The impact of race and disease on sickle cell patient wait times in the emergency department

Carlton Haywood, Paula Tanabe, Rakhi Naik, Mary Catherine Beach, Sophie Lanzkron

Research output: Contribution to journalArticlepeer-review

Abstract

Study objective To determine whether patients with sickle cell disease (SCD) experience longer wait times to see a physician after arrival to an emergency department (ED) compared to patients with long bone fracture and patients presenting with all other possible conditions (General Patient Sample), and to attempt to disentangle the effects of race and disease status on any observed differences. Methods A cross-sectional, comparative analysis of year 2003 through 2008 data from the National Hospital Ambulatory Medical Care Survey, a nationally representative sample of nonfederal emergency department visits in the United States. Our primary outcome was wait time (in minutes) to see a physician after arrival to an ED. A generalized linear model was used to examine ratios of wait times comparing SCD visits to the two comparison groups. Results SCD patients experienced wait times 25% longer than the General Patient Sample, though this difference was explained by the African-American race of the SCD patients. SCD patients waited 50% longer than did patients with long bone fracture even after accounting for race and assigned triage priority. Conclusions Patients with SCD presenting to an ED for care experience longer wait times than other groups, even after accounting for assigned triage level. The African-American race of the SCD patients, and their status as having SCD itself, both appear to contribute to longer wait times for these patients. These data confirm patient anecdotal reports and are in need of intervention.

Original languageEnglish (US)
Pages (from-to)651-656
Number of pages6
JournalAmerican Journal of Emergency Medicine
Volume31
Issue number4
DOIs
StatePublished - Apr 1 2013

ASJC Scopus subject areas

  • Emergency Medicine

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