| The effect of limited English proficiency on admission rates from a pediatric ED: stratification by triage acuity. | |
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MedLine Citation:
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PMID: 15666256 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Alexander J Rogers; Carlos A Delgado; Harold K Simon |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 22 ISSN: 0735-6757 ISO Abbreviation: Am J Emerg Med Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2005-01-24 Completed Date: 2005-03-03 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 534-6 Citation Subset: IM |
Affiliation:
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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 |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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