Abstract：
:Sickle cell disease (SCD) is a hematological disorder that is manifested primarily by severe pain and chronic organ damage. Little normative data exists on what the usual healthcare utilization is of a population of SCD patients, especially adults. Our study analyzed the office, emergency department (ED) and hospital use data for 142 patients who received care for three consecutive years. Relationships between health service use, patient age, gender and sickle cell phenotype were described. Multivariate analyses studied relationships between demographic and clinical characteristics and levels of office, independent ED and inpatient encounters over a five-year period (1997-2001). We found female patients were older and had less ED and hospital admissions. The 20% highest inpatient utilizers accounted for 54% of the ED total visits, 52% of the ED independent visits, 54% of hospital bed days and 24% of office visits. The ED was a common place for utilization, with a mean of 7.4 visits per patient year, a third of which resulted in a hospital admission. The healthcare utilization of our adult sickle cell population is very complex, with a subset of our patients accounting for a majority of the resources used and female patients living longer but with less ED and hospital admissions.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Epstein K,Yuen E,Riggio JM,Ballas SK,Moleski SMsubject
Has Abstractpub_date
2006-07-01 00:00:00pages
1109-13issue
7eissn
0027-9684issn
1943-4693journal_volume
98pub_type
杂志文章abstract：BACKGROUND:African Americans experience high rates of obesity and other chronic diseases, which may be related, in part, to diet. However, little is known about dietary patterns in this population, particularly from population-based data sources. METHODS:A cross-sectional analysis was conducted of 2,172 African-Americ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-12-01 00:00:00
abstract：:Multiple Myeloma (MM) is a neoplastic disorder derived from the malignant proliferation of monoclonal plasma cells. It is characterized by the overproduction of immunoglobulins (Ig). We report a rare case in which bulbar palsy was the initial manifestation of IgG-MM. A 66-year-old woman initially presented with progre...
journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
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更新日期：1986-05-01 00:00:00
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journal_title：Journal of the National Medical Association
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doi：10.1016/s0027-9684(15)30298-4
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
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更新日期：1987-07-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1983-04-01 00:00:00
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journal_title：Journal of the National Medical Association
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更新日期：1985-06-01 00:00:00
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journal_title：Journal of the National Medical Association
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doi：
更新日期：2004-07-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
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更新日期：1998-04-01 00:00:00
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
pub_type： 社论
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更新日期：2004-04-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-08-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-04-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章,多中心研究
doi：
更新日期：1997-10-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-07-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-06-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
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journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2002-08-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 共识发展会议,杂志文章,评审
doi：
更新日期：2002-02-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1990-04-01 00:00:00
