Document Detail


The effect of limited English proficiency on admission rates from a pediatric ED: stratification by triage acuity.
MedLine Citation:
PMID:  15666256     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objectives of this study were to determine the effect of Limited English Proficiency (LEP) visits and acuity status on admission rates from a pediatric ED. A retrospective cohort study was performed using a fully computerized medical record, which includes information on language spoken, triage acuity, and disposition. Data was collected on all patient visits from July 2002 to November 2002 from a tertiary-care pediatric ED. Admission rates and acuity status for LEP and non-LEP patients were compared. A total of 13,585 patient visits were identified, of which 12,416 fit the study criteria. There were 244 LEP patient visits, of which 206 were Spanish-speaking. There were 12,172 English-speaking patient visits. Compared with English-speaking visits, LEP visits were more likely to be triaged as high acuity (25.8% vs. 16.1%, P < .001). LEP patients were more likely to be admitted to the hospital (22.1% vs. 13%, P < .001). For high- and low-acuity patients, no significant differences in admission rates were seen between LEP and English-speaking patients. In contrast, moderate-acuity LEP visits showed a significantly increased admission rate compared to moderate acuity English visits (22.5% vs. 12.4%, P = .005). Similar trends were seen among Spanish-speaking LEP patients. Differences in medical disposition from the ED were found between English-speaking and LEP patient visits. There were higher rates of admission for LEP patients, particularly among moderate-acuity visits. This highlights disparities of care for this vulnerable population.
Authors:
Alexander J Rogers; Carlos A Delgado; Harold K Simon
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  22     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2005-01-24     Completed Date:  2005-03-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  534-6     Citation Subset:  IM    
Affiliation:
Departments of Pediatrics and Emergency Medicine, Emory University, Children's Healthcare of Atlanta, 1645 Tullie Circle, Atlanta, GA 30329, USA. alex_rogers@oz.ped.emory.edu
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MeSH Terms
Descriptor/Qualifier:
Child
Cohort Studies
Emergency Medical Services / statistics & numerical data*
Female
Georgia
Hispanic Americans / statistics & numerical data
Humans
Language*
Male
Medical Records Systems, Computerized
Patient Admission / statistics & numerical data*
Pediatrics / statistics & numerical data*
Retrospective Studies
Triage* / statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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