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Volume 9
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10.1080/20016689.2021.1912924
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Journal of Market Access & Health Policy (JMAHP) is published by MDPI from Volume 12 Issue 1 (2024). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Taylor & Francis.
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Article

Trends in US Emergency Department Visits and Subsequent Hospital Admission among Patients with Inflammatory Bowel Disease Presenting with Abdominal Pain: A Real-World Study from a National Emergency Department Sample Database

by
Zhijie Ding
1,
Aarti Patel
2,
James Izanec
1,
Christopher D. Pericone
2,
Jennifer H. Lin
2 and
Christopher W. Baugh
3,*
1
Janssen Scientific Affairs, Janssen Pharmaceuticals, Horsham, PA, USA
2
Janssen Scientific Affairs, Janssen Pharmaceuticals, Titusville, NJ, USA
3
Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
*
Author to whom correspondence should be addressed.
J. Mark. Access Health Policy 2021, 9(1), 1912924; https://doi.org/10.1080/20016689.2021.1912924
Submission received: 11 November 2020 / Revised: 16 March 2021 / Accepted: 31 March 2021 / Published: 19 April 2021

Abstract

Background/Objective: This study evaluated emergency department (ED) visit trends, subsequent inpatient admissions for patients with inflammatory bowel disease (IBD) diagnosis and IBD-related abdominal pain (AP), and hospital-level variation in inpatient admission rates in the USA (US). Methods: This population-based, cross-sectional study included data from Nationwide Emergency Department Sample (NEDS, 2006─2013) database. Patients ≥18 years of age with primary ED diagnosis of IBD/IBD-related AP were included. Variables included demographics, insurance information, household income, Quan-Charlson comorbidity score, ED discharge disposition, and length of hospital stay (2006, 2010, and 2013). Variation between hospitals using risk-adjusted admission ratio was estimated. Results: Annual ED visits for IBD/100,000 US population increased (30 in 2006 vs 42 in 2013, p = 0.09), subsequent admissions remained stable (20 in 2006 vs 23 in 2013, p = 0.52). ED visits for IBD-related AP increased by 71% (7 in 2006 vs 12 in 2013; p = 0.12), subsequent admissions were stable (0.50 in 2006 vs 0.58 in 2013; p = 0.88). Proportion of patients with subsequent hospitalization decreased (IBD: 65.7% to 55.7%; IBD-related AP: 6.9% to 4.9%). Variation in subsequent inpatient admissions was 1.42 (IBD) and 1.96 (IBD-related AP). Conclusions: An increase in annual ED visits was observed for patients with IBD and IBD-related AP; however, subsequent inpatient admission rate remained stable.
Keywords: inflammatory bowel disease; abdominal pain; emergency department visits; hospital admissions; real-world data inflammatory bowel disease; abdominal pain; emergency department visits; hospital admissions; real-world data

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MDPI and ACS Style

Ding, Z.; Patel, A.; Izanec, J.; Pericone, C.D.; Lin, J.H.; Baugh, C.W. Trends in US Emergency Department Visits and Subsequent Hospital Admission among Patients with Inflammatory Bowel Disease Presenting with Abdominal Pain: A Real-World Study from a National Emergency Department Sample Database. J. Mark. Access Health Policy 2021, 9, 1912924. https://doi.org/10.1080/20016689.2021.1912924

AMA Style

Ding Z, Patel A, Izanec J, Pericone CD, Lin JH, Baugh CW. Trends in US Emergency Department Visits and Subsequent Hospital Admission among Patients with Inflammatory Bowel Disease Presenting with Abdominal Pain: A Real-World Study from a National Emergency Department Sample Database. Journal of Market Access & Health Policy. 2021; 9(1):1912924. https://doi.org/10.1080/20016689.2021.1912924

Chicago/Turabian Style

Ding, Zhijie, Aarti Patel, James Izanec, Christopher D. Pericone, Jennifer H. Lin, and Christopher W. Baugh. 2021. "Trends in US Emergency Department Visits and Subsequent Hospital Admission among Patients with Inflammatory Bowel Disease Presenting with Abdominal Pain: A Real-World Study from a National Emergency Department Sample Database" Journal of Market Access & Health Policy 9, no. 1: 1912924. https://doi.org/10.1080/20016689.2021.1912924

APA Style

Ding, Z., Patel, A., Izanec, J., Pericone, C. D., Lin, J. H., & Baugh, C. W. (2021). Trends in US Emergency Department Visits and Subsequent Hospital Admission among Patients with Inflammatory Bowel Disease Presenting with Abdominal Pain: A Real-World Study from a National Emergency Department Sample Database. Journal of Market Access & Health Policy, 9(1), 1912924. https://doi.org/10.1080/20016689.2021.1912924

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