Pothuru Suveenkrishna, Chan Wan-Chi, Goyal Amandeep, Dalia Tarun, Mastoris Ioannis, Sauer Andrew, Gupta Kamal, Porter Charles B, Shah Zubair
Department of Internal Medicine Ascension Via Christi Hospital Manhattan Kansas USA.
Department of Cardiovascular Medicine The University of Kansas Health System University of Kansas School of Medicine Kansas City KS USA.
J Am Coll Emerg Physicians Open. 2022 Jun 4;3(3):e12718. doi: 10.1002/emp2.12718. eCollection 2022 Jun.
To study the demographics, clinical presentations, and outcomes of emergency department (ED) visits of patients with heart transplantation (HT) in the United States.
We performed a secondary analysis of the National Emergency Department Sample database from 2016 to 2018. All ED visits of patients with HT aged ≥ 18 years were identified using International Classification of Diseases, Tenth Revision codes.
Out of a total 308,182,495 national ED visits, 55,583 were HT-related visits. The median age was 61.07 years (interquartile range [IQR]: 46.91-69.38) and 69.44% were males. The hospital admission rate was 54.3% and median inpatient length of stay was 3.19 days (IQR: 1.63-5.92). The mortality rate during inpatient stay was 1.16%. Median inpatient and ED charges among admitted patients were $37,911 (IQR: $21,487-$71,262). The most common primary diagnosis of HT-related ED visits was sepsis (4.3%) followed by acute kidney injury (3.57%) and chest pain (3%).
More than half of total ED visits among HT patients resulted in hospital admission. The most common cause for ED visit in these patients was sepsis followed by acute kidney injury and chest pain.
研究美国心脏移植（HT）患者急诊就诊的人口统计学特征、临床表现及转归。
我们对2016年至2018年国家急诊科样本数据库进行了二次分析。使用国际疾病分类第十版编码识别所有年龄≥18岁的HT患者的急诊就诊情况。
在全国总计308,182,495次急诊就诊中，55,583次与HT相关。中位年龄为61.07岁（四分位间距[IQR]：46.91 - 69.38），男性占69.44%。住院率为54.3%，中位住院时长为3.19天（IQR：1.63 - 5.92）。住院期间死亡率为1.16%。入院患者的中位住院及急诊费用为37,911美元（IQR：21,487 - 71,262美元）。与HT相关的急诊就诊最常见的主要诊断是脓毒症（4.3%），其次是急性肾损伤（3.57%）和胸痛（3%）。
HT患者急诊就诊中超过一半导致住院。这些患者急诊就诊最常见的原因是脓毒症，其次是急性肾损伤和胸痛。
