More than 4 of 5 Unscheduled Hospital Admissions Now Come Through ER

Share of ER-sourced admissions increases 27 percent in past decade


 
 

American College of Emergency Physicians | | Thursday, June 20, 2013


WASHINGTON —More than three-quarters (81.8 percent) of unscheduled admissions to the hospital now come through the emergency department, which is a sharp increase from the previous decade when only 64.5 percent of unscheduled admissions came through the ER. A study, published early online this week in the journal Medical Care, re-confirms recent findings by the RAND Corporation highlighting the growing role emergency physicians play in health care beyond the emergency department (“Changes in the Source of Unscheduled Hospitalizations in the United States”).

“Although generally sicker, patients admitted to the hospital from the emergency department had lower mortality and shorter hospital stays than patients admitted directly from the community,” said lead study author Keith Kocher, MD, MPH, of the Department of Emergency Medicine at the University of Michigan in Ann Arbor, Mich. “The ER was the source of admission for a wide variety of clinical conditions, from medical and surgical disease to mental illness. It was also the source of admission for more vulnerable populations like the elderly, minorities and the uninsured.”

Dr. Kocher and his team compared hospital admissions over a 10-year period, from 2000 through 2009, using the Nationwide Inpatient Sample. Admissions through the emergency department increased substantially at the expense of direct admissions from clinics or doctors’ offices which declined from 31 percent to 14 percent of unscheduled admissions.

“Our study and the RAND study demonstrate that the emergency department has become the major portal for unscheduled hospitalizations,” said Dr. Kocher. “Administrators and policy makers would be advised to focus their attention on physicians and caregivers in the emergency department who make more and more of these decisions to admit. As acute care management continues to evolve away from primary care providers, this trend also has the potential to exacerbate an already fragmented U.S. health care system.”

ACEP is the national medical specialty society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies.  

 




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: News

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Mechanical CPR is Producing Resuscitation Results Beyond Expectations

Discover why clinical studies are finding mechanical CPR just as effective as optimally-performed CPR.
More >

Multimedia Thumb

New York First Responders Take Extraordinary Steps to Help Residents

Snow causes fire and EMS crews to go beyond call of duty.
Watch It >


Multimedia Thumb

Raw Video: Explosion and Fire at California Business

Over a dozen hurt in Santa Paula blaze.
Watch It >


Multimedia Thumb

Four Workers Killed at Texas Chemical Plant

Five employees exposed to methyl mercaptan in La Porte.
Watch It >


Multimedia Thumb

Worker Killed in North Carolina Bridge Collapse

A fatal construction site collapse occurred in Wake County.
Watch It >


Multimedia Thumb

Plane Crashes into Chicago Home

Pilot reported engine trouble after takeoff.
More >


Multimedia Thumb

Switzerland Landslide Kills Two, Injures Four

Slide hits residential building near Lugano.
More >


Multimedia Thumb

World Trade Center Rescue

Technical rescue work is done at nation’s tallest skyscraper.
More >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


More Product Videos >