An epidemiologic comparison of injuries presenting to a pediatric emergency department and local urgent care facilities |
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Authors: | Ellen E. Yard [Author Vitae] R. Dawn Comstock [Author Vitae] |
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Affiliation: | a Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA b The Ohio State University, College of Medicine, Department of Pediatrics and College of Public Health, Division of Epidemiology, Columbus, OH, USA |
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Abstract: | ProblemThe objective of this study was to compare the epidemiology of injuries presenting to emergency department (ED) and urgent care (UC) facilities of a single, NEISS-affiliated hospital.MethodPatient medical records (n = 36,811) were used to compare injury incidence, injury characteristics, and demographic characteristics between the ED, on-site UC, and off-site UC during 2006.ResultsED presentations were more likely to be open wounds and motor vehicle-related compared to on-site UC presentations. ED presentations were more likely to be system wide/late effects, be made by an African American, or be paid through Medicaid compared to off-site UC presentations. On-site UC presentations were more likely to be made by an African American or be paid through Medicaid compared to off-site UC presentations.DiscussionED and UC injury characteristics and patient demographics differ. With no nationally-representative UC injury surveillance, current research likely underestimates injury incidence and presents skewed profiles. Impact on Industry: This article adds insight into the generalizability of ED-based injury surveillance to UC injuries. |
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Keywords: | Injury surveillance Healthcare Utilization Injury profiles Insurance |
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