Longitudinal Trend in Emergency Department Reliance for Pain Among Sickle Cell Disease Patients in Wisconsin

被引:5
|
作者
Singh, Ashima [1 ]
Yan, Ke [1 ]
Brandow, Amanda M. [1 ]
Panepinto, Julie A. [1 ]
机构
[1] Med Coll Wisconsin, Dept Pediat, 8701 Watertown Plank Rd,MFRC Suite 3050, Milwaukee, WI 53226 USA
关键词
sickle cell disease; emergency department reliance; pain; VISITS; REHOSPITALIZATIONS; IDENTIFICATION; RESPONSIBILITY; MANAGEMENT; CHILDREN;
D O I
10.1097/MPH.0000000000001533
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Patients with sickle cell disease frequently visit the emergency department for pain. The metric of emergency department reliance (EDR) describes emergency department utilization in relation to all ambulatory visits and serves as a quality of care indicator. This study uses Wisconsin Medicaid data from 2011 to 2015 to examine trend of EDR for pain over the period of 5 years. We stratified our cohort (N=750) by patient ages into 4 groups: (1) children; (2) transition group; (3) young adults; and (4) adults. Using a linear mixed model, we estimated longitudinal trends adjusting for age group and hydroxyurea possession calculated as medication possession ratio. Results show that EDR for pain has distinct temporal patterns for each group. EDR for pediatrics continually remained less than the established threshold of 0.33. The EDR for transition group significantly increased over time; however, the EDR for young adults has significantly decreased since 2011. There were no significant differences in EDR over time for adults older than 30 years. Overall, increase in medication possession ratio was associated with lower EDR. The low EDR for pain among children and the improvements among adults indicate the success of efforts for sickle cell disease patients. However, further interventions are needed for the transition age group.
引用
收藏
页码:E438 / E442
页数:5
相关论文
共 50 条
  • [1] Longitudinal Trend in Emergency Department Reliance for Pain Among Sickle Cell Disease Patients in Wisconsin
    Singh, Ashima
    Yan, Ke
    Brandow, Amanda M.
    Panepinto, Julie A.
    BLOOD, 2017, 130
  • [2] AGE-RELATED EMERGENCY DEPARTMENT RELIANCE IN PATIENTS WITH SICKLE CELL DISEASE
    Blinder, Morey A.
    Duh, Mei Sheng
    Sasane, Medha
    Trahey, Alex
    Paley, Carole
    Vekeman, Francis
    JOURNAL OF EMERGENCY MEDICINE, 2015, 49 (04): : 513 - U283
  • [3] Sickle Cell Disease Patients' Perceptions of Emergency Department Pain Management
    Porter, Jerlym
    Feinglass, Joe
    Artz, Nicole
    Hafner, John
    Tanabe, Paula
    JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION, 2012, 104 (9-10) : 449 - 454
  • [4] Emergency Department Encounters, Hospitalizations and ED Reliance Among Medicaid Eligible Patients with Sickle Cell Disease in North Carolina
    Tanabe, Paula
    Crego, Nancy
    Douglas, Christian
    Bonnabeau, Emily
    Earls, Marian
    Eason, Kern
    Merwin, Elizabeth
    Shah, Nirmish
    BLOOD, 2019, 134
  • [5] Household material hardships impact emergency department reliance in pediatric patients with sickle cell disease
    Power-Hays, Alexandra
    Patterson, Alyssa
    Sobota, Amy
    PEDIATRIC BLOOD & CANCER, 2020, 67 (10)
  • [6] EMERGENCY DEPARTMENT RELIANCE AND HOUSEHOLD MATERIAL HARDSHIPS IN CHILDREN WITH SICKLE CELL DISEASE
    Power-Hays, Alexandra
    Patterson, Alyssa
    Sobota, Amy
    PEDIATRIC BLOOD & CANCER, 2020, 67 : S57 - S58
  • [7] Inpatient Reliance Ratio Versus Emergency Department Reliance Ratio in a Sickle Cell Disease Medical Home
    Sop, Daniel M.
    Zhang, Yue May
    Johnson, Shirley
    Jaworowski, Benjamin
    Smith, Wally R.
    BLOOD, 2022, 140 : 7881 - 7882
  • [8] Age-Related Emergency Department Reliance and Healthcare Resource Utilization in Patients with Sickle Cell Disease
    Blinder, Morey A.
    Vekeman, Francis
    Sasane, Medha
    Trahey, Alex
    Paley, Carole
    Magestro, Matthew
    Duh, Mei S.
    BLOOD, 2012, 120 (21)
  • [9] The Emergency Department Pain Experience for Adults with Sickle Cell Disease
    Tanabe, R.
    Hafner, J. W.
    Courtney, D. M.
    Martinovich, Z.
    Zvirbulis, E.
    Artz, N.
    ANNALS OF EMERGENCY MEDICINE, 2009, 54 (03) : S14 - S14
  • [10] Pain management trend of vaso-occulsive crisis (VOC) at a community hospital emergency department (ED) for patients with sickle cell disease
    Inoue, Susumu
    Khan, Isra'a
    Mushtaq, Rao
    Sanikommu, Srinivasa Reddy
    Mbeumo, Carline
    LaChance, Jenny
    Roebuck, Michael
    ANNALS OF HEMATOLOGY, 2016, 95 (02) : 221 - 225