Table 3Top 10 most common reasons for treat-and-release ED visits for children in 23 study states, 2005*

RankFirst-listed/principal CCS diagnosisNumber of ED visits for this condition (percentage of all pediatric ED visits)Number of ED visits for this condition that were treat-and-release (percentage of ED visits for this condition that were treat-and-release)**Number of ED visits for this condition that resulted in admission to the hospital (percentage of ED visits for this condition that resulted in admission)
1Other upper respiratory infections (nose, throat, trachea)±1,428,700 (11.6%)1,414,600 (99.0%)14,100 (1.0%)
2Superficial injury, bruise853,900 (6.9%)852,000 (99.8%)1,900 (0.2%)
3Otitis media (middle ear infection) and related conditions806,200 (6.5%)804,400 (99.8%)1,800 (0.2%)
4Open wounds of arms and legs639,800 (5.2%)636,700 (99.5%)3,100 (0.5%)
5Sprains and strains523,200 (4.2%)522,800 (99.9%)400 (0.1%)
6Fever490,000 (4.0%)481,200 (98.2%)8,800 (1.8%)
7Other injuries due to external causes452,700 (3.7%)446,500 (98.6%)6,200 (1.4%)
8Viral infections409,000 (3.3%)398,300 (97.4%)10,700 (2.6%)
9Open wounds to extremities392,800 (3.2%)390,300 (99.4%)2,500 (0.6%)
10Fracture of arm396,800 (3.2%)385,800 (97.2%)11,000 (2.8%)
*

Reasons for treat-and-release visits were based on the first-listed diagnosis on the ED record; hospital-admitted cases were based on principal diagnosis on the inpatient record.

**

Among treat-and-release visits, the majority of children were discharged home (97.1%), some left without being treated (1.1%), were transferred to another acute care facility (0.9%), were sent to a long-term care facility (0.8%), were discharged to home health care (0.03%), or died (0.04%).

±

The “other upper respiratory infections” category includes a mix of nose, throat, and trachea infections, such as sinusitis, strep throat, and croup.

Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP), State Emergency Department Databases (SEDD) and State Inpatient Databases (SID) for the following 23 states: Arizona, California, Connecticut, Florida, Georgia, Hawaii, Indiana, Iowa, Kansas, Maryland, Massachusetts, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, Ohio, South Carolina, South Dakota, Tennessee, Utah, Vermont, and Wisconsin.

From: Pediatric Emergency Department Visits in Community Hospitals from Selected States, 2005

Cover of Healthcare Cost and Utilization Project (HCUP) Statistical Briefs
Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet].

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