Emergency Department Visits Related to Schizophrenia Among Adults Aged 18–64: United States, 2009–2011

September 23, 2015

Schizophrenia is a severe brain disorder with clinical manifestations that may include hallucinations, delusions, and thought and movement disorders.

A new NCHS report describes the rate and characteristics of emergency department (ED) visits related to schizophrenia among adults aged 18–64.

Key Findings from the Report:

  • During 2009–2011, an estimated 382,000 ED visits related to schizophrenia occurred each year among adults aged 18–64, with an overall ED visit rate of 20.1 per 10,000 adults.
  • The overall rate for ED visits related to schizophrenia for men (26.5 per 10,000) was approximately double the rate for women (13.8 per 10,000).
  • Public insurance (Medicaid, Medicare, or dual Medicare and Medicaid) was used more frequently at ED visits related to schizophrenia compared with ED visits not related to schizophrenia.
  • About one-half of ED visits related to schizophrenia led to either a hospital admission (32.7%) or a transfer to a psychiatric hospital (16.7%); these percentages were higher than for ED visits not related to schizophrenia.

 

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Emergency Department Visits for Drug Poisoning: United States, 2008–2011

April 9, 2015

Poisoning is the leading cause of injury-related mortality in the United States, with more than 40,000 deaths annually. Drugs account for 90% of poisoning deaths, and the number of deaths from drug poisoning has increased substantially in recent years. The emergency department (ED) plays an important role in the treatment of poisoning.

A new NCHS report describes nationally representative data on ED visits for drug poisoning during 2008–2011.

Key Findings from the Report:

  • During 2008–2011, an average of 1.1 million emergency department (ED) visits were made each year for drug poisoning, with a visit rate of 35.4 per 10,000 persons.
  • The ED visit rate for drug poisoning was highest among persons aged 20–34. The rate declined with age after 20–34, and rates for those aged 0–19 were similar to those aged 50 and over.
  • Drug-poisoning ED visit rates did not differ by sex and age, with the exception of persons aged 35–49, where females had a higher visit rate than males. The ED visit rate for unintentional drug poisoning was higher than self-inflicted drug poisoning overall and for males, but did not differ for females.
  • About one-quarter (24.5%) of drug-poisoning ED visits resulted in hospital admission.

Emergency Department Visits and Proximity to Patients’ Residences, 2009–2010

March 19, 2015

The number of emergency department (ED) visits rose 44% from 1991 through 2010, even as the number of hospital EDs declined 10% over the same period.

As a result, EDs have increasingly experienced overcrowding and longer waiting times. Using data from the National Hospital Ambulatory Medical Care Survey, a new NCHS report provides how often patients go to the ED closest to their home, and how differences in geography, patient demographics, and hospital characteristics are associated with ED selection patterns.

Key Findings from the Report:

  • In 2009–2010, visits to emergency departments (EDs) occurred an average 6.8 miles from the patient’s residence, while the nearest ED was 3.9 miles from the home.
  • Less than one-half of all ED visits (43.8%) occurred at the ED closest to where the patient lived.
  • Visits within metropolitan statistical areas were less likely (37.2%) to take place at the closest ED compared with visits outside of metropolitan statistical areas (70.1%).
  • Within metropolitan statistical areas, visits that did not take place at the closest ED occurred more frequently among younger patients, at larger hospitals, and in EDs with longer waiting times, compared with visits to the closest ED.

Emergency Department Visits for Motor Vehicle Traffic Injuries: United States, 2010–2011

January 30, 2015

In spite of improvements in motor vehicle safety in recent years, motor vehicle crashes remain a major source of morbidity and mortality in the United States. Motor vehicle-related deaths and injuries also result in substantial economic and societal costs related to medical care and lost productivity.

A new NCHS report describes the rates and characteristics of emergency department (ED) visits for motor vehicle traffic injuries during 2010–2011 based on nationally representative data from the National Hospital Ambulatory Medical Care Survey.

Key Findings from the Report:

  • In 2010–2011, the emergency department (ED) visit rate for motor vehicle traffic injuries was highest among persons aged 16–24 years. The rates declined with age after 16–24, with rates for those aged 0–15 similar to those 65 and over.
  • The overall ED visit rate for motor vehicle traffic injuries was higher among non-Hispanic black persons compared with non-Hispanic white and Hispanic persons.
  • Imaging services were ordered or provided at 70.2% of ED visits for motor vehicle traffic injuries, which was higher than for other injury-related ED visits (55.9%).
  • About one-half of ED visits for motor vehicle traffic injuries had a primary diagnosis of sprains and strains of the neck and back, contusion with intact skin surface, or spinal disorders.

Injury-related Emergency Department Visits by Children and Adolescents: United States, 2009–2010

May 6, 2014

Injury is the leading cause of death and a major source of morbidity among children and adolescents in the United States. The emergency department (ED) plays an important role in the care of injuries, and these visits often represent the initial contact with a provider for the injury.

A new report from NCHS examines nationally representative data on injury-related ED visits by children and adolescents aged 18 years and under in the United States during 2009–2010. Injury-related ED visit rates were also compared for the age groups 0–4, 5–12, and 13–18 years, as these correspond to the preschool, school-age, and teen life periods respectively.

 

Key Findings from the Report:

  • In 2009–2010, an annual average of 11.9 million injury-related emergency department (ED) visits were made by children and adolescents aged 18 years and under in the United States.
  • The injury-related ED visit rate was 151 per 1,000 persons aged 18 years and under, and rates were higher for males than for females for all age groups (0–4 years, 5–12 years, and 13–18 years).
  • The injury-related ED visit rates among persons aged 5–12 years and 13–18 years were higher for non-Hispanic black persons than for other race and ethnicity groups.
  • Leading causes of injury-related ED visits among both males and females included falls and striking against or being struck unintentionally by objects or persons. Visit rates were higher for males than for females for both of these causes.

Emergency Department Visits by Persons Aged 65 and Over

October 18, 2013

From 2000–2010, the number of persons in the United States aged 65 and over rose 15%, from 35.0 million to 40.3 million, and in 2010 this age group represented 13% of the population. It is estimated that by 2030, nearly one in five persons will be aged 65 and over. Given their growing proportion of the population, older individuals will comprise an increasing share of emergency department (ED) patients in the coming years. This is important because of the ED’s role in treating acute illness and injury in older adults and providing a pathway to these patients for hospital admission.

A new report from NCHS describes emergency department visits made by individuals aged 65 and over and compares age groups 65–74, 75–84, and 85 and over.

Key Findings from the Report:

  • In 2009–2010, a total of 19.6 million emergency department (ED) visits in the United States were made by persons aged 65 and over. The visit rate for this age group was 511 per 1,000 persons and increased with age.
  • The percentage of ED visits made by nursing home residents, patients arriving by ambulance, and patients admitted to the hospital increased with age.
  • Twenty-nine percent of ED visits by persons aged 65 and over were related to injury, and the percentage was higher among those aged 85 and over than among those aged 65–74 or 75–84.
  • The percentage of ED visits caused by falls increased with age.

Health, United States, 2012

May 30, 2013

Health, United States:2012 CoverOn May 30, the National Center for Health Statistics (NCHS) published its annual report on the nation’s health.  Health, United States, 2012— which includes a Special Feature on Emergency Care—is the 36th report on the health status of the nation and is submitted each year by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act.

Highlights of this year’s special section on emergency care include:

  • During 2001 through 2011, both children under age 18 and adults aged 18–64 with Medicaid coverage were more likely than uninsured Americans and those with private insurance coverage to have at least one emergency room visit in the past year.
  • In 2009–2010, cold symptoms were the most common reason for emergency room visits by children (27 percent), and injuries were the most common reason for visits by adults (14 percent.)
  • Between 2000 and 2010, 35 percent of emergency room visits included an x-ray, while the use of advanced imaging scans (CT or MRI) increased from 5 percent to 17 percent of visits.
  • In 2009–2010, 81 percent of emergency department visits were discharged for follow-up care as needed, 16 percent ended with the patient being admitted to the hospital, 2 percent ended with the patient leaving without completing the visit, and less than 1 percent ended in the patient’s death.
  • In 2009–2010, 59 percent of emergency department visits (excluding hospital admissions) included at least one drug prescribed at discharge.
  • During 2001-2011, the percentage of persons with at least one emergency department visit in the past year was stable at 20 percent to 22 percent, and the percentage of persons reporting two or more visits was stable at 7 percent to 8 percent.

 Other highlights from the report include:

  • Between 2010 and 2011, the percentage of adults aged 19-25 who were uninsured decreased from 34 percent to 28 percent.
  • Expenditures for hospital care accounted for 31 percent of all national health care expenditures in 2010. Physician and clinical services accounted for 20 percent of the total, followed by prescription drugs (10 percent), and nursing care facilities and continuing care retirement communities (6 percent).
  • In 2011, 48 percent of adults aged 18 and over did not meet the 2008 federal physical activity guidelines.