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Table 2 Emergency Department CT use by Study Year and Demographics

From: Access to primary care and computed tomography use in the emergency department

 

No CT Ordered During ED Visit (N = 497,894)

CT Ordered During ED Visit (N = 98,001)

Overall (N = 595,895)

Odds of Receiving a CT (95% CI)

Age (years)

 Mean (SD)

39.5 (25.95)

52.6 (23.03)

41.6 (25.95)

 

Age Group

  < 18

120,840 (95.2%)

6050 (4.8%)

126,890 (21.3%)

ref.

 18–34

112,055 (85.4%)

19,105 (14.6%)

131,160 (22%)

3.41 (3.31, 3.51)

 35–49

85,501 (82%)

18,802 (18%)

104,303 (17.5%)

4.39 (4.26, 4.53)

 50–64

75,231 (79.2%)

19,741 (20.8%)

94,972 (15.9%)

5.24 (5.09, 5.40)

 65–79

63,687 (76.4%)

19,714 (23.6%)

83,401 (14%)

6.18 (6.00, 6.38)

  > 79

40,580 (73.6%)

14,589 (26.4%)

55,169 (9.3%)

7.18 (7.00, 7.41)

Patient gender

 F

257,526 (83.3%)

51,674 (16.7%)

309,200 (51.9%)

ref.

 M

240,368 (83.8%)

46,327 (16.2%)

286,695 (48.1%)

0.96 (0.95, 0.97)

Year

 2003

47,397 (85.8%)

7844 (14.2%)

55,241 (9.3%)

ref.

 2004

47,410 (84.6%)

8653 (15.4%)

56,063 (9.4%)

1.10 (1.07, 1.14)

 2005

53,593 (85.6%)

8980 (14.4%)

62,573 (10.5%)

1.01 (0.98, 1.05)

 2006

52,694 (83.6%)

10,342 (16.4%)

63,036 (10.6%)

1.19 (1.15, 1.22)

 2007

52,006 (83.6%)

10,176 (16.4%)

62,182 (10.4%)

1.18 (1.15, 1.22)

 2008

51,588 (82.7%)

10,818 (17.3%)

62,406 (10.5%)

1.27 (1.23, 1.31)

 2009

50,534 (82.3%)

10,832 (17.7%)

61,366 (10.3%)

1.30 (1.26, 1.34)

 2010

50,258 (82%)

11,010 (18.0%)

61,268 (10.3%)

1.32 (1.28, 1.37)

 2011

48,411 (82.3%)

10,382 (17.7%)

58,793 (9.9%)

1.30 (1.26, 1.34)

 2012

44,003 (83.1%)

8964 (16.9%)

52,967 (8.9%)

1.23 (1.19, 1.27)

Chronic Conditions

 Hypertension

39,825 (8.0%)

15,231 (15.5%)

55,056 (9.2%)

2.12 (2.07, 2.16)

 Cardiac Dysrhythmias

22,000 (4.4%)

6572 (6.7%)

28,572 (4.8%)

1.56 (1.51, 1.60)

 Asthma/COPD

22,101 (4.4%)

4550 (4.6%)

26,651 (4.5%)

1.05 (1.02, 1.08)

 Coronary Atherosclerosis

20,565 (4.1%)

5614 (5.7%)

26,179 (4.4%)

1.41 (1.37, 1.45)

 Depression

21,352 (4.3%)

3378 (3.4%)

24,730 (4.2%)

0.80 (0.77, 0.83)

 Diabetes

18,718 (3.8%)

5756 (5.9%)

24,474 (4.1%)

1.60 (1.55, 1.65)

 Hyperlipidemia

16,246 (3.3%)

5975 (6.1%)

22,221 (3.7%)

1.93 (1.87, 1.98)

 Malignancies

15,034 (3.0%)

6569 (6.7%)

21,603 (3.6%)

2.31 (2.24, 2.38)

 Congestive Heart Failure

12,154 (2.4%)

3000 (3.1%)

15,154 (2.5%)

1.26 (1.21, 1.31)

 Personality Disorders

10,846 (2.2%)

1527 (1.6%)

12,373 (2.1%)

0.71 (0.67, 0.75)

No. Chronic Conditions

    

 None

343,771 (69.1%)

49,989 (51.0%)

393,760 (66.1%)

ref.

 1–2

106,338 (21.4%)

31,191 (31.8%)

137,529 (23.1%)

2.02 (1.98, 2.05)

 3+

47,785 (9.6%)

16,821 (17.2%)

64,606 (10.8%)

2.42 (2.37, 2.47)

ED Departure Status

 Admitted

85,750 (69.4%)

37,833 (30.6%)

123,583 (20.7%)

 

 Discharged

412,144 (87.3%)

60,168 (12.7%)

472,312 (79.3%)

 

Race/Ethnicity

 White

425,872 (82.9%)

87,916 (17.1%)

513,788 (86.2%)

ref.

 Black

26,599 (89.4%)

3146 (10.6%)

29,745 (5%)

0.57 (0.55, 0.60)

 Hispanic

12,730 (87.5%)

1826 (12.5%)

14,556 (2.4%)

0.70 (0.66, 0.73)

 Asian

8156 (86.1%)

1317 (13.9%)

9473 (1.6%)

0.78 (0.74, 0.83)

 Other

24,537 (86.6%)

3796 (13.4%)

28,333 (4.8%)

0.75 (0.72, 0.78)

Primary Care Provider

 No

214,304 (80.2%)

52,982 (19.8%)

267,286 (44.9%)

1.57 (1.54, 1.58)

 Yes

283,590 (86.3%)

45,019 (13.7%)

328,609 (55.1%)

ref.

  1. All p-values are significant at the < 0.001 level, other than 2005 vs. Ref which was p = 0.46 and asthma p = 0.004