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
[11]   The Management of Sickle Cell Pain in the Emergency Department A Priority For Health Systems [J].
Po', Chiara ;
Colombatti, Raffaella ;
Cirigliano, Amelia ;
Da Dalt, Liviana ;
Agosto, Caterina ;
Benini, Franca ;
Zanconato, Stefania ;
Sainati, Laura .
CLINICAL JOURNAL OF PAIN, 2013, 29 (01) :60-63
[12]   Longitudinal Predictors of Pain in Pediatric Sickle Cell Disease [J].
Karlson, Cynthia W. ;
Barajas, Kimberly G. ;
Seals, Samantha R. ;
Britt, Anna B. ;
Schlenz, Alyssa M. ;
Jackson, Erin A. ;
Davis, Dereck B. ;
Morris, Matthew C. ;
Valrie, Cecelia R. .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 2023, 48 (06) :553-561
[13]   Improving the Care of Individuals With Sickle Cell Disease in the Emergency Department Using a Quality Improvement Framework The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS) [J].
Brennan-Cook, Jill ;
Bonnabeau, Emily ;
Harris-Bloom, Haley ;
Tanabe, Paula .
ADVANCED EMERGENCY NURSING JOURNAL, 2019, 41 (03) :261-270
[14]   Pain management trend of vaso-occulsive crisis (VOC) at a community hospital emergency department (ED) for patients with sickle cell disease [J].
Inoue, Susumu ;
Khan, Isra'a ;
Mushtaq, Rao ;
Sanikommu, Srinivasa Reddy ;
Mbeumo, Carline ;
LaChance, Jenny ;
Roebuck, Michael .
ANNALS OF HEMATOLOGY, 2016, 95 (02) :221-225
[15]   Return visit rates after an emergency department discharge for children with sickle cell pain episodes [J].
Coleman, Keli D. ;
McKinley, Kenneth ;
Ellison, Angela M. ;
Alpern, Elizabeth R. ;
Hariharan, Selena ;
Topoz, Irina ;
Wurtz, Morgan ;
Nielsen, Blake ;
Cook, Lawrence J. ;
Morris, Claudia R. ;
Brandow, Amanda M. ;
Campbell, Andrew D. ;
Liem, Robert I. ;
Nuss, Rachelle ;
Quinn, Charles T. ;
Thompson, Alexis A. ;
Villella, Anthony ;
King, Allison A. ;
Baumann, Ana ;
Frankenberger, Warren ;
Brousseau, David C. .
PEDIATRIC BLOOD & CANCER, 2023, 70 (10)
[16]   Emergency department visits and hospitalizations among patients with sickle cell disease in illinois, 2016-2020 [J].
Barriteau, Christina M. ;
Feinglass, Joe ;
Kayle, Mariam ;
VonAchen, Paige ;
Liem, Robert, I ;
Badawy, Sherif M. ;
Kan, Kristin .
PEDIATRIC HEMATOLOGY AND ONCOLOGY, 2023, 40 (01) :70-75
[17]   Pain management trend of vaso-occulsive crisis (VOC) at a community hospital emergency department (ED) for patients with sickle cell disease [J].
Susumu Inoue ;
Isra’a Khan ;
Rao Mushtaq ;
Srinivasa Reddy Sanikommu ;
Carline Mbeumo ;
Jenny LaChance ;
Michael Roebuck .
Annals of Hematology, 2016, 95 :221-225
[18]   Risk factors associated with increased emergency department utilization in patients with sickle cell disease: a systematic literature review [J].
Ballas, Samir K. ;
Dampier, Carlton .
ANNALS OF HEMATOLOGY, 2020, 99 (11) :2483-2495
[19]   Emergency department 30-Day emergency department revisits among people with sickle cell disease: Variations in characteristics [J].
Rushing, Melinda ;
Horiuchi, Sophia ;
Zhou, Mei ;
Kavanagh, Patricia L. ;
Reeves, Sarah L. ;
Snyder, Angela ;
Paulukonis, Susan .
PEDIATRIC BLOOD & CANCER, 2024, 71 (10)
[20]   The Proportion of Potentially Preventable Emergency Department Visits by Patients With Sickle Cell Disease [J].
Nimmer, Mark ;
Hoffmann, Raymond G. ;
Dasgupta, Mahua ;
Panepinto, Julie ;
Brousseau, David C. .
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, 2015, 37 (01) :48-53