PMID- 35677288
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2688-1152 (Electronic)
IS  - 2688-1152 (Linking)
VI  - 3
IP  - 3
DP  - 2022 Jun
TI  - Emergency department use and hospital admissions among adult orthotopic heart 
      transplant patients.
PG  - e12718
LID - 10.1002/emp2.12718 [doi]
LID - e12718
AB  - OBJECTIVE: To study the demographics, clinical presentations, and outcomes of 
      emergency department (ED) visits of patients with heart transplantation (HT) in 
      the United States. METHODS: We performed a secondary analysis of the National 
      Emergency Department Sample database from 2016 to 2018. All ED visits of patients 
      with HT aged >/= 18 years were identified using International Classification of 
      Diseases, Tenth Revision codes. RESULTS: Out of a total 308,182,495 national ED 
      visits, 55,583 were HT-related visits. The median age was 61.07 years 
      (interquartile range [IQR]: 46.91-69.38) and 69.44% were males. The hospital 
      admission rate was 54.3% and median inpatient length of stay was 3.19 days (IQR: 
      1.63-5.92). The mortality rate during inpatient stay was 1.16%. Median inpatient 
      and ED charges among admitted patients were $37,911 (IQR: $21,487-$71,262). The 
      most common primary diagnosis of HT-related ED visits was sepsis (4.3%) followed 
      by acute kidney injury (3.57%) and chest pain (3%). CONCLUSION: More than half of 
      total ED visits among HT patients resulted in hospital admission. The most common 
      cause for ED visit in these patients was sepsis followed by acute kidney injury 
      and chest pain.
CI  - (c) 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of 
      American College of Emergency Physicians.
FAU - Pothuru, Suveenkrishna
AU  - Pothuru S
AUID- ORCID: 0000-0002-4060-9561
AD  - Department of Internal Medicine Ascension Via Christi Hospital Manhattan Kansas 
      USA.
FAU - Chan, Wan-Chi
AU  - Chan WC
AD  - Department of Cardiovascular Medicine The University of Kansas Health System 
      University of Kansas School of Medicine Kansas City KS USA.
FAU - Goyal, Amandeep
AU  - Goyal A
AD  - Department of Cardiovascular Medicine The University of Kansas Health System 
      University of Kansas School of Medicine Kansas City KS USA.
FAU - Dalia, Tarun
AU  - Dalia T
AD  - Department of Cardiovascular Medicine The University of Kansas Health System 
      University of Kansas School of Medicine Kansas City KS USA.
FAU - Mastoris, Ioannis
AU  - Mastoris I
AD  - Department of Cardiovascular Medicine The University of Kansas Health System 
      University of Kansas School of Medicine Kansas City KS USA.
FAU - Sauer, Andrew
AU  - Sauer A
AD  - Department of Cardiovascular Medicine The University of Kansas Health System 
      University of Kansas School of Medicine Kansas City KS USA.
FAU - Gupta, Kamal
AU  - Gupta K
AD  - Department of Cardiovascular Medicine The University of Kansas Health System 
      University of Kansas School of Medicine Kansas City KS USA.
FAU - Porter, Charles B
AU  - Porter CB
AD  - Department of Cardiovascular Medicine The University of Kansas Health System 
      University of Kansas School of Medicine Kansas City KS USA.
FAU - Shah, Zubair
AU  - Shah Z
AUID- ORCID: 0000-0002-3221-3655
AD  - Department of Cardiovascular Medicine The University of Kansas Health System 
      University of Kansas School of Medicine Kansas City KS USA.
LA  - eng
PT  - Journal Article
DEP - 20220604
PL  - United States
TA  - J Am Coll Emerg Physicians Open
JT  - Journal of the American College of Emergency Physicians open
JID - 101764779
PMC - PMC9167054
OTO - NOTNLM
OT  - cardiac transplantation
OT  - emergency department
OT  - health care use
OT  - heart transplantation
OT  - in hospital mortality
OT  - organ transplantation
OT  - outcomes
COIS- The authors report no conflict of interest.
EDAT- 2022/06/10 06:00
MHDA- 2022/06/10 06:01
PMCR- 2022/06/04
CRDT- 2022/06/09 02:11
PHST- 2021/12/13 00:00 [received]
PHST- 2022/03/14 00:00 [revised]
PHST- 2022/03/16 00:00 [accepted]
PHST- 2022/06/09 02:11 [entrez]
PHST- 2022/06/10 06:00 [pubmed]
PHST- 2022/06/10 06:01 [medline]
PHST- 2022/06/04 00:00 [pmc-release]
AID - EMP212718 [pii]
AID - 10.1002/emp2.12718 [doi]
PST - epublish
SO  - J Am Coll Emerg Physicians Open. 2022 Jun 4;3(3):e12718. doi: 10.1002/emp2.12718. 
      eCollection 2022 Jun.