Emergency department presentation for uncomplicated acute rhinosinusitis is associated with poor access to healthcare

George A. Scangas, Stacey L. Ishman, Regan W. Bergmark, Michael J. Cunningham, Ahmad R. Sedaghat

Research output: Contribution to journalArticle

Abstract

Objectives/Hypothesis Uncomplicated acute rhinosinusitis (ARS) is most appropriately managed in an outpatient clinic setting. Some ARS patients present to emergency departments (EDs) for care. We investigates factors associated with ARS presentation to EDs versus outpatient settings. Study Design Cross-sectional study. Methods A total of 17,122,551 pediatric and adult patient visits from the 2009 and 2010 National Ambulatory Medical Care and National Hospital Ambulatory Medical Care Surveys for ARS were identified. Patients with ARS complications were excluded. Univariate and multivariate associations identified demographic and socioeconomic characteristics of ARS patients independently associated with ED presentation. Temperature >100°F was used as a proxy for ARS severity. Results Patients with Medicaid (odds ratio [OR] = 10.82, P

Original languageEnglish (US)
Pages (from-to)2253-2258
Number of pages6
JournalLaryngoscope
Volume125
Issue number10
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

Fingerprint

Hospital Emergency Service
Delivery of Health Care
Health Care Surveys
Medicaid
Emergency Medical Services
Proxy
Ambulatory Care
Ambulatory Care Facilities
Outpatients
Cross-Sectional Studies
Odds Ratio
Demography
Pediatrics
Temperature

Keywords

  • allergy
  • clinical
  • cost effectiveness
  • Health policy
  • outcomes
  • rhinology

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

Cite this

Scangas, G. A., Ishman, S. L., Bergmark, R. W., Cunningham, M. J., & Sedaghat, A. R. (2015). Emergency department presentation for uncomplicated acute rhinosinusitis is associated with poor access to healthcare. Laryngoscope, 125(10), 2253-2258. https://doi.org/10.1002/lary.25230

Emergency department presentation for uncomplicated acute rhinosinusitis is associated with poor access to healthcare. / Scangas, George A.; Ishman, Stacey L.; Bergmark, Regan W.; Cunningham, Michael J.; Sedaghat, Ahmad R.

In: Laryngoscope, Vol. 125, No. 10, 01.10.2015, p. 2253-2258.

Research output: Contribution to journalArticle

Scangas, GA, Ishman, SL, Bergmark, RW, Cunningham, MJ & Sedaghat, AR 2015, 'Emergency department presentation for uncomplicated acute rhinosinusitis is associated with poor access to healthcare', Laryngoscope, vol. 125, no. 10, pp. 2253-2258. https://doi.org/10.1002/lary.25230
Scangas, George A. ; Ishman, Stacey L. ; Bergmark, Regan W. ; Cunningham, Michael J. ; Sedaghat, Ahmad R. / Emergency department presentation for uncomplicated acute rhinosinusitis is associated with poor access to healthcare. In: Laryngoscope. 2015 ; Vol. 125, No. 10. pp. 2253-2258.
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