US national estimation of emergency department utilization by patients given 'HIV/AIDS-related illness' as their primary diagnosis

T. Y. Shih, K. F. Chen, Richard Rothman, Yu-Hsiang Hsieh

Research output: Contribution to journalArticle

Abstract

Background: The emergency department (ED) is one of the most frequent sources of medical care for many HIV-infected individuals. However, the characteristics and ED utilization patterns of patients with HIV/AIDS-related illness as the primary ED diagnosis (HRIPD) are unknown. Methods: We identified the ED utilization patterns of HRIPD visits from a weighted sample of US ED visits (1993-2005) using the National Hospital Ambulatory Medical Care Survey, a nationally representative survey. Data on visits by patients≥18 years old were analysed using procedures for multiple-stage survey data. We compared the utilization patterns of HRIPD vs. non-HRIPD visits, and patterns across three periods (1993-1996, 1997-2000 and 2001-2005) to take into account changes in HIV epidemiology. Results: Overall, 492000 HRIPD visits were estimated to have occurred from 1993 to 2005, corresponding to 5-in-10000 ED visits. HRIPD visits experienced longer durations of stay (5.2h vs. 3.4h; P=0.001), received more diagnostic tests (5.1 vs. 3.3; P

Original languageEnglish (US)
Pages (from-to)343-351
Number of pages9
JournalHIV Medicine
Volume12
Issue number6
DOIs
StatePublished - Jul 2011

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Hospital Emergency Service
Acquired Immunodeficiency Syndrome
HIV
Health Care Surveys
Routine Diagnostic Tests
Epidemiology

Keywords

  • Emergency Department (ED)
  • Health Care Surveys
  • HIV
  • National Hospital Ambulatory Medical Care Survey (NHAMCS)
  • Utilization

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)
  • Health Policy

Cite this

US national estimation of emergency department utilization by patients given 'HIV/AIDS-related illness' as their primary diagnosis. / Shih, T. Y.; Chen, K. F.; Rothman, Richard; Hsieh, Yu-Hsiang.

In: HIV Medicine, Vol. 12, No. 6, 07.2011, p. 343-351.

Research output: Contribution to journalArticle

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