Table 3 Proportion of emergency severity index, hospital admission, ICU admission, medical resources utilization, stratified by ESRD, NHAMCS 2014–2016
From: Emergency department use by patients with end-stage renal disease in the United States
Unweighted sample | Weighted sample | ||||||
|---|---|---|---|---|---|---|---|
All | No ESRD | ESRD | All | No ESRD | ESRD | p value | |
ESI score | |||||||
Immediate | 239 (0.8) | 235 (0.8) | 4 (1.5) | 1,496,327 (0.8) | 1,471,879 (0.7) | 24,448 (1.7) | < 0.001 |
Emergent | 3615 (11.6) | 3529 (11.5) | 86 (32.8) | 23,433,327 (11.8) | 22,976,847 (11.7) | 456,480 (31.6) | |
Urgent | 15,392 (49.5) | 15,248 (49.5) | 144 (55.0) | 97,000,149 (49.0) | 96,286,096 (49.0) | 714,053 (49.4) | |
Semi-urgent | 10,051 (32.3) | 10,034 (32.6) | 17 (6.5) | 65,085,335 (32.9) | 64,950,854 (33.0) | 134,480 (9.3) | |
Non-urgent | 1784 (5.7) | 1773 (5.8) | 11 (4.2) | 11,046,598 (5.6) | 10,931,909 (5.6) | 114,689 (7.9) | |
Hospital Admission | 5852 (13.7) | 5695 (13.4) | 157 (42.8) | 36,388,538 (13.1) | 35,517,254 (12.8) | 871,284 (40.2) | < 0.001 |
ICU | 698 (1.6) | 669 (1.6) | 29 (7.9) | 4,647,353 (1.7) | 4,506,861 (1.6) | 140,492 (6.5) | < 0.001 |
In hospital death | 201 (0.5) | 192 (0.5) | 9 (2.5) | 1,342,510 (0.5) | 1,298,220 (0.5) | 44,290 (2.0) | < 0.001 |
Left before/after triage | 1085 (2.5) | 1076 (2.5) | 9 (2.5) | 6,792,175 (2.4) | 6,722,799 (2.4) | 69,376 (3.2) | 0.9212 |
Blood test | 21,958 (51.3) | 21,654 (51.0) | 304 (82.8) | 142,656,097 (51.2) | 140,833,111 (50.9) | 1,822,986 (84.1) | < 0.001 |
Any image | 21,950 (51.2) | 21,709 (51.1) | 241 (65.7) | 144,824,612 (52.0) | 143,375,099 (51.8) | 1,449,513 (66.9) | < 0.001 |
X-ray | 15,099 (35.3) | 14,894 (35.1) | 205 (55.9) | 99,429,274 (35.7) | 98,179,495 (35.5) | 1,249,778 (57.6) | < 0.001 |
CT | 8414 (19.6) | 8338 (19.6) | 76 (20.7) | 54,986,804 (19.7) | 54,559,942 (19.7) | 426,863 (19.7) | 0.6063 |
Ultrasound | 2218 (5.2) | 2205 (5.2) | 13 (3.5) | 14,936,538 (5.4) | 14,833,060 (5.4) | 103,478 (4.8) | 0.1554 |
MRI | 446 (1.0) | 438 (1.0) | 8 (2.2) | 2,831,626 (1.0) | 2,791,440 (1.0) | 40,186 (1.9) | 0.0309 |
Other Imaging | 604 (1.4) | 595 (1.4) | 9 (2.5) | 4,297,097 (1.5) | 4,239,282 (1.5) | 57,815 (2.7) | 0.0890 |
Procedure | 21,021 (49.1) | 20,807 (49.0) | 214 (58.3) | 133,801,012 (48.0) | 132,620,938 (48.0) | 1,180,074 (54.4) | 0.0011 |
Waiting time (minutes, MEANS (95% CI)) | 41.1 (40.3–41.8) | 41.0 (40.3–41.8) | 45.2 (37.7–52.7) | 39.9 (39.2–40.6) | 39.9 (39.1–40.6) | 46.5 (38.8–54.1) | 0.7500 |
Length of visit (minutes, MEANS (95% CI)) | 245.6 (241.6–249.6) | 244.1 (240.1–248.1) | 422.7 (339.2–506.3) | 230.2 (226.7–233.8) | 228.7 (225.2–232.2) | 450.3 (358.0–542.5) | <.0001 |