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Clinical differences between visits to adult freestanding and hospital-based Emergency Departments

The American Journal of Emergency Medicine Jul 10, 2018

Burke RC, et al. - Researchers performed a comparison of clinical characteristics for adult visits to freestanding emergency departments (FEDs) and a hospital-based ED (HBED). They analyzed electronic health records on adult ED visits from July 1, 2014-June 30, 2015 from three FEDs and one level 1 trauma tertiary care HBED and identified 55,909 HBED visits and 44,108 FED visits. Outcomes revealed that the FED population was slightly more female (61% vs 57%), younger (48 vs 46 years), white (86% vs 60%), and employed (67% vs 49%). FED visits were comprised of private insurance (43% vs 20%) in higher percentage; a lower percent of these had Medicaid (25% vs 42%) and Medicare (23% vs 30%). The HBED and FEDs had same top three presenting problems, but their order differed: gastrointestinal (HBED 19% vs FED 18%), cardiorespiratory (18% vs 16%), injury-pain-swelling of extremity (14% vs 17%).

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