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Trends in emergency department visits among adolescents with abnormal uterine bleeding

Journal of Pediatric and Adolescent Gynecology Mar 17, 2020

Rosen MW, et al. - Researchers conducted a retrospective cross-sectional study using Nationwide Emergency Department Sample database (Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality, Rockville, MD) to determine trends in the utilization of the emergency department (ED) for adolescents with abnormal uterine bleeding (AUB). They identified reporting of nearly 262,939 ED visits nationally for women aged 10-49 for AUB in 2014; 12.7% of these (33,511) were from adolescents aged 10-19. From 2010-2014, there was a decline in the number of adolescent visits with an AUB diagnosis by 11% (37,642 vs 33,511), while there was no significant change in visits by patients aged 20-49 (215,309 vs 229,428). From 2010-2014, a slight increase in the number of adolescent visits for which Medicaid was the primary payer was noted, from 17,283 to 18,785, while there was decrease in the number using self-pay from 8,769 (23.4%) in 2010 to 5,146 (15.4%) in 2014.

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