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Emergency department utilization by a jail population.
Maher, Patrick J; Adedipe, Adeyinka A; Sanders, Benjamin L; Buck, Taylor; Craven, Paul; Strote, Jared.
Afiliación
  • Maher PJ; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
  • Adedipe AA; Department of Emergency Medicine, University of Washington, Seattle, WA, United States of America.
  • Sanders BL; Jail Health Services Division, Public Health Seattle & King County, United States of America.
  • Buck T; University of Notre Dame, Notre Dame, IN, United States of America.
  • Craven P; University of Washington School of Medicine, Seattle, WA, United States of America.
  • Strote J; Department of Emergency Medicine, University of Washington, Seattle, WA, United States of America. Electronic address: strote@uw.edu.
Am J Emerg Med ; 36(9): 1631-1634, 2018 09.
Article en En | MEDLINE | ID: mdl-29960660
BACKGROUND: Incarcerated individuals represent a significant proportion of the US population and face unique healthcare challenges. Scarce articles have been published about emergency department (ED) care of these patients. We studied the ED visits from one urban jail to better describe this population. METHODS: A cohort study design was used, identifying patients who were sent to the ED from a city jail in 2015. Demographics, triage information, length of stay, number of studies, billing codes, diagnoses, and disposition data were collected. These were compared to the overall ED patient population in the same year. RESULTS: 868 ED visits by jail patients occurred, representing 1.3% of the ED census. Compared to the general population, incarcerated patients were younger (32.1 years vs. 44.0 years, p < .01), healthier based on Elixhauser comorbidity scores (0.71 vs. 0.98, p < .01), and had lower admission rates (11.29% vs. 21.54%, p < .01). An abnormal vital sign was noted in 25% of incarcerated patients. Laboratory (61% vs. 57%, p < .02) and radiologic (63% vs 45%, p < .001) testing was more frequent for inmates and length of stay was longer (271 vs. 225 min, p < .01). CONCLUSION: ED visits from jail were common, involving a relatively young and healthy population with a low incidence of abnormal vital signs and admission. Given the high costs associated with ED care and the medical resources available at some jails, further study should evaluate if increased jail medical capabilities could improve care and decrease costs by decreasing ED visits.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prisioneros / Aceptación de la Atención de Salud / Servicio de Urgencia en Hospital Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Am J Emerg Med Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prisioneros / Aceptación de la Atención de Salud / Servicio de Urgencia en Hospital Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Am J Emerg Med Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos