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.

Report card for Nation’s health focuses on young adults aged 18-29

February 18, 2009
Young adults in the United States aged 18-29 face a number of health challenges, including increases in obesity, high injury rates, and a lack of insurance coverage compared to other adults, according to the latest report on the nation’s health from NCHS.
  • Obesity rates have tripled among young adults in the past three decades, rising from 8 percent in 1971-74 to 24 percent in 2005-06.
  • In 2006, 29 percent of young men were current cigarette smokers compared to 21 percent of young adult women.  
  • In 2005, unintentional injuries (‘‘accidents’’), homicide, and suicide accounted for 70 percent of deaths among young adults 18–29 years of age. Three-quarters of the 47,000 deaths in this age group occurred among young men. 
  • In 2006, young adults aged 20–24 were more likely to be uninsured (34 percent) than those aged 18–19 (21 percent) and those aged 25–29 (29 percent). 

    For more visit http://www.cdc.gov/nchs/data/hus/hus08.pdf.


A brief look at homicide

February 4, 2009

Health care use:

1.8 million emergency department visits for assault
National Hospital Ambulatory Medical Care Survey, 2006

Mortality:

Number of deaths from homicide: 18,124
Deaths per 100,00 population: 6.1

Firearm homicide deaths: 12,352
Deaths per 100,000 population: 4.2
Deaths: Final Data for 2005


A brief look at emergency room visits

November 19, 2008

In 2006, about 4 out of every 10 people visited an emergency room.

Of those visits–

About 22% were seen in less than 15 minutes.
About 13% needed hospital admission.
Only about 2% needed to transer to higher level or specialized care.

The most common diagnosis in emergency departments–injury and poisoning.

For more NCHS Fast Stats, please click here.


ER Visits by Persons Recently Discharged from U.S Hospitals

August 1, 2008

Approximately  2.3 million ED visits (2.0 percent of all visits) were made by persons who had been hospitalized with the last 7 days. This corresponds to 68 ED visits per 1,000 live hospital discharges. About 10 percent of patients at these ED visits presented with medical or surgical complications that may have been related to their recent hospitalization.

Uninsured persons were nearly three times as likely as those privately insured to make an ED visit follwing hospital discharge. You can read more on here.


New Emergency Department Report

June 29, 2007

Released today. Some of the highlights

During 2005, an estimated 115.3 million visits were made to hospital EDs, about 39.6 visits per 100 persons. This represents on average roughly 30,000 visits per ED in 2005, a 31 percent increase over 1995 (23,000). Visit rates have shown an increasing trend since 1995 for persons 22–49 years of age, 50–64 years of age, and 65 years of age and over. In 2005, about 0.5 million (0.4 percent) of visits were made by homeless individuals. Nearly 18 million patients arrived by ambulance (15.5 percent). At 1.9 percent of visits, the patient had been discharged from the hospital within the previous 7 days. Abdominal pain, chest pain, fever, and cough were the leading patient complaints, accounting for nearly one-fifth of all visits. Abdominal pain was the leading illness-related diagnosis at ED visits. There were an estimated 41.9 million injury-related visits or 14.4 visits per 100 persons.