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Constipation-Related Emergency Department Use, and Associated Clinic Visits among Children.

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eMediNexus    17 August 2018

The goal of a new study published in Academic Pediatrics was to determine the frequency of constipation-related Emergency Department (ED) visits in a large commercially insured population; the frequency of a clinic visit in the month before and after these visits; demographic characteristics associated with these visits; and the ED-associated payments. In this study, a data review was conducted from the Truven MarketScan database for commercially insured children, from 2012 to 2013. Data on the presence and timing of clinic visits within 30 days before and after an ED constipation visit and demographic variables were extracted. Overall, 2.6% of the children population were identified with constipation, of which 65,163 (14.5%) had an ED visit for constipation. Of all children with a constipation-related ED visit, 45% did not visit a clinic, 30 days before or after the ED visit. On the other hand, older children had fewer clinic visits. Furthermore, the median payment by insurance for an ED constipation visit was $523, the median of the total of payment for each ED visit was $623. The results indicated that one in 7 children with constipation in this study population received ED care for constipation and a large number of these did not have an outpatient visit in the month before or after. In conclusion, it was stated that primary care utilization for constipation should be encouraged.

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