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Trends in emergency department utilization among women with leiomyomas in the United States

Obstetrics and Gynecology Apr 30, 2021

Fortin CN, Jiang C, Caldwell MT, et al. - Utilizing the Healthcare Cost and Utilization Project Nationwide Emergency Department Sample database, researchers sought to describe trends in the emergency department (ED) visits in the United States with a primary diagnosis of leiomyomas, subsequent admissions, and associated charges. Despite an increase in the number of ED visits for leiomyomas from 28,732 in 2006 to 65,685 in 2017, the admission rate fell from 23.9% in 2006 to 11.1% in 2017. Women aged 36–45 years old, in the lowest income quartile, privately insured, and living in the South had the highest number of emergency department visits for leiomyomas. Although the number of ED visits for leiomyomas is increasing, the number of admissions for these visits is decreasing. The significant drop in admissions suggests that many of these visits could potentially be handled in a non–acute-care setting. However, when women with leiomyomas present with a bleeding-related complaint, the chances of admission increase 15-fold. There is a clear difference in the likelihood of admission based on insurance type.

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