Emergency department visit patterns in the recently discharged, violently injured patient: Retrospective cohort review

Emergency department visit patterns in the recently discharged, violently injured patient: Retrospective cohort review

Analysis of the costs associated with emergency department (ED) visits after discharge for violent injury could highlight subgroups for the development of cost-effective interventions to support healing and prevent treatment failures in violently injured patients. A retrospective cohort review was c...

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Bibliographic Details
Published in:The American journal of surgery Vol. 225; no. 1; pp. 162 - 167
Main Authors: Kleber, Kara T., Kravitz-Wirtz, Nicole, Buggs, Shani L., Adams, Christy M., Sardo, Angela C., Hoch, Jeffrey S., Brown, Ian E.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-01-2023
Elsevier Limited
Subjects:
Age
Cost analysis
Cost control
Costs
Demographic variables
Domestic violence
Emergency medical care
Emergency medical services
Emergency Service, Hospital
Ethnicity
Gender
Hispanic Americans
Hospital Costs
Humans
Incidence
Injuries
Injury analysis
Injury prevention
Male
Males
Patient Discharge
Patients
Race
Recidivism
Retrospective Studies
Subgroups
Trauma
Trends
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Summary:Analysis of the costs associated with emergency department (ED) visits after discharge for violent injury could highlight subgroups for the development of cost-effective interventions to support healing and prevent treatment failures in violently injured patients. A retrospective cohort review was conducted of all patients with return ED visits within 90 days of discharge after treatment for a violent injury occurring between July 1, 2016, and June 30, 2018. Hospital costs were calculated for each incidence and analyzed against demographic and injury type variables to identify trends. 218 return ED visits were identified. Hospital costs showed a high frequency of low-cost visits. For more complex visits, distinct cost patterns were observed for Black and LatinX males compared to White males as a function of age. Analysis of hospital cost per visit identified trends among different subgroups. Underlying etiologies presumably vary between groups, but hypothesis-driven further investigation and needs assessment is required. Understanding the driving forces behind these cost trends may aid in developing effective interventions. •The analysis of total hospital cost per visit is an effective hypothesis-generating strategy.•Trends in visit cost and frequency suggest clinically distinct groups requiring separate intervention strategies.•High-frequency, low-cost return visits to the emergency department are prevalent.•Older white males demonstrate different cost trends than younger men of color.
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ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2022.07.005