Respiratory Illness Emergency Department Visits in the National Hospital Care Survey and the National Hospital Ambulatory Medical Care Survey.

Q2 Medicine
National health statistics reports Pub Date : 2021-01-01
Jill J Ashman, Christopher Cairns, Carol J DeFrances, Alexander Schwartzman
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引用次数: 0

Abstract

Purpose-This report compares emergency department (ED) visits for respiratory illness between the 2014 National Hospital Care Survey (NHCS) and the 2014 National Hospital Ambulatory Medical Care Survey (NHAMCS) to determine the potential of researching respiratory illness in EDs with non-nationally representative NHCS data. The 2014 NHCS data linked to records in the 2014-2015 National Death Index (NDI) are also described to provide results on mortality after ED visits for respiratory illness. Methods-For both surveys, encounters with respiratory illness were identified using diagnosis codes from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Weighted NHAMCS percentage estimates and their 95% confidence intervals (CIs) are shown for all demographic characteristics. Unweighted NHCS percentages are presented for all demographic and health care characteristics and are compared with weighted NHAMCS percentage estimates and used to report NHCS-only results. Standard errors and CIs are also presented for the NHCS unweighted percentages as a measure of variability. Results-The percentage of NHCS ED visits for respiratory illness fell within NHAMCS measures of statistical variation for overall and specific respiratory illnesses. Additionally, respiratory illness by sex, older age groups, older men, and female patients of all ages fell within these measures. Compared with NHAMCS, NHCS had a higher percentage of ED visits for respiratory illness for both infants (under 1 year) and children (1-17 years) but a lower percentage for adults aged 18-44. NHCS data show that 15.2% of patients with ED visits for respiratory illness were hospitalized and of those hospitalized, 6.6% died within 90 days post-discharge. However, 11.1% of patients admitted to the intensive care unit died within 90 days. Conclusion-Although the 2014 NHCS data are not nationally representative, the data may be used for exploratory analyses and have analytical capabilities that are not available in other hospital surveys.

全国医院护理调查和全国医院门诊医疗调查中呼吸道疾病急诊科就诊情况。
目的:本报告比较了2014年全国医院护理调查(NHCS)和2014年全国医院门诊医疗调查(NHAMCS)中急诊(ED)呼吸系统疾病的就诊情况,以确定使用非全国代表性的NHCS数据研究急诊中呼吸系统疾病的潜力。2014年NHCS数据与2014-2015年国家死亡指数(NDI)的记录相关联,提供了因呼吸系统疾病就诊后的死亡率结果。方法:在这两项调查中,使用国际疾病分类第九次修订临床修改(ICD-9-CM)中的诊断代码对呼吸道疾病患者进行识别。显示了所有人口统计学特征的加权NHAMCS百分比估计值及其95%置信区间(ci)。未加权的国家卫生保健服务百分比表示所有人口统计学和卫生保健特征,并与加权的国家卫生保健服务百分比估计值进行比较,并用于报告仅国家卫生保健服务的结果。标准误差和ci也为国家卫生服务体系未加权百分比提供,作为可变性的衡量标准。结果:因呼吸系统疾病就诊的国家卫生保健中心ED的百分比落在NHAMCS对总体和特定呼吸系统疾病统计变异的测量范围内。此外,按性别、老年群体、老年男性和所有年龄段的女性患者划分的呼吸系统疾病也在这些测量范围之内。与NHAMCS相比,新生儿(1岁以下)和儿童(1-17岁)因呼吸系统疾病就诊的ED比例较高,但18-44岁成年人的比例较低。国家卫生健康中心数据显示,15.2%因呼吸系统疾病就诊的急诊科患者住院,其中6.6%在出院后90天内死亡。然而,11.1%入住重症监护病房的患者在90天内死亡。结论:尽管2014年国家卫生保健服务数据不具有全国代表性,但这些数据可用于探索性分析,并且具有其他医院调查所不具备的分析能力。
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
National health statistics reports
National health statistics reports Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.50
自引率
0.00%
发文量
13
期刊介绍: Notice: Effective January 2008 the title, National Health Statistics Reports (NHSR), replaces Advance Data from Vital and Health Statistics (AD). NHSRs will be numbered sequentially beginning with 1. The last AD report number is 395. These reports provide annual data summaries, present analyses of health topics, or present new information on methods or measurement issues.
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