Table 3.
| Most Common Gastrointestinal and Pancreatic Principal Diagnoses From Emergency Department Visits, 2012
| |||||||
|---|---|---|---|---|---|---|---|
| Rank | Diagnosisa | Visits | Change from 2006 (%) | Rate of visits per 100,000 persons | Hospitalized from Emergency Department (%) | Death (%)a | ICD-9-CM Codes |
| 1 | Abdominal pain | 5,733,676 | +27 | 1,827 | 124,840 (2.2) | 834 (0.01) | 789.0, 789.6 |
| 2 | Nausea and vomiting | 1,937,744 | +35 | 617 | 36,755 (1.9) | 364 (0.02) | 787.0 |
| 3 | Noninfectious gastroenteritis/colitis | 1,200,159 | −24 | 382 | 118,863 (9.9) | 314 (0.03) | 558.9 |
| 4 | Gastrointestinal hemorrhage | 796,323 | +10 | 254 | 435,072 (54.6) | 10,393 (1.3) | 456.0, 456.20, 530.21, 530.7, 530.82, 531.0, 531.2, 531.4, 531.6, 532.0, 532.2, 532.4, 532.6, 533.0, 533.2, 533.4, 533.6, 534.0, 534.2, 534.4, 534.6, 535.01, 535.11, 535.21, 535.31, 535.41, 535.51, 535.61, 535.71, 537.83, 562.02, 562.03, 562.12, 562.13, 569.85, 569.86, 569.3, 578, 772.4 |
| 5 | Constipation | 799,614 | +61 | 255 | 50,587 (6.3) | 507 (0.06) | 564.00, 564.09, 560.32 |
| 6 | Cholelithiasis and cholecystitis | 651,829 | +31 | 208 | 309,436 (47.5) | 1,285 (0.20) | 574, 575.0 – 575.2 |
| 7 | Gastritis/duodenitis | 603,407 | +17 | 192 | 65,560 (10.9) | 99 (0.02) | 535.00, 535.10, 535.20, 535.30, 535.40, 535.50, 535.60, 535.70 |
| 8 | Diarrhea | 534,870 | +28 | 170 | 22,061 (4.1) | 161 (0.03) | 009.2, 009.3, 564.5, 787.91 |
| 9 | Gastrointestinal infectionb | 372,466 | +5 | 119 | 105,079 (28.2) | 240 (0.06) | 001, 002, 003, 004, 005, 006, 007, 009, 008.00– 008.44, 008.46–008.8 |
| 10 | Appendicitis | 358,208 | +8 | 114 | 224,956 (62.8) | 164 (0.05) | 540–542 |
| 11 | Diverticulitis without hemorrhage | 333,464 | +31 | 106 | 157,562 (47.3) | 830 (0.3) | 562.11 |
| 12 | Acute pancreatitis | 330,561 | +12 | 105 | 239,839 (72.6) | 1,695 (0.5) | 577.0 |
| 13 | Gastroesophageal reflux | 324,359 | +4 | 103 | 43,296 (13.3) | 20 (0.01) | 530.81, 530.11, 787.1 |
| Selected Gastrointestinal and Liver Principal Diagnoses From Emergency Department Visits, 2012
| ||||||
|---|---|---|---|---|---|---|
| Diagnosis | Visits | Change from 2006 (%) | Rate of visits per 100,000 persons | Hospitalized from Emergency Department (%) | Death (%)a | ICD-9-CM Codes |
| Functional/motility disordersb | 941,202 | +39 | 300 | 88,351 (9.4) | 377 (0.04) | 530.0, 530.5, 536.2, 536.3, 536.8, 536.9, 564, 306.4 |
| Liver disease and viral hepatitis | 288,678 | +24 | 92 | 187,938 (65.1) | 9501 (3.3) | 070, 570–573, 789.5, 789.59, 567.23, 456.1, 456.21 |
| Alcoholic liver disease | 64,912 | −0.5 | 21 | 51,572 (79.5) | 2259 (3.5) | 571.0–571.3 |
| Hepatitis C | 33,237 | +176 | 11 | 26,906 (80.9) | 1046 (3.5) | 070.7,070.41, 070.44, 070.51, 070.54 |
| Hepatitis B | 4,477 | +29 | 1 | 3,672 (82.0) | 149 (3.3) | 070.2, 070.3 |
| Ascites or spontaneous bacterial peritonitis | 48,346 | +87 | 15 | 12,215 (25.3) | 418 (0.9) | 789.5, 789.59, 567.23 |
| Hepatic encephalopathy | 50,446 | +18 | 16 | 43,065 (85.4) | 2569 (5.09) | 572.2 |
| GI disorders during pregnancyc | 254,190 | +19 | 81 | 13,357 (5.3) | – | 643, 646.7 |
| Upper GI bleedingd,e | 226,580 | −5 | 72 | 180,767 (79.8) | 3,739 (1.7) | 456.0, 456.20, 530.21,530.7, 530.82, 531.0, 531.2, 531.4, 531.6, 532.0, 532.2, 532.4, 532.6, 533.0, 533.2, 533.4, 533.6, 534.0, 534.2, 534.4, 534.6, 535.01, 535.11, 535.21, 535.31, 535.41, 535.51, 535.61, 535.71, 537.83, 569.86, 578.0 |
| Lower GI bleedinge | 342,102 | +17 | 109 | 13 7,288 (40.1) | 2,086 (0.6) | 562.02, 562.03, 562.12, 562.13, 569.85, 569.3, 578.1 |
| Foreign body in intestinal tract | 184,503 | +18 | 59 | 11,703 (6.3) | 45 (0.02) | 935.1–938 |
| C. difficile infection | 118,834 | +51 | 38 | 103,773 (87.3) | 2321 (2.0) | 008.45 |
| Inflammatory bowel diseases | 125,755 | +38 | 40 | 71,609 (56.9) | 186 (0.2) | 555, 556 |
| Crohn’s disease | 86,652 | +38 | 28 | 45,881 (52.9) | 28 (0.03) | 555 |
| Ulcerative Colitis | 39,103 | +40 | 13 | 25,728 (65.8) | 146 (0.4) | 556 |
| Dysphagia | 71,042 | +18 | 23 | 8,353 (11.8) | 105 (0.2) | 787.2 |
| Chronic pancreatitis | 35,695 | +2 | 11 | 10,609 (29.7) | 39 (0.1) | 787.2 |
| Eating Disorders | 4,564 | +14 | 2 | 1,421 (13.1) | – | 307.51, 307.1, 307.50, 307.59 |
Includes deaths in ED and in hospital deaths for patients admitted from ED with corresponding diagnoses
Does not include Clostridium difficile infections
Source: HCUP Nationwide Emergency Department Sample (http://www.hcup-us.ahrq.gov/nedsoverview.jsp)
Includes deaths in ED and in hospital deaths for patients admitted from ED with corresponding diagnoses
Includes esophageal (e.g. achalasia), gastric (e.g. dyspepsia), and intestinal (e.g. irritable bowel syndrome) functional/motility syndromes. Also includes some constipation and diarrhea codes from Table 3
Too few deaths to generate an estimate
Does not include codes for bleeding varices, which are included in the “gastrointestinal hemorrhage” category.
Does not include “Gastrointestinal hemorrhage NOS (578.9). Upper and lower GI bleeding are subcategories of “gastrointestinal hemorrhage” category.
Source: HCUP Nationwide Emergency Department Sample (http://www.hcup-us.ahrq.gov/nedsoverview.jsp)