Differences in emergency department visit characteristics and resource utilization for persons with human immunodeficiency virus, 2018-2019 compared with 2009-2010.

IF 2.3 3区 医学 Q1 EMERGENCY MEDICINE
Khairul A Siddiqi, Asma Alzahrani, Bankole A Olatosi, Delaney D Ding, Christopher L Bennett
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引用次数: 0

Abstract

Background: Extended life expectancy and increased age-related comorbidities among people living with HIV (PWH) have implications for emergency healthcare in the United States (US). This study analyzes a nationally representative sample of emergency department (ED) visits to explore changes in patient characteristics and resource utilization for PWH from 2009 to 10 to 2018-19.

Methods: We conducted a repeated cross-sectional, survey-weighted, and descriptive analysis of pooled ED visit-level data from the National Hospital Ambulatory Medical Care Survey (NHAMCS).

Results: The proportion of ED visits increased for PWH aged 55+, males, Hispanics, Medicare recipients, and residents of the South. ED visits for PWH exhibited significant increases in higher acuity levels of care at the triage, hypertensive symptoms, imaging, CT scans, and the number of medications.

Conclusions: EDs can benefit from training in HIV and aging and additional clinical staff and support services to adequately address the increased visit frequency and resource utilization associated with the aging of PWH.

2018-2019年与2009-2010年相比,人类免疫缺陷病毒感染者急诊科就诊特征及资源利用差异
背景:在美国,艾滋病毒感染者(PWH)的预期寿命延长和与年龄相关的合并症增加对紧急医疗保健有影响。本研究分析了具有全国代表性的急诊科(ED)就诊样本,以探讨2009 - 10年至2018-19年PWH患者特征和资源利用的变化。方法:我们对全国医院门诊医疗调查(NHAMCS)汇总的急诊科就诊数据进行了重复的横断面、调查加权和描述性分析。结果:55岁以上的PWH患者、男性、西班牙裔、医疗保险受益人和南方居民的急诊科就诊比例增加。在分诊、高血压症状、影像学、CT扫描和药物数量方面,PWH患者的急诊科就诊明显增加。结论:急诊科可以通过艾滋病毒和老龄化培训、增加临床人员和支持服务来充分解决与PWH老龄化相关的就诊频率和资源利用增加的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Emergency Medicine
BMC Emergency Medicine Medicine-Emergency Medicine
CiteScore
3.50
自引率
8.00%
发文量
178
审稿时长
29 weeks
期刊介绍: BMC Emergency Medicine is an open access, peer-reviewed journal that considers articles on all urgent and emergency aspects of medicine, in both practice and basic research. In addition, the journal covers aspects of disaster medicine and medicine in special locations, such as conflict areas and military medicine, together with articles concerning healthcare services in the emergency departments.
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