TY - JOUR
T1 - The burden of emergency department use for sickle-cell disease
T2 - An analysis of the national emergency department sample database
AU - Lanzkron, Sophie
AU - Carroll, C. Patrick
AU - Haywood, Carlton
PY - 2010/10
Y1 - 2010/10
N2 - It is estimated that there are 100,000 people living with sickle-cell disease (SCD) in the United States [1]. The most common manifestation of SCD is vaso-occlusive crisis, which is characterized by intermittent, unexpected episodes of excruciating pain. As these episodes often come on suddenly, much of the care for these crises occurs within emergency departments (EDs). Several studies have examined ED use and costs for certain groups of patients with SCD [2-4]. For example, in 1997, Woods et al. [2] found that 85.7% of 7,202 hospital admissions for SCD in Illinois were for patients that came through the ED, and the total charges for sickle-cell admissions in Illinois were found to be $30 million a year. A recent study of healthcare use by children with SCD demonstrated that children insured by Medicaid had higher ED utilization than those with private insurance (57% vs. 45%) [5]. The purpose of our study was to provide national level estimates of ED utilization by SCD patients, which have not previously been available.
AB - It is estimated that there are 100,000 people living with sickle-cell disease (SCD) in the United States [1]. The most common manifestation of SCD is vaso-occlusive crisis, which is characterized by intermittent, unexpected episodes of excruciating pain. As these episodes often come on suddenly, much of the care for these crises occurs within emergency departments (EDs). Several studies have examined ED use and costs for certain groups of patients with SCD [2-4]. For example, in 1997, Woods et al. [2] found that 85.7% of 7,202 hospital admissions for SCD in Illinois were for patients that came through the ED, and the total charges for sickle-cell admissions in Illinois were found to be $30 million a year. A recent study of healthcare use by children with SCD demonstrated that children insured by Medicaid had higher ED utilization than those with private insurance (57% vs. 45%) [5]. The purpose of our study was to provide national level estimates of ED utilization by SCD patients, which have not previously been available.
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U2 - 10.1002/ajh.21807
DO - 10.1002/ajh.21807
M3 - Article
C2 - 20730795
AN - SCOPUS:77957659425
SN - 0361-8609
VL - 85
SP - 797
EP - 799
JO - American journal of hematology
JF - American journal of hematology
IS - 10
ER -