Age-Related Emergency Department Reliance in XXXX with @entity3458 .

@entity26186 @entity1 @entity55 @entity341 @entity3458 @entity281 @entity158
BACKGROUND: Emergency Department Reliance ( @entity26186 : total @entity341 [ @entity341 ] visits/total ambulatory [outpatient + @entity341 ] visits) differentiates acute episodic @entity341 users from those who may not have adequate access to outpatient care. OBJECTIVE: This study's aim was to investigate age-related patterns of @entity26186 and associated health-care costs in pediatric @entity1 with @entity3458 ( @entity3458 ) and those transitioning from pediatric to adult care. METHODS: State Medicaid data were used for this study. @entity1 with two or more @entity3458 diagnoses and one or more blood transfusion were included. Quarterly rates of @entity341 visits, @entity26186 , @entity3458 complications associated with @entity341 visits, and @entity341 visits resulting in hospitalization were evaluated. Risk factors associated with high @entity26186 and the association between high @entity26186 and health-care costs were explored through regression analyses. RESULTS: A total of 3208 @entity1 were included. The most common @entity3458 complications associated with @entity341 visits were @entity158 , @entity281 , and @entity55 . Beginning at the age of 15 years, @entity26186 rose from 0.17 to 0.29 visits per quarter at age 22 years, and remained high throughout adulthood. Regression analyses indicated that @entity1 were most likely to have high @entity26186 during the post-transition period and when experiencing an @entity3458 complication. @entity1 with high @entity26186 incurred statistically significantly higher inpatient and @entity341 costs, resulting in significantly higher total health-care costs. CONCLUSIONS: Compared to @entity1 , @entity1 transitioning to adulthood relied more on the @entity341 for their care. In addition, @entity1 with high @entity26186 incurred more days in the hospital and significantly higher health-care costs, highlighting the need to improve transition-related support, including better access to primary care and increased engagement with @entity1 with @entity3458 .
