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Reasons for Hospitalizations and Emergency Department Visits Among Patients with Essential Tremor Cover

Reasons for Hospitalizations and Emergency Department Visits Among Patients with Essential Tremor

Open Access
|Sep 2024

Figures & Tables

Table 1

Comparison of demographic characteristics and Charlson Comorbidity Index (CCI) co-morbidities between inpatient admissions among the unadjusted and matched samples. Continuous variables are reported as medians with interquartile range. *Four admissions in the unadjusted sample were missing data regarding race and were not included in the matched sample. Abbreviations: AIDS, acquired immune deficiency syndrome; HIV, human immunodeficiency virus.

UNADJUSTEDPROPENSITY-SCORE MATCHED
COVARIATECONTROL ADMISSIONS (TOTAL N = 157,594) n (%)ET ADMISSIONS (TOTAL N = 893) n (%)STANDARDIZED MEAN DIFFERENCECONTROL ADMISSIONS (TOTAL N = 888) n (%)ET ADMISSIONS (TOTAL N = 888) n (%)STANDARDIZED MEAN DIFFERENCE
Age, years63.7 (47.6 – 74.3)73.1 (67.5 – 79.9)0.7873.2 (65.3 – 82.3)73.1 (67.4 – 79.9)0.02
Female84,891 (53.9)474 (53.1)–0.02443 (49.9)471 (53.0)0.06
Race*–0.520.05
    White97,018 (63.2)779 (87.6)795 (89.5)778 (87.6)
    Black42,130 (27.4)87 (9.8)80 (9.0)87 (9.8)
    Asian6,077 (4.0)9 (0.9)4 (0.5)9 (1.0)
    American Indian or Alaskan Native328 (0.2)000
    Native Hawaiian or Pacific Islander309 (0.2)000
    Other or Unknown7,702 (5.0)14 (1.6)9 (1.0)14 (1.6)
CCI co-morbidities
    Myocardial infarction15,274 (9.7)88 (9.9)0.0081 (9.1)88 (9.9)0.03
    Congestive heart failure34,646 (22.0)195 (21.8)–0.01172 (19.4)195 (22.0)0.06
    Peripheral vascular disease24,549 (15.6)203 (22.7)0.18171 (29.3)202 (22.7)0.09
    Cerebrovascular disease28,600 (18.1)205 (23.0)0.12203 (22.9)204 (23.0)0.00
    Dementia8,226 (5.2)83 (9.3)0.1679 (8.9)83 (9.3)0.02
    Chronic pulmonary disease38,251 (24.3)285 (31.9)0.17244 (27.5)284 (32.0)0.10
    Rheumatic disease6,604 (4.2)64 (7.2)0.1362 (7.0)63 (7.1)0.01
    Peptic ulcer disease4,582 (2.9)34 (3.8)0.0533 (3.7)34 (3.8)0.01
    Liver disease, mild12,695 (8.1)97 (10.9)0.09101 (11.4)97 (10.9)–0.02
    Diabetes without complications44,183 (28.0)317 (35.5)0.16315 (35.5)315 (35.5)0.00
    Renal disease, mild to moderate27,649 (17.5)228 (25.5)0.19200 (22.5)227 (25.6)0.07
    Diabetes with complications44,183 (28.0)317 (35.5)0.16315 (35.5)315 (35.5)0.00
    Hemiplegia or paraplegia2,251 (1.4)24 (2.7)0.0927 (3.0)23 (2.6)–0.03
    Any malignancy42,683 (27.1)274 (30.7)0.07280 (31.5)273 (30.7)–0.02
    Liver disease, moderate to severe2,711 (1.7)11 (1.2)–0.0411 (1.2)11 (1.2)0.00
    Renal disease, severe10,785 (6.8)41 (4.6)–0.1043 (4.8)41 (4.6)–0.01
    HIV infection, no AIDS1,971 (1.3)7 (0.8)–0.0514 (1.6)7 (0.8)–0.08
    Metastatic solid tumor7,144 (4.5)32 (3.6)–0.0629 (3.3)31 (3.5)0.01
    AIDS681 (0.4)3 (0.3)–0.028 (0.9)3 (0.3)–0.09
tohm-14-1-934-g1.png
Figure 1

Odds of inpatient admission associated with each diagnostic category among admissions of patients with essential tremor (ET) (n = 888) compared to matched admissions among control patients without ET (n = 888). Odds of ophthalmologic and wound-related admissions were omitted from the plot due to the CI widths. Due to multiple comparisons, statistical significance was defined as a p-value of less than 0.002. Abbreviations: CI confidence interval; SCI spinal cord injury; TBI traumatic brain injury.

Table 2

Comparison of demographic characteristics and Charlson Comorbidity Index (CCI) co-morbidities between emergency department (ED) visits among the unadjusted and matched samples. Continuous variables are reported as medians with interquartile range. *Two ED visits in the unadjusted sample were missing data regarding race and were not included in the matched sample. Abbreviations: AIDS acquired immune deficiency syndrome; HIV human immunodeficiency virus.

UNADJUSTEDPROPENSITY-SCORE MATCHED
COVARIATECONTROL ED VISITS(TOTAL N = 335,417) n (%)ET ED VISITS(TOTAL N = 1,116) n (%)STANDARDIZED MEAN DIFFERENCECONTROL ED VISITS(TOTAL N = 1,114) n (%)ET ED VISITS(TOTAL N = 1,114) n (%)STANDARDIZED MEAN DIFFERENCE
Age, years34.2 (25.1 – 52.8)69.5 (57.9 – 78.3)1.4670.3 (58.6 – 81.7)69.6 (57.9 – 78.3)–0.10
Female181,165 (54.0)643 (57.6)0.07617 (55.4)643 (57.7)0.05
Race*–0.520.07
    White146,843 (46.8)826 (74.1)870 (78.1)826 (74.1)
    Black117,255 (37.4)220 (19.7)189 (17.0)220 (19.7)
    Asian20,372 (6.5)24 (2.2)17 (1.5)24 (2.2)
    American Indian or Alaskan Native944 (0.3)000
    Native Hawaiian or Pacific Islander937 (0.3)000
    Other or Unknown27,576 (8.8)44 (3.9)38 (3.4)44 (3.9)
CCI co-morbidities
    Myocardial infarction5,954 (1.8)53 (4.7)0.1673 (6.6)53 (4.8)–0.10
    Congestive heart failure10,309 (3.1)161 (14.4)0.40166 (14.9)161 (14.5)–0.02
    Peripheral vascular disease7,742 (2.3)183 (16.4)0.49159 (14.3)183 (16.4)0.08
    Cerebrovascular disease14,170 (4.2)220 (19.7)0.48184 (16.5)220 (19.7)0.20
    Dementia5,505 (1.6)101 (9.1)0.3395 (8.5)101 (9.1)0.02
    Chronic pulmonary disease58,458 (17.4)390 (34.9)0.39359 (32.2)389 (34.9)0.06
    Rheumatic disease4,695 (1.4)72 (6.5)0.2655 (4.9)77 (6.5)0.08
    Peptic ulcer disease3,388 (1.0)44 (3.9)0.1930 (2.7)44 (3.9)0.08
    Liver disease, mild8,492 (2.5)94 (8.4)0.2690 (8.1)94 (8.4)0.02
    Diabetes without complications32,597 (9.7)347 (31.1)0.55308 (27.6)347 (31.1)0.09
    Renal disease, mild to moderate8,575 (2.6)205 (18.4)0.53188 (16.9)205 (18.4)0.05
    Diabetes with complications32,597 (9.7)347 (31.1)0.55308 (27.6)347 (31.1)0.09
    Hemiplegia or paraplegia1,228 (0.4)13 (1.2)0.0916 (1.4)13 (1.2)–0.03
    Any malignancy17,693 (5.3)248 (22.2)0.50231 (20.7)248 (22.3)0.05
    Liver disease, moderate to severe843 (0.3)4 (0.4)0.026 (0.5)4 (0.4)–0.03
    Renal disease, severe3,151 (0.9)43 (3.9)0.1949 (4.4)43 (3.9)–0.03
    HIV infection, no AIDS2,784 (0.8)19 (1.7)0.0814 (1.3)19 (1.7)0.04
    Metastatic solid tumor1,940 (0.6)16 (1.4)0.0813 (1.2)16 (1.4)0.03
    AIDS384 (0.1)0–0.05000.00
tohm-14-1-934-g2.png
Figure 2

Odds of emergency department (ED) visits associated with each diagnostic category among ED visits of patients with essential tremor (ET) (n = 1,114) compared to matched control ED visits among patients without ET (n = 1,114). Odds of burn-related visits were omitted from the plot due to the CI width. Due to multiple comparisons, statistical significance was defined as a p-value of less than 0.002. Abbreviations: CI confidence interval; SCI spinal cord injury; TBI traumatic brain injury.

DOI: https://doi.org/10.5334/tohm.934 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jul 12, 2024
Accepted on: Sep 15, 2024
Published on: Sep 23, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Susanna Howard, Ellie Gabriel, Ritesh Karsalia, Dominick Macaluso, Jesse Y. Hsu, Liming Qiu, Neil R. Malhotra, Iahn Cajigas, Whitley Aamodt, John Farrar, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.