Incidence, Admission Rates, and Economic Burden of Adult Emergency Visits for Chronic Pancreatitis: Data from the National Emergency Department Sample, 2006 to 2012

Sushil K. Garg, Dupinder Singh, Shashank Sarvepalli, Fateh Bazerbachi, Nitin D. Puthanveedu, Itegbemie Obaitan, Samir Haffar, Hemant Goyal, Madhusudhan R. Sanaka

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction:Chronic pancreatitis (CP) is a common reason for emergency department (ED) visits, but little research has examined ED use by patients with CP.Materials and Methods:The Nationwide Emergency Department Sample (2006 to 2012) was interrogated to evaluate trends in adult ED visits for a primary diagnosis of CP (International Classification of Disease, 9th revision, Clinical Modification code: 577.1), the rates of subsequent hospital admission, and total charges. A survey logistic regression model was used to determine factors associated with hospitalization from the ED.Results:We identified 253,753 ED visits with a primary diagnosis of CP. No significant trends in annual incidence were noted. However, the ED-to-hospitalization rates decreased by 3% per year (P<0.001) and mean ED charges after adjusting for inflation increased by 11.8% per year (P<0.001). Higher Charlson comorbidity index, current smoker status, alcohol use, and biliary-related CP were associated with hospitalization. In hospitalized patients, length of stay decreased by 2.2% per year (P=0.003) and inpatient charges increased by 2.9% per year (P=0.004).Conclusions:Patient characteristics associated with higher risk of hospitalization from the ED deserve further attention.

Original languageEnglish (US)
Pages (from-to)e328-e333
JournalJournal of clinical gastroenterology
Volume53
Issue number8
DOIs
StatePublished - Sep 1 2019
Externally publishedYes

Keywords

  • ER
  • Healthcare Cost and Utilization Project
  • NEDS
  • chronic pancreatitis

PubMed: MeSH publication types

  • Journal Article

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