ER crowding tied to higher in-hospital death rates

NEW YORK (Reuters Health) – Patients admitted to the hospital on days when the emergency department is overcrowded are slightly more likely to die than patients admitted on other days, according to a new study. “We are suggesting that one reason for this association is, when you have a crowded hospital or emergency department, that the quality of care is not as good, that there are delays in diagnosis, there are delays in treatment, and all these things add up so that for a small set of patients this actually makes a difference in whether they survive or don’t survive,” said Dr. …

Do drunks have to go to the ER?

NEW YORK (Reuters Health) – With the help of a checklist, ambulance workers may be able to safely reroute drunk patients to detoxification centers instead of emergency rooms, according to a new study. Researchers in Colorado found no serious medical problems were reported after 138 people were sent to a detox center to sleep it off, instead of to an ER. In 2004, according to the researchers, it’s estimated that 0.6 percent of all U.S. ER visits were made by people without any problems other than being drunk. Those visits ended up costing about $900 million. …

Climate linked to California ER visits

NEW YORK (Reuters Health) – The risk of heading to the emergency room for certain conditions, such as heart disease, diabetes, stroke, kidney disease and low blood pressure rises slightly as temperature and humidity increase, according to a new study from California. Researchers also found that for a few conditions, including aneurysm and high blood pressure, higher temperatures were tied to a drop in ER visits. …

Changes in insurance tied to more ER visits

NEW YORK (Reuters Health) – People who either gained or lost their health insurance took more trips to the emergency room than those who had a stable insurance status, in a new study. The findings are troubling when considering the 32 million Americans expected to become newly-insured under President Barack Obama’s 2010 healthcare law. But the results also suggest that the number of ER visits even out as a person remains either insured or uninsured for more than a year. “Eventually, you’d suspect that their (ER) utilization would go down. So it could just be a short-term surge,” said Dr. …

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