Abstract
Emergency department (ED) visits and hospital admissions (HA) following urologic procedures are a concern for payors, providers, and patients. We seek to quantify ED visits and HA after urologic stone procedures. This is a retrospective cohort study using claims data from the IBM MarketScan Commercial and Medicare Supplement database. Adults with a urologic stone diagnosis and no history of stone procedure in prior 12 months who underwent stone procedures with ureteral stent codes between 2012 and 2017 were included. All-cause vs genitourinary (GU)-related ED visits and HA were evaluated during 30, 60, 90, and 120-day periods following the index urologic stone procedure. 88,047 patients were included in the analytic cohort. For inpatients, rate of all-cause vs GU-related ED visits was 10% vs 9% at 30 days and 19% vs 15% at 120 days. For outpatients, rate of all-cause vs GU-related ED visits was 9% vs 8% at 30 days and 15% vs 12% at 120 days. A similar trend was found when examining HA. Younger patients (18–44 years old) had higher rates of all-cause ED visits following inpatient index stone procedure (13% vs 10% at 30 days, p ≤ 0.0001). Twenty percent of patients have an ED visit or HA up to 120 days after having a stone procedure with most returning with GU-related complaint. Younger patients had the greatest burden among the study cohort. Further studies need to determine causation of these unplanned visits to guide appropriate intervention.
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Becton–Dickinson provided the MarketScan database that was analyzed and used in this study.
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Rashid Kazi, R., Jung, M., Kelly, T. et al. Frequency and timing of emergency department visits and hospital admissions in stented patients following common stone procedures. Urolithiasis 50, 381–387 (2022). https://doi.org/10.1007/s00240-022-01313-6
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DOI: https://doi.org/10.1007/s00240-022-01313-6