One in Nine Needs Emergency Revisit for Kidney Stones

This article originally appeared here.
Share this content:
One in Nine Needs Emergency Revisit for Kidney Stones
One in Nine Needs Emergency Revisit for Kidney Stones

TUESDAY, March 23, 2015 (HealthDay News) -- The need for repeat high-acuity care affects one in nine patients discharged from initial emergency department visits for kidney stones, according to a study published online March 16 in Academic Emergency Medicine.

Charles D. Scales Jr., M.D., from the Duke University School of Medicine in Durham, N.C., and colleagues analyzed data from all patients in California initially treated and released from emergency departments for kidney stones from February 2008 through November 2009. The authors sought to identify associations between patient-level characteristics, area health care resources, processes of care, and the risk of repeat emergency department visits.

The researchers found that among 128,564 patients discharged from emergency care, 11 percent had at least one additional emergency visit for treatment of their kidney stone, with nearly one in three of these patients requiring hospitalization or an urgent temporizing procedure at the second visit. On multivariable analysis, the risk of an emergency revisit was associated with insurance status (e.g., Medicaid versus private insurance; odds ratio [OR], 1.52). Greater access to urologic care was associated with lower odds of an emergency revisit (highest versus lowest quartile OR, 0.88). Performance of a complete blood count was also associated with decreased odds of revisit (OR, 0.86).

"Efforts are indicated to identify preventable causes of emergency department revisits for kidney stone patients and design interventions to reduce the risk of high-cost, high-acuity, repeat care," the authors write.

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Cognitive Disability Most Prevalent Type in Young Adults

Cognitive Disability Most Prevalent Type in Young Adults

Disability-specific disparities prevalent in access to health care, especially for young, middle-aged adults

Declines in Life Expectancy in Many High-Income Countries

Declines in Life Expectancy in Many High-Income Countries

And increase in midlife death rates across racial and ethnic groups in the United States

Tobacco Content Still Common on U.K. Prime-Time Television

Tobacco Content Still Common on U.K. Prime-Time Television

Tobacco content occurred in 33 percent of all programs; 8 percent of all adverts, trailer breaks

is free, fast, and customized just for you!




Already a member?

Sign In Now »