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Table 1 Utilization of observation evaluation for common emergency conditions, Massachusetts 2003–2006

From: Variation in the use of observation status evaluation in Massachusetts acute care hospitals, 2003–2006

 

Hospitals

Patients observed

Inpatient discharges

pOBS

Trend across years

Observation chargesa

Clinical condition (CCS)(6)

n

n Median (min, max)

n Median (min, max)

% Median (min, max)

P

Median, $ (min, max)

Nonspecific chest pain (102)

74

912 (50, 4,686)

680 (15, 3,474)

59.0% (25.1, 94.9)

<0.0001

$5,438 (3,104, 11,633)

Fluid and electrolyte disorders (55)

59

112 (20, 760)

416 (21, 2,077)

21.8% (8.3, 69.5)

<0.0001

$3,910 (2,116, 8,464)

Syncope (245)

63

189 (25, 1,112)

348 (22,1,549)

37.7% (14.2, 81.9)

<0.0001

$5,658 (2,468, 11,745)

Abdominal pain (251)

58

142 (20, 2,337)

208 (3, 737)

47.5 % (17.7, 88.5)

0.56

$5,361 (2,840, 11,530)

Asthma (128)

39

138 (21, 964)

425 (62, 2,820)

22.4% (7.1, 51.4)

<0.0001

$3,784 (2,174, 6,401)

Congestive heart failure, non-hypertensive (108)

19

62 (20, 188)

503 (39, 1,919)

8.4% (4.6, 35)

0.26

$5,370 (2,867, 27,395)

  1. P values are based on the Mantel-Haensel test for trend
  2. aObservation charges from 2005