We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Emergency department utilization in patients with hypertrophic cardiomyopathy: a nationwide population-based study.
- Authors
Choi, You-Jung; Kim, Bongseong; Lee, Hyun-Jung; Lee, Heesun; Park, Jun-Bean; Lee, Seung-Pyo; Han, Kyungdo; Kim, Yong-Jin; Kim, Hyung-Kwan
- Abstract
Despite the increasing burden of hypertrophic cardiomyopathy (HCM) on healthcare resources, data on emergency department (ED) utilization in HCM are lacking. This nationwide population-based study extracted 14,542 HCM patients from the National Health Insurance Service database between 2015–2016, and investigated their ED utilization during a one-year period. The reason for ED utilization was defined as the primary diagnosis upon discharge from EDs. The clinical outcome was defined as hospitalization or all-cause mortality within 90 days after the ED visits. A total of 3209 (22.1%) HCM patients visited EDs within a one-year period (mean age, 66.8 ± 13.8 years; male, 57.4%). The majority (71.1%) of HCM patients who visited the EDs were aged ≥ 60 years. The ED utilization rate was higher in women than in men (26.3% versus 19.7%, P < 0.001). Cardiovascular diseases were the most common reason for ED visits (n = 1333, 41.5%). Among HCM patients who visited EDs, 1195 (37.2%) were hospitalized, and 231 (7.2%) died within 90 days. ED visits for cardiovascular disease was associated with a higher 90-day all-cause mortality (adjusted odds ratio, 2.72; 95% confidence interval 1.79–4.12). These findings would serve as a basis for future research to establish medical policies on ED utilization in HCM.
- Subjects
HYPERTROPHIC cardiomyopathy; HOSPITAL emergency services; NATIONAL health insurance; HEALTH policy; MORTALITY
- Publication
Scientific Reports, 2022, Vol 12, Issue 1, p1
- ISSN
2045-2322
- Publication type
Academic Journal
- DOI
10.1038/s41598-022-07463-2