Emergency Department Visits in the United States for Upper Urinary Tract Stones: Trends in Hospitalization and Charges

• DOI: 10.1016/j.juro.2013.07.098
• Publication Date: 2013-08-07T17:00:59Z
• Authors: Khurshid R. Ghani; Florian Roghmann; Jesse D. Sammon; Vincent Trudeau; Shyam Sukumar; Haider Rahbar; Ramesh Kumar; Pierre I. Karakie...; James O. Peabody; Mani Menon; Maxine Sun; Quoc-Dien Trinh
• Keywords: Upper urinary tract

Using the Nationwide Emergency Department Sample (NEDS) we examined trends in visits, hospitalization and charges for patients with upper urinary tract stones who presented to emergency department United States.All visits a primary diagnosis of kidney calculus (ICD-9-CM code 592.0), ureter (592.1) or unspecified (592.9) were extracted from NEDS between 2006 2009. A weighted sample was used calculate incidence rates. Temporal quantified by estimated annual percent change. Patient hospital characteristics associated evaluated using logistic regression models adjusted clustering.Between 2009 there 3,635,054 stones. The increased 289 306/100,000 individuals. More men visited than women but showed significant increases (estimated change 2.85%, p = 0.018). Total monthly ranged 5.8% February 8.4% August. Overall 12.0% hospitalized rate remained stable -1.02%, 0.634). Patients more likely be if they female, ill, seen at an urban teaching low volume hospital, had Medicaid Medicare (each <0.001). Sepsis highest likelihood admission (OR 69.64, In $5 billion 10.06%, 0.003).Women While substantially, rates stable. Greater use computerized tomography medical expulsive therapy could reasons this observation, which warrants further study.