University of Michigan Susan B Meister Child Health Evaluation and Research Center, Ann Arbor, Michigan, USA.
Public Health Institute Tracking California Program, Oakland, California, USA.
Pediatr Blood Cancer. 2024 Oct;71(10):e31188. doi: 10.1002/pbc.31188. Epub 2024 Jul 15.
People with sickle cell disease (SCD) often have emergency department (ED) revisits. The characteristics of people with SCD with ED revisits were assessed in this study using Medicaid administrative claims data from California and Georgia, representing 2794 and 3641 individuals with SCD, respectively. In both states, those with 6+ primary care provider (PCP) encounters had the highest percentage of ED revisits. In California, those with 6+ hematology encounters had the lowest percentage of individuals with an ED revisit; in Georgia, those with 1-2 hematology encounters. Increasing access to hematologic care may reduce ED revisits among people with SCD.
镰状细胞病(SCD)患者常有急诊部(ED)复诊。本研究使用加利福尼亚州和佐治亚州的医疗补助管理索赔数据评估了 SCD 患者 ED 复诊的特征,分别代表 2794 名和 3641 名 SCD 患者。在这两个州,有 6 次以上初级保健提供者(PCP)就诊记录的患者 ED 复诊率最高。在加利福尼亚州,有 6 次以上血液学就诊记录的患者 ED 复诊人数比例最低;在佐治亚州,有 1-2 次血液学就诊记录的患者 ED 复诊人数比例最低。增加血液学治疗的可及性可能会降低 SCD 患者的 ED 复诊率。