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The median hospital's charge for an observation visit in 2005 was $5,438.
Patients evaluated and discharged from the ED without a subsequent observation visit or inpatient hospitalization were not included.
The DHCFP links observation visit codes to inpatient hospitalization codes to ensure appropriate comparison of frequency data.
Patients with an observation visit or an inpatient hospitalization in a Massachusetts acute care hospital from 2003 to 2006 were included.
For nonspecific chest pain, we calculated the difference between average charges for an inpatient hospitalization and an observation visit by CCS conditions.
Our primary outcome was the "Observation Proportion" (pOBS), defined as the percent of patients who had an observation visit among all patients with an observation visit or inpatient hospitalization for a CCS condition: Secondary outcomes include total observation and inpatient charges for each CCS condition at the hospital level.
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Hand washing conditions and practice after latrine use were graphed at baseline and the four subsequent follow-up observation visits to show the variability observed between visits and overall trends over time within each study arm and between study arms.
The next most frequently observed conditions were: syncope (14,882 visits; 2.8% of all observation visits), abdominal pain (13,573; 2.5%), fluid and electrolyte disorders (12,121; 2.3%) and asthma (8,491; 1.6%).
During the course of the study, actual cases of newborn resuscitation were observed and evaluated as often as they presented during the observation visits.
Nonspecific chest pain was the most frequently observed condition, with 85,843 evaluations accounting for 16.3% of statewide observation visits over the 4-year period.
These false-positive troponin tests often lead to stress tests, observation visits with expensive co-pays and sometimes invasive cardiac angiograms.
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