Trends in United States emergency department visits and associated charges from 2010 to 2016
Demographic shifts and care delivery system evolution affect the number of Emergency Department (ED) visits and associated costs. Recent aggregate trends in ED visit rates and charges between 2010 and 2016 have not been evaluated. Data from the National Emergency Department Sample, comprising approx...
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| Veröffentlicht in: | The American journal of emergency medicine 2020-08, Vol.38 (8), p.1576-1581 |
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| container_title | The American journal of emergency medicine |
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| creator | Lane, Bennett H. Mallow, Peter J. Hooker, Maria B. Hooker, Edmond |
| description | Demographic shifts and care delivery system evolution affect the number of Emergency Department (ED) visits and associated costs. Recent aggregate trends in ED visit rates and charges between 2010 and 2016 have not been evaluated.
Data from the National Emergency Department Sample, comprising approximately 30 million annual patient visits, were used to estimate the ED visit rate and charges per visit from 2010 to 2016. ED visits were grouped into 144 mutually exclusive clinical categories. Visit rates, compound annual growth rates (CAGRs), and per visit charges were estimated.
From 2010 to 2016, the number of ED visits increased from 128.97 million to 144.82 million; the cumulative growth was 12.29% and the CAGR was 1.95%, while the population grew at a CAGR of 0.73%. Expressed as a population rate, ED visits per 1000 persons increased from 416.92 in 2010 to 448.19 in 2016 (p value |
| doi_str_mv | 10.1016/j.ajem.2019.158423 |
| format | Article |
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Data from the National Emergency Department Sample, comprising approximately 30 million annual patient visits, were used to estimate the ED visit rate and charges per visit from 2010 to 2016. ED visits were grouped into 144 mutually exclusive clinical categories. Visit rates, compound annual growth rates (CAGRs), and per visit charges were estimated.
From 2010 to 2016, the number of ED visits increased from 128.97 million to 144.82 million; the cumulative growth was 12.29% and the CAGR was 1.95%, while the population grew at a CAGR of 0.73%. Expressed as a population rate, ED visits per 1000 persons increased from 416.92 in 2010 to 448.19 in 2016 (p value <0.001). The mean charges per visit increased from $2061 (standard deviation $2962) in 2010 to $3516 (standard deviation $2962) in 2016; the CAGR was 9.31% (p value <0.001). Of 144 clinical categories, 140 categories had a CAGR for mean charges per visit of at least 5%.
The rate of ED visits per 1000 persons and the mean charge per ED visit increased significantly between 2010 and 2016. Mean charges increased for both high- and low-acuity clinical categories. Visits for the 5 most common clinical categories comprise about 30% of ED visits, and may represent focus areas for increasing the value of ED care.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2019.158423</identifier><identifier>PMID: 31519380</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acuity ; After-hours care ; Cardiovascular disease ; Emergency medical care ; Emergency medicine ; Estimates ; Growth rate ; Health care costs ; Health care economics and organization ; Health care expenditures ; Health care policy ; Heart attacks ; Hospital charges ; Hospitals ; Medicaid ; Pain ; Patient Protection & Affordable Care Act 2010-US ; Population ; Standard deviation ; Trauma ; Trends</subject><ispartof>The American journal of emergency medicine, 2020-08, Vol.38 (8), p.1576-1581</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>2019. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-765284ad9e42d83b78317d6f5efd6f1aa0dd454dd96140c164e62f3918eb32163</citedby><cites>FETCH-LOGICAL-c384t-765284ad9e42d83b78317d6f5efd6f1aa0dd454dd96140c164e62f3918eb32163</cites><orcidid>0000-0001-7307-9483</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2426800527?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72341</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31519380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lane, Bennett H.</creatorcontrib><creatorcontrib>Mallow, Peter J.</creatorcontrib><creatorcontrib>Hooker, Maria B.</creatorcontrib><creatorcontrib>Hooker, Edmond</creatorcontrib><title>Trends in United States emergency department visits and associated charges from 2010 to 2016</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Demographic shifts and care delivery system evolution affect the number of Emergency Department (ED) visits and associated costs. Recent aggregate trends in ED visit rates and charges between 2010 and 2016 have not been evaluated.
Data from the National Emergency Department Sample, comprising approximately 30 million annual patient visits, were used to estimate the ED visit rate and charges per visit from 2010 to 2016. ED visits were grouped into 144 mutually exclusive clinical categories. Visit rates, compound annual growth rates (CAGRs), and per visit charges were estimated.
From 2010 to 2016, the number of ED visits increased from 128.97 million to 144.82 million; the cumulative growth was 12.29% and the CAGR was 1.95%, while the population grew at a CAGR of 0.73%. Expressed as a population rate, ED visits per 1000 persons increased from 416.92 in 2010 to 448.19 in 2016 (p value <0.001). The mean charges per visit increased from $2061 (standard deviation $2962) in 2010 to $3516 (standard deviation $2962) in 2016; the CAGR was 9.31% (p value <0.001). Of 144 clinical categories, 140 categories had a CAGR for mean charges per visit of at least 5%.
The rate of ED visits per 1000 persons and the mean charge per ED visit increased significantly between 2010 and 2016. Mean charges increased for both high- and low-acuity clinical categories. Visits for the 5 most common clinical categories comprise about 30% of ED visits, and may represent focus areas for increasing the value of ED care.</description><subject>Acuity</subject><subject>After-hours care</subject><subject>Cardiovascular disease</subject><subject>Emergency medical care</subject><subject>Emergency medicine</subject><subject>Estimates</subject><subject>Growth rate</subject><subject>Health care costs</subject><subject>Health care economics and organization</subject><subject>Health care expenditures</subject><subject>Health care policy</subject><subject>Heart attacks</subject><subject>Hospital charges</subject><subject>Hospitals</subject><subject>Medicaid</subject><subject>Pain</subject><subject>Patient Protection & Affordable Care Act 2010-US</subject><subject>Population</subject><subject>Standard deviation</subject><subject>Trauma</subject><subject>Trends</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kE1rFTEUhoMo9lr9Ay4k4MbNXHPyNQm4kWKrUHBhuyuE3OSMZrgzc01yC_33zXCrCxduztk878vLQ8hbYFtgoD-OWz_itOUM7BaUkVw8IxtQgncGenhONqwXqtO96s_Iq1JGxgCkki_JmQAFVhi2IXc3GedYaJrp7ZwqRvqj-oqF4oT5J87hgUY8-FwnnCu9TyXVQv0cqS9lCcmvifDLN7TQIS8TbWsYrcv69WvyYvD7gm-e_jm5vfxyc_G1u_5-9e3i83UXhJG167XiRvpoUfJoxK43AvqoB4VDu-A9i7HtjtFqkCyAlqj5ICwY3AkOWpyTD6feQ15-H7FUN6UScL_3My7H4ji3zIjeWtvQ9_-g43LMc1vnuOTaMKZ43yh-okJeSsk4uENOk88PDphb3bvRre7d6t6d3LfQu6fq427C-DfyR3YDPp0AbC7uE2ZXQmqKMaaMobq4pP_1PwJwbZJ6</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Lane, Bennett H.</creator><creator>Mallow, Peter J.</creator><creator>Hooker, Maria B.</creator><creator>Hooker, Edmond</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7307-9483</orcidid></search><sort><creationdate>20200801</creationdate><title>Trends in United States emergency department visits and associated charges from 2010 to 2016</title><author>Lane, Bennett H. ; Mallow, Peter J. ; Hooker, Maria B. ; Hooker, Edmond</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-765284ad9e42d83b78317d6f5efd6f1aa0dd454dd96140c164e62f3918eb32163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acuity</topic><topic>After-hours care</topic><topic>Cardiovascular disease</topic><topic>Emergency medical care</topic><topic>Emergency medicine</topic><topic>Estimates</topic><topic>Growth rate</topic><topic>Health care costs</topic><topic>Health care economics and organization</topic><topic>Health care expenditures</topic><topic>Health care policy</topic><topic>Heart attacks</topic><topic>Hospital charges</topic><topic>Hospitals</topic><topic>Medicaid</topic><topic>Pain</topic><topic>Patient Protection & Affordable Care Act 2010-US</topic><topic>Population</topic><topic>Standard deviation</topic><topic>Trauma</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lane, Bennett H.</creatorcontrib><creatorcontrib>Mallow, Peter J.</creatorcontrib><creatorcontrib>Hooker, Maria B.</creatorcontrib><creatorcontrib>Hooker, Edmond</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lane, Bennett H.</au><au>Mallow, Peter J.</au><au>Hooker, Maria B.</au><au>Hooker, Edmond</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in United States emergency department visits and associated charges from 2010 to 2016</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>38</volume><issue>8</issue><spage>1576</spage><epage>1581</epage><pages>1576-1581</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>Demographic shifts and care delivery system evolution affect the number of Emergency Department (ED) visits and associated costs. Recent aggregate trends in ED visit rates and charges between 2010 and 2016 have not been evaluated.
Data from the National Emergency Department Sample, comprising approximately 30 million annual patient visits, were used to estimate the ED visit rate and charges per visit from 2010 to 2016. ED visits were grouped into 144 mutually exclusive clinical categories. Visit rates, compound annual growth rates (CAGRs), and per visit charges were estimated.
From 2010 to 2016, the number of ED visits increased from 128.97 million to 144.82 million; the cumulative growth was 12.29% and the CAGR was 1.95%, while the population grew at a CAGR of 0.73%. Expressed as a population rate, ED visits per 1000 persons increased from 416.92 in 2010 to 448.19 in 2016 (p value <0.001). The mean charges per visit increased from $2061 (standard deviation $2962) in 2010 to $3516 (standard deviation $2962) in 2016; the CAGR was 9.31% (p value <0.001). Of 144 clinical categories, 140 categories had a CAGR for mean charges per visit of at least 5%.
The rate of ED visits per 1000 persons and the mean charge per ED visit increased significantly between 2010 and 2016. Mean charges increased for both high- and low-acuity clinical categories. Visits for the 5 most common clinical categories comprise about 30% of ED visits, and may represent focus areas for increasing the value of ED care.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31519380</pmid><doi>10.1016/j.ajem.2019.158423</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-7307-9483</orcidid></addata></record> |
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| ispartof | The American journal of emergency medicine, 2020-08, Vol.38 (8), p.1576-1581 |
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| source | ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Acuity After-hours care Cardiovascular disease Emergency medical care Emergency medicine Estimates Growth rate Health care costs Health care economics and organization Health care expenditures Health care policy Heart attacks Hospital charges Hospitals Medicaid Pain Patient Protection & Affordable Care Act 2010-US Population Standard deviation Trauma Trends |
| title | Trends in United States emergency department visits and associated charges from 2010 to 2016 |
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