scholarly journals National Hospital Care Survey Demonstration Projects: Severe Maternal Morbidity in Inpatient and Emergency Departments

2021 ◽  
Author(s):  
Josephine Alford ◽  
Sonja Williams ◽  
Michelle Oriaku ◽  
Donielle White ◽  
Alexander Schwartzman ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Hospital Care ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
National Hospital ◽  
Care Survey

This report demonstrates the ability of the National Hospital Care Survey (NHCS) to examine delivery hospitalizations involving severe maternal morbidity (SMM).

Medications Used in U.S. Emergency Departments for an Ankle Sprain: An Analysis of the National Hospital Ambulatory Medical Care Survey

2019 ◽  
Vol 57 (5) ◽  
pp. 662-670
Author(s):  
Kyle B. Kosik ◽  
Matthew C. Hoch ◽  
Roger L. Humphries ◽  
Alejandro G. Villasante Tezanos ◽  
Phillip A. Gribble
Keyword(s):  
Medical Care ◽  
Ankle Sprain ◽  
Emergency Departments ◽  
National Hospital ◽  
Care Survey ◽  
Ambulatory Medical Care

Current management of migraine in US emergency departments: An analysis of the National Hospital Ambulatory Medical Care Survey

Cephalalgia ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 301-309 ◽  
Author(s):  
Benjamin W Friedman ◽  
Jason West ◽  
David R Vinson ◽  
Mia T Minen ◽  
Andrew Restivo ◽  
...  
Keyword(s):  
Emergency Department ◽  
Confidence Interval ◽  
Medical Care ◽  
Emergency Departments ◽  
Emergency Department Visits ◽  
Opioid Use ◽  
National Hospital ◽  
Frequency Of Use ◽  
Care Survey ◽  
Ambulatory Medical Care

Background Published data from 1998 revealed that most patients treated for migraine in an emergency department received opioids. Over the intervening years, a large body of evidence has emerged demonstrating the efficacy and safety of non-opioid alternatives. Expert opinion during these years has cautioned against use of opioids for migraine. Our objectives were to compare current frequency of use of various medications for acute migraine in US emergency departments with use of these same medications in 1998 and to identify factors independently associated with opioid use. Methods We analyzed National Hospital Ambulatory Medical Care Survey data from 2010, the most current dataset available. The National Hospital Ambulatory Medical Care Survey is a public dataset collected and distributed by the Centers for Disease Control and Prevention. It is a multi-stage probability sample from randomly selected emergency departments across the country, designed to be representative of all US emergency department visits. We included in our analysis all patients with the ICD9 emergency department discharge diagnosis of migraine. We tabulated frequency of use of specific medications in 2010 and compared these results with the 1998 data. Using a logistic regression model, into which all of the following variables were entered, we explored the independent association between any opioid use in 2010 and sex, age, race/ethnicity, geographic region, type of hospital, triage pain score and history of emergency department use within the previous 12 months. Results In 2010, there were 1.2 (95% confidence interval 0.9, 1.4) million migraine visits to US emergency departments. Including opioid-containing oral analgesic combinations, opioids were administered in 59% of visits (95% confidence interval 51, 67). The most commonly used parenteral agent, hydromorphone, was used in 25% (95% confidence interval 19, 33) of visits in 2010 versus less than 1% (95% confidence interval 0, 3) in 1998. Conversely, use of meperidine had decreased markedly over the same timeframe. In 2010, it was used in just 7% (95% confidence interval 4, 12) of visits compared to 37% (95% confidence interval 29, 45) in 1998. Metoclopramide, the most commonly used anti-dopaminergic, was administered in 17% (95% confidence interval 12, 23) of visits in 2010 and 3% (95% confidence interval 1, 6) of visits in 1998. Use of any triptan was relatively uncommon in 2010 (7% (95% confidence interval 4, 11) of visits) and in 1998 (10% (95% confidence interval 6, 15) of visits). Of the predictor variables listed above, only emergency department use within the previous 12 months was associated with opioid administration (adjusted odds ratio: 2.87 (95% confidence interval 1.03, 7.97)). Conclusions In spite of recommendations to the contrary, opioids are still used in more than half of all emergency department visits for migraine. Though use of meperidine has decreased markedly between 1998 and 2010, it has largely been replaced by hydromorphone. Opioid use in migraine visits is independently associated with prior visits to the same emergency department in the previous 12 months.

scholarly journals Quality of linked data: Linking the National Hospital Care Survey Data to the National Death Index

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Lisa Mirel ◽  
Dean Resnick ◽  
Scott Campbell ◽  
Cordell Golden
Keyword(s):  
Survey Data ◽  
Hospital Care ◽  
Probabilistic Approach ◽  
Error Rates ◽  
National Death Index ◽  
National Hospital ◽  
Linkage Algorithm ◽  
Linkage Quality ◽  
Care Survey ◽  
Rich Data

IntroductionData linkages can produce rich data resources to address a variety of research topics. However, assessing linkage quality can be challenging given that there are many approaches and no clear best practices. Objectives and ApproachThrough its Data Linkage Program, the National Center for Health Statistics (NCHS) links national survey data with vital and administrative records. A recent linkage of the National Hospital Care Survey data with the National Death Index employed a new linkage methodology, which included a first time approach for validating the results within the linkage algorithm. ResultsThe new methodology includes two passes: a deterministic linkage, followed by a probabilistic approach based on the Fellegi-Sunter methodology. In the second pass, a key identifier, Social Security Number (SSN), was not used as a linkage variable but instead to determine link accuracy, when available on the patient record. A model was then built to predict link accuracy status according to the computed Fellegi-Sunter total pair weight and then used to estimate it for those patient records without an SSN. Results from this new approach were compared with results from prior linkage methodologies and generated higher match rates and lower error rates. The linkage methodology designed for this study is now being tested on other types of input data such as data from household surveys. Conclusion/ImplicationsThe linkage approach may be incorporated into additional linkages conducted by NCHS. This talk will describe the input sources for this linkage, the methodology used, the error rate assessment and then discuss conclusions and implications for precision and efficiency.

Sign in / Sign up

Export Citation Format

Share Document