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Diagnoses -- Emergency Room Database (ER) (1)

ICD-9: 493. Asthma (General comments: asthma)
(Note: Annual discharges fewer than 80,000 have a relative standard error of +/- 30%.)
 
 200420052006200720082009
Primary Diagnoses (2):1,838,0301,770,3271,589,6831,753,6851,903,3502,069,894
All Listed Diagnoses (3):2,556,4462,673,8482,376,1882,350,5152,500,1802,666,724

Patient Characteristics/Payment Source
Gender Breakout (4)
Male:49.1%
Female:50.9%
Race Breakout (4)
White:49.7%
Black/African American:33.5%
Asian:1.5%
Native Hawaiian:2.2%
American Indian:0.3%
Other:1.5%
Principal Expected Source of Payment (4)
Private Insurance:33.2%
Medicare:9.5%
Medicaid:31.3%
Worker's Compensation:0.0%
Self Pay:15.3%
No Charge:2.1%
Other:1.0%
Unknown:6.0%
Blank:1.5%
Ethnicity Breakout (4)
Hispanic:16.8%
Non Hispanic:71.9%
Blank:11.3%
Age Breakout (4)
0 years:2.4%
1 - 9 years:27.0%
10 - 19 years:14.4%
20 - 29 years:12.9%
30 - 39 years:11.3%
40 - 49 years:12.5%
50 - 59 years:13.2%
60 - 69 years:4.1%
70 - 79 years:1.8%
80 years or more:0.3%

Visit Characteristics
Geographic Region (4)
Northeast:26.0%
Midwest:28.0%
South:33.0%
West:13.0%
Day Of Visit (4)
Sunday:15.0%
Monday:16.7%
Tuesday:15.8%
Wednesday:17.1%
Thursday:14.0%
Friday:9.5%
Saturday:12.0%
Immediacy With Which Patient Should Be Seen (4)
Unknown/No Triage:0.0%
Less Than 15 Minutes:10.6%
15-60 Minutes:54.1%
1-2 Hours:29.4%
Greater Than 2 Hours:5.9%
Top Three Primary Reason For Visit (4)
1:Asthma
2:Shortness of breath
3:Cough
Injury or Poisoning as Cause (4)
Yes:1.5%
No:98.5%
Arrival Time (4)
12:00AM - 6:00AM:2.7%
6:00AM - 12:00PM:21.9%
12:00PM - 6:00PM:35.7%
6:00PM - 12:00AM:39.7%
Length of Visit (4)
Average:194 minutes
Work-Related Injury (4)
Yes:%
No:%
Unknown:%
N/A(Not an Injury Visit):%

Type of Provider Seen (4)
YesNo
Register Nurse:90.0%10.0%
License Practical Nurse:%%
Emergency Medical Technician:10.1%89.9%
Physician Assistant:5.1%94.9%
Nurse Practitioner:2.4%97.7%
Staff Physician:91.1%8.9%
Resident/Intern:12.3%87.8%
Other Physician:3.9%96.1%
Other Technician:%%
Other Provider:31.4%68.6%
Not Specified:0.5%99.5%

Medications Provided
Medications Ordered
Or Provided (4)
Yes:95.9%
No:4.1%
Blank:0.0%
Number of Medications (4)
One:24.9%
Two:22.4%
Three:19.8%
Four:9.7%
Five:3.5%
Six:2.0%
Seven:0.1%
Eight:0.8%
None:16.8%
Top 10 Medications Based on Visit
Where a Medication is Prescribed (4)
ALBUTEROL:61.3%
PREDNISONE:42.2%
ATROVENT:19.3%
SOLU-MEDROL:11.9%
ORAPRED:9.1%
ZITHROMAX:7.5%
IPRATROPIUM BROMIDE:7.5%
DUONEB:6.4%
MAGNESIUM SULFATE:5.5%
ALBUTEROL/ATROVENT:5.5%

Diagnostic/Screening Services Provided (4)
Mental Status Exam:%
Electrocardiogram:11.5%
Cardiac Monitor:12.4%
Electroencephalogram:%
Pulse Oximetry:0.0%
Urinalysis:6.3%
Pregnancy Test:2.8%
HIV Serology Test:%
Blood Alcohol Concentration Test:0.0%
Complete Blood Count:24.0%
Other Blood Count:11.3%
Chest X-Ray:%
Extremity X-Ray:%
Other X-Ray:%
MRI/CAT Scan:0.0%
Blood Urea Nitrogen:16.0%
Creatinine:%
Cholesterol:%
Glucose:13.0%
HgbA1C(Glycohemoglobin):%
Ultrasound:0.1%
Other Diagnostic Imaging:0.1%
Blood Culture:%
Cervical/Urethral Culture:%
Stool Culture:%
Throat Culture:%
Urine Culture:%
Other Diagnostic/Screening Service:11.2%

Procedures (4)
Procedures Provided
Yes:67.7%
No:29.5%
Blank:2.8%
Endotracheal Intubation:0.3%
Cardiopulmonary Resuscitation:0.0%
Intravenous Fluids:18.2%
Nasogastric Intubation/Gastric Lavage:%
Thrombolytic Therapy:%
Bladder Catheter:0.3%
Wound Care:0.0%
Eye/ENT (Ear/Nose/Throat) Care:%
Orthopedic Care:%
OB/GYN Care:%
Other Procedure:6.2%

Disposition (4)
No Follow-up Planned:5.4%
Returned to Emergency Department
as Needed/Appointment Scheduled:		35.9%
Returned to Referring Physician:68.3%
Referred Out from Triage Without Treatment:%
Referred to Alcohol or Drug Treatment Program:%
Return to Non-Physician Treatment:%
Referred to Other Physician / Clinic for Follow-up:%
Left Before Being Seen:0.0%
Left Against Medical Advice:1.0%
Admit for 23 Hour Observation:0.0%
Admitted to Hospital:8.7%
Admitted to Intensive Care Unit,
Cardiac Care Unit, or Coronary Care Unit:		0.0%
Dead on Arrival / Died in Emergency Department:0.0%
Transferred to Other Facility:1.4%
Not Specified:0.3%
Other:0.1%

1 Source: National Hospital Ambulatory Medical Care Survey (NHAMCS) 2009.
2 Number of patients discharged with this as the primary diagnosis.
3 All patients discharged with this diagnosis (whether it was the primary or an ancillary diagnosis).
4 Based on primary diagnosis.