Emergency Department Visit Summary
ARTICLE REVIEW
Preventable Hospitalizations and Emergency Department Visits for Angina, United States,
1995-2010
Nursing 230
October 30, 2013
Preventable Hospitalizations and Emergency Department Visits for Angina, United States,
1995-2010
The article I chose to review was called Preventable Hospitalizations and Emergency Department Visits for Angina, United States, 1995-2010. The purpose of the article was to study the national decline in preventable hospitalizations for angina, and to determine whether or not there was a consistent decline in emergency department visits for the same. The article investigated the trends for both, and supplied possible contributing factors to these trends. The possible contributing factors …show more content…
This information was gathered from the National Hospital Discharge Survey and the National Hospital Ambulatory Medical Care Survey. The article studied 3 different age groups, 18-44, 45-64, and >65. The article addressed that access to good quality outpatient health care played a large part in this condition. It was felt that better prevention and control of cardiovascular disease risk factors decreased the likelihood of one going to the emergency room with angina and then being admitted to the hospital. For patients with coronary and atherosclerotic diseases, it was suggested that aggressive and comprehensive risk factor management reduced the number or procedural interventions required which results in fewer hospitalizations. (Will, 2013). Some researchers suggested that with the increased use of coronary angiography, the decline was not to be attributed to prevention or access to care but rather to a more aggressive diagnosis of other cardiovascular issues such as coronary atherosclerosis which leads to a different discharge …show more content…
These hypotheses include: a decreasing rate of angina, declining heart disease risk factors, changing provider practices (troponin testing, increased used of revascularization, changes in diagnostic testing), increased use of the ED and outpatient clinics to handle acute chest pain, and changing ICD-9 CM coding. The hypothesis that the decline was due to angina being moved from primary diagnosis when a patient is diagnosed with another cardiac complication was argued due to the finding that angina being recorded as any diagnosis also declined from
Preventable Hospitalizations and Emergency Department Visits for Angina, United States,
1995-2010
Nursing 230
October 30, 2013
Preventable Hospitalizations and Emergency Department Visits for Angina, United States,
1995-2010
The article I chose to review was called Preventable Hospitalizations and Emergency Department Visits for Angina, United States, 1995-2010. The purpose of the article was to study the national decline in preventable hospitalizations for angina, and to determine whether or not there was a consistent decline in emergency department visits for the same. The article investigated the trends for both, and supplied possible contributing factors to these trends. The possible contributing factors …show more content…
This information was gathered from the National Hospital Discharge Survey and the National Hospital Ambulatory Medical Care Survey. The article studied 3 different age groups, 18-44, 45-64, and >65. The article addressed that access to good quality outpatient health care played a large part in this condition. It was felt that better prevention and control of cardiovascular disease risk factors decreased the likelihood of one going to the emergency room with angina and then being admitted to the hospital. For patients with coronary and atherosclerotic diseases, it was suggested that aggressive and comprehensive risk factor management reduced the number or procedural interventions required which results in fewer hospitalizations. (Will, 2013). Some researchers suggested that with the increased use of coronary angiography, the decline was not to be attributed to prevention or access to care but rather to a more aggressive diagnosis of other cardiovascular issues such as coronary atherosclerosis which leads to a different discharge …show more content…
These hypotheses include: a decreasing rate of angina, declining heart disease risk factors, changing provider practices (troponin testing, increased used of revascularization, changes in diagnostic testing), increased use of the ED and outpatient clinics to handle acute chest pain, and changing ICD-9 CM coding. The hypothesis that the decline was due to angina being moved from primary diagnosis when a patient is diagnosed with another cardiac complication was argued due to the finding that angina being recorded as any diagnosis also declined from