Navigation Links
Higher chance of hospital death found in areas where emergency departments have closed
Date:8/4/2014

In the first analysis of its kind, UC San Francisco research shows that emergency department closures can have a ripple effect on patient outcomes at nearby hospitals.

In a study of more than 16 million emergency admissions to California hospitals between 1999 and 2010, researchers found that patients who were admitted to facilities located in the vicinity of an emergency department (ED) that had recently closed experienced 5 percent higher odds of dying than patients admitted to hospitals that were not near a recently closed ED.

The odds of dying were even higher for patients with certain time-sensitive conditions, especially heart attack (15 percent higher odds), stroke (10 percent) and sepsis (8 percent). The findings are of particular concern nationwide, said the authors, because the annual number of ED visits increased by 51 percent between 1996 and 2009, while the number of available emergency departments dropped by 6 percent.

The report will be published in the August issue of Health Affairs.

"Emergency department closures are affecting many more patients than previously thought," said senior author Renee Y. Hsia, MD, an associate professor of emergency medicine at UCSF and director of health policy studies in the department of emergency medicine. She is also an attending physician in the emergency department at San Francisco General Hospital and Trauma Center. "Most importantly, people who live in the area of nearby closures but whose own hospital did not close are still negatively affected by increased wait times and crowding in their own emergency department," she said.

In recent years, the nation's emergency departments have experienced an unprecedented strain with approximately 130 million annual visits according to the Centers for Disease Control and Prevention. While the number of patient visits has soared, the number of EDs nationally declined 6 percent to 4,594 between 1996 and 2009.

To investigate the effects of closures on surrounding communities, the authors analyzed the association between inpatient mortality rates at hospitals located near emergency departments in California that closed between 1999 and 2010. During this timeframe, 48 emergency departments were shuttered in the state.

The researchers found that ED closures affected nearly a quarter of admissions during the study period. Previous research has shown that patient mortality rates can increase with longer travel or wait times and crowding at emergency rooms. Furthermore, ED closures could also cause some patients to delay seeking medical care and could lead to conditions becoming less treatable.

As a result, ED closures could further reduce access to care in communities with vulnerable populations, said the authors.

"Our findings indicate that disproportionate numbers of ED closures may be driving up inpatient mortality in communities and hospitals with more minority, Medicaid and low-income patients, and contributing to existing disparities in health outcomes," said Hsia. "These results suggest that health systems and policy makers should consider the ripple effect on communities when they regulate ED closures."


'/>"/>

Contact: Elizabeth Fernandez
elizabeth.fernandez@ucsf.edu
415-502-6397
University of California - San Francisco
Source:Eurekalert

Related medicine news :

1. Higher-spending hospitals have fewer deaths for emergency patients
2. Taller, Heavier Women May Face Higher Ovarian Cancer Risk
3. Heart failure patients with diabetes may benefit from higher glucose levels
4. Cancer Care Costs Higher in U.S. Than Europe, But Survival Longer
5. Children Born to Obese Moms May Face Higher Autism Risk: Study
6. Could Menthol Cigarettes Pose Even Higher Stroke Risk?
7. Certain Birth Control Pills May Carry Higher Blood Clot Risk: FDA
8. Mental Illness Tied to Higher Rates of Physical Problems: Report
9. Overweight Pregnant Women at Higher Risk for Complications
10. Depression Linked to Higher Odds for Poor Leg Circulation
11. Joint-Replacement Failure Rate Higher for Smokers: Studies
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2017)... ... June 24, 2017 , ... Studies show evidence that ... the risk of visual loss in these patients. , But how often do ophthalmologists ... smoking cessation to patients at risk of or with early symptoms of AMD? A ...
(Date:6/23/2017)... (PRWEB) , ... June 23, 2017 , ... ... plastic surgeon practicing in Newburgh, New York, has recently begun offering three new ... to offering the best cutting-edge procedures and reducing downtime, Dr. Rubinstein is excited ...
(Date:6/23/2017)... ... June 23, 2017 , ... Everybody has their own personal preference ... to read it, and some people don't like it at all. FindaTopDoc took a ... found: , Erotic literature can give readers a taste of their deepest, darkest fantasies ...
(Date:6/23/2017)... (PRWEB) , ... June 23, 2017 , ... The Aesthetic ... facelift . Dr. Talei has come up with a proprietary technique that he calls ... lifts tissues that have dropped. For all ages, patients can expect to look refreshed, ...
(Date:6/23/2017)... , ... June 23, 2017 , ... ... Cancer Conference from Sept. 18 to 20. , The two-day conference is focused ... with the goal of improving patients’ lives and eliminating racial breast cancer-related disparities. ...
Breaking Medicine News(10 mins):
(Date:6/14/2017)... June 14, 2017  ivWatch LLC, a medical device ... intravenous (IV) therapy, is pleased to announce it was ... Nonsurgical Hospital Supplies and Equipment at the 2017 Medical ... the medtech industry. The award was presented by Medical ... Javits Center in New York ...
(Date:6/11/2017)... and Company (NYSE: LLY ) announced today ... an investigational treatment for the prevention of episodic and ... endpoints for galcanezumab compared to placebo at both studied ... REGAIN) will be presented today at the American Headache ... . "The detailed Phase 3 ...
(Date:6/8/2017)... LOS ANGELES , June 8, 2017   Responding ... prescription drug oversight and the death of singer Chris ... Commission on Human Rights International offers a free online ...  to better educate consumers and families about psychotropic drug risks. ... Heath Ledger , who died from an accidental overdose, has ...
Breaking Medicine Technology: