011 rates to calculate expected 2012–2016 rates. Events prevented estimates during 2012–2013 were calculated using available data: 115 210 (95% CI, 60 858, 169 562) events were prevented using stable baselines and an excess of 43 934 (95% CI, −14 264, 102 132) events occurred using trend baselines. Women aged ≥75 had the most events prevented (stable, 76 242 [42 067, 110 417]; trend, 39 049 [1901, 76 197]). Men aged 45 to 64 had the greatest number of excess events (stable, 22 912 [95% CI, 855, 44 969]; trend, 38 810 [95% CI, 15 567, 62 053]).ConclusionsAround 115 000 events were prevented during the initiative's first 2 years compared with what would have occurred had 2011 rates remained stable. Recent flattening or reversals in some event rate trends were observed supporting intensifying national action to prevent cardiovascular events.

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Emergency Department Care in the United States: A Profile of National Data Sources

Cited by 188 publications

References 6 publications

Incidence of Patients with Lower Extremity Injuries Presenting to US Emergency Departments by Anatomic Region, Disease Category, and Age

Incidence of Patients with Lower Extremity Injuries Presenting to US Emergency Departments by Anatomic Region, Disease Category, and Age

Rural risk: Geographic disparities in trauma mortality

Million Hearts: Description of the National Surveillance and Modeling Methodology Used to Monitor the Number of Cardiovascular Events Prevented During 2012–2016

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