Emergency department use and hospital admissions among adult orthotopic heart transplant patients
Abstract Objective To study the demographics, clinical presentations, and outcomes of emergency department (ED) visits of patients with heart transplantation (HT) in the United States. Methods We performed a secondary analysis of the National Emergency Department Sample database from 2016 to 2018. A...
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Elsevier
2022-06-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12718 |
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| author | Suveenkrishna Pothuru Wan‐Chi Chan Amandeep Goyal Tarun Dalia Ioannis Mastoris Andrew Sauer Kamal Gupta Charles B. Porter Zubair Shah |
| author_facet | Suveenkrishna Pothuru Wan‐Chi Chan Amandeep Goyal Tarun Dalia Ioannis Mastoris Andrew Sauer Kamal Gupta Charles B. Porter Zubair Shah |
| author_sort | Suveenkrishna Pothuru |
| collection | DOAJ |
| description | Abstract Objective To study the demographics, clinical presentations, and outcomes of emergency department (ED) visits of patients with heart transplantation (HT) in the United States. Methods We performed a secondary analysis of the National Emergency Department Sample database from 2016 to 2018. All ED visits of patients with HT aged ≥ 18 years were identified using International Classification of Diseases, Tenth Revision codes. Results Out of a total 308,182,495 national ED visits, 55,583 were HT‐related visits. The median age was 61.07 years (interquartile range [IQR]: 46.91–69.38) and 69.44% were males. The hospital admission rate was 54.3% and median inpatient length of stay was 3.19 days (IQR: 1.63–5.92). The mortality rate during inpatient stay was 1.16%. Median inpatient and ED charges among admitted patients were $37,911 (IQR: $21,487–$71,262). The most common primary diagnosis of HT‐related ED visits was sepsis (4.3%) followed by acute kidney injury (3.57%) and chest pain (3%). Conclusion More than half of total ED visits among HT patients resulted in hospital admission. The most common cause for ED visit in these patients was sepsis followed by acute kidney injury and chest pain. |
| format | Article |
| id | doaj-art-367c23edc7664f10996bc3e53a57335a |
| institution | OA Journals |
| issn | 2688-1152 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-367c23edc7664f10996bc3e53a57335a2025-08-20T02:08:14ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522022-06-0133n/an/a10.1002/emp2.12718Emergency department use and hospital admissions among adult orthotopic heart transplant patientsSuveenkrishna Pothuru0Wan‐Chi Chan1Amandeep Goyal2Tarun Dalia3Ioannis Mastoris4Andrew Sauer5Kamal Gupta6Charles B. Porter7Zubair Shah8Department of Internal Medicine Ascension Via Christi Hospital Manhattan Kansas USADepartment of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USADepartment of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USADepartment of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USADepartment of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USADepartment of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USADepartment of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USADepartment of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USADepartment of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USAAbstract Objective To study the demographics, clinical presentations, and outcomes of emergency department (ED) visits of patients with heart transplantation (HT) in the United States. Methods We performed a secondary analysis of the National Emergency Department Sample database from 2016 to 2018. All ED visits of patients with HT aged ≥ 18 years were identified using International Classification of Diseases, Tenth Revision codes. Results Out of a total 308,182,495 national ED visits, 55,583 were HT‐related visits. The median age was 61.07 years (interquartile range [IQR]: 46.91–69.38) and 69.44% were males. The hospital admission rate was 54.3% and median inpatient length of stay was 3.19 days (IQR: 1.63–5.92). The mortality rate during inpatient stay was 1.16%. Median inpatient and ED charges among admitted patients were $37,911 (IQR: $21,487–$71,262). The most common primary diagnosis of HT‐related ED visits was sepsis (4.3%) followed by acute kidney injury (3.57%) and chest pain (3%). Conclusion More than half of total ED visits among HT patients resulted in hospital admission. The most common cause for ED visit in these patients was sepsis followed by acute kidney injury and chest pain.https://doi.org/10.1002/emp2.12718cardiac transplantationemergency departmenthealth care useheart transplantationin hospital mortalityorgan transplantation |
| spellingShingle | Suveenkrishna Pothuru Wan‐Chi Chan Amandeep Goyal Tarun Dalia Ioannis Mastoris Andrew Sauer Kamal Gupta Charles B. Porter Zubair Shah Emergency department use and hospital admissions among adult orthotopic heart transplant patients Journal of the American College of Emergency Physicians Open cardiac transplantation emergency department health care use heart transplantation in hospital mortality organ transplantation |
| title | Emergency department use and hospital admissions among adult orthotopic heart transplant patients |
| title_full | Emergency department use and hospital admissions among adult orthotopic heart transplant patients |
| title_fullStr | Emergency department use and hospital admissions among adult orthotopic heart transplant patients |
| title_full_unstemmed | Emergency department use and hospital admissions among adult orthotopic heart transplant patients |
| title_short | Emergency department use and hospital admissions among adult orthotopic heart transplant patients |
| title_sort | emergency department use and hospital admissions among adult orthotopic heart transplant patients |
| topic | cardiac transplantation emergency department health care use heart transplantation in hospital mortality organ transplantation |
| url | https://doi.org/10.1002/emp2.12718 |
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