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Papers of the Week

2020 Nov 11

Am J Emerg Med

Racial and ethnic disparities in hospital observation in Maryland.


Cichowitz C, Loevinsohn G, Klein EY, Colantuoni E, Galiatsatos P, Rennert J, Irvin NA
Am J Emerg Med. 2020 Nov 11.
PMID: 33243537.


Hospital observation is a key disposition option from the emergency department (ED) and encompasses up to one third of patients requiring post-ED care. Observation has been associated with higher incidence of catastrophic financial costs and has downstream effects on post-discharge clinical services. Yet little is known about the non-clinical determinants of observation assignment. We sought to evaluate the impact of patient-level demographic factors on observation designation among Maryland patients.