دورية أكاديمية
أعرض في EDS

Epidemiology of otologic diagnoses in United States emergency departments.

التفاصيل البيبلوغرافية
العنوان: Epidemiology of otologic diagnoses in United States emergency departments.
المؤلفون: Kozin ED; Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts., Sethi RK; Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts., Remenschneider AK; Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts., Kaplan AB, Del Portal DA; Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania., Gray ST; Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts., Shrime MG; Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.; Harvard Interfaculty Initiative in Health Policy, Cambridge, Massachusetts, U.S.A., Lee DJ; Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
المصدر: The Laryngoscope [Laryngoscope] 2015 Aug; Vol. 125 (8), pp. 1926-33. Date of Electronic Publication: 2015 Feb 20.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Diagnostic Techniques, Otological*, Ear Diseases/*diagnosis , Ear Diseases/*epidemiology , Emergency Service, Hospital/*statistics & numerical data , Patient Admission/*statistics & numerical data, Adolescent ; Adult ; Age Distribution ; Aged ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Morbidity/trends ; Retrospective Studies ; Sex Distribution ; United States/epidemiology ; Young Adult
مستخلص: Objectives/hypothesis: Otologic complaints may place a significant burden on emergency departments (EDs) in the United States; however, few studies have comprehensively examined this discrete patient population. We aimed to identify utilization of EDs by patients with primary otologic complaints.
Study Design: Retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011.
Methods: The NEDS database was queried for patient encounters with a primary otologic diagnosis based on International Classification of Diseases, Ninth Revision codes (380-389). Weighted estimates for demographics, diagnostic characteristics, socioeconomic status, and trends over time were extracted. Predictors of mortality and admission were determined by multivariable logistic regression.
Results: A weighted total of 8,611,282 visits between 2009 and 2011 were attributed to otologic diagnoses, representing 2.21% of all ED visits. Stratified by patient age, otologic diagnoses encompassed 1.01% and 6.79% of all adult and pediatric ED visits, respectively. The majority of patients were treated and released (98.17%). The average age of patients presenting with an otologic complaint was 17.9 years (standard error = 0.23). Overall, 62.7% of patients who presented with an otologic complaint were 0 to 17 years old. The most common diagnoses among all age groups included otitis media not otherwise specified (NOS) (60.6%), infected otitis externa NOS (11.8%), and otalgia NOS (6.8%).
Conclusions: We provide a comprehensive overview of otologic complaints that are an overlooked diagnostic category in public health research. NEDS data demonstrate a significant number of visits related to otologic complaints, especially in the pediatric population, that are nonemergent.
Level of Evidence: 4
(© 2015 The American Laryngological, Rhinological and Otological Society, Inc.)
References: Clin Geriatr Med. 2013 Feb;29(1):181-204. (PMID: 23177607)
Acad Emerg Med. 2013 Jul;20(7):689-96. (PMID: 23859582)
Otolaryngol Head Neck Surg. 2003 Jan;128(1):54-9. (PMID: 12574760)
Laryngoscope. 2013 Sep;123(9):2250-3. (PMID: 23821602)
Med J Aust. 2006 Mar 6;184(5):213-6. (PMID: 16515430)
Otolaryngol Head Neck Surg. 2008 Sep;139(3 Suppl 2):S1-S21. (PMID: 18707628)
Acad Emerg Med. 2009 Jul;16(7):617-25. (PMID: 19549010)
Acad Emerg Med. 2004 Sep;11(9):918-24. (PMID: 15347540)
Qual Prim Care. 2009;17(2):145-8. (PMID: 19416607)
Indian J Otolaryngol Head Neck Surg. 2005 Jul;57(3):219-25. (PMID: 23120176)
J Am Osteopath Assoc. 2010 Oct;110(10):602-4. (PMID: 21068225)
Emerg Med Clin North Am. 2013 May;31(2):413-42. (PMID: 23601480)
Emerg Radiol. 2013 Jan;20(1):45-9. (PMID: 22940762)
Arch Pediatr Adolesc Med. 2008 Feb;162(2):151-6. (PMID: 18250240)
Acta Otolaryngol. 2014 Feb;134(2):140-5. (PMID: 24308666)
Health Aff (Millwood). 1994 Winter;13(5):162-71. (PMID: 7868020)
JAMA. 1996 Aug 14;276(6):460-5. (PMID: 8691553)
Health Aff (Millwood). 2013 Dec;32(12):2069-74. (PMID: 24301388)
Emerg Med J. 2011 Jun;28(6):538. (PMID: 21335577)
Adv Emerg Nurs J. 2011 Jan-Mar;33(1):39-54. (PMID: 21317697)
Acad Emerg Med. 2008 Sep;15(9):825-31. (PMID: 19244633)
Ann Emerg Med. 2007 Mar;49(3):257-64, 264.e1. (PMID: 17049408)
Emerg Med Clin North Am. 2009 Feb;27(1):39-50, viii. (PMID: 19218018)
Ambul Pediatr. 2008 Nov-Dec;8(6):360-7. (PMID: 19084785)
Acad Emerg Med. 2011 Jun;18(6):619-26. (PMID: 21676060)
Am J Manag Care. 2013 Jan;19(1):47-59. (PMID: 23379744)
Acad Emerg Med. 2007 Dec;14(12):1172-5. (PMID: 18045893)
Am J Emerg Med. 2014 Jan;32(1):95-6. (PMID: 24211278)
Otolaryngol Head Neck Surg. 2008 Nov;139(5 Suppl 4):S47-81. (PMID: 18973840)
Health Aff (Millwood). 2008 Sep-Oct;27(5):1283-92. (PMID: 18780912)
Pediatrics. 2013 Mar;131(3):e964-99. (PMID: 23439909)
Ann Intern Med. 2009 Sep 1;151(5):321-8. (PMID: 19721020)
Braz J Otorhinolaryngol. 2013 May-Jun;79(3):312-6. (PMID: 23743746)
Otolaryngol Head Neck Surg. 2009 Dec;141(6):670-3. (PMID: 19932836)
Ann Otolaryngol Chir Cervicofac. 2001 Sep;118(4):215-24. (PMID: 11679840)
Otolaryngol Head Neck Surg. 2013 Jan;148(1):128-34. (PMID: 23131826)
Am J Emerg Med. 2012 May;30(4):587-91. (PMID: 21524878)
Am J Otolaryngol. 2014 Nov-Dec;35(6):758-65. (PMID: 25106951)
Otolaryngol Head Neck Surg. 2014 Feb;150(1 Suppl):S1-S24. (PMID: 24491310)
Health Aff (Millwood). 2010 Sep;29(9):1630-6. (PMID: 20820018)
JAMA. 2011 May 25;305(20):2071-9. (PMID: 21610239)
معلومات مُعتمدة: T32 DC000020 United States DC NIDCD NIH HHS
فهرسة مساهمة: Keywords: Otology; emergency department; resource utilization; specialized emergency care
تواريخ الأحداث: Date Created: 20150224 Date Completed: 20151006 Latest Revision: 20220409
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC4512842
DOI: 10.1002/lary.25197
PMID: 25702897
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.25197