{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:18:10Z","timestamp":1790561890297,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Pulmonary embolism (PE) poses substantial morbidity and mortality risks, necessitating timely and accurate management in emergency departments (EDs).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objectives:<\/jats:bold>\n                    This study explores the trends in PE presentations to US EDs from 2006 to 2018 and assesses the impact of different factors on management and cost.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methodology:<\/jats:bold>\n                    This is a retrospective descriptive study conducted using the US Healthcare Cost and Utilization Project (HCUP) PE ED visits database. Data on ED visits, dispositions, and related costs were collected and analyzed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    From 2006 to 2018 there were more than 2 million PE ED visits in the US. There was an increase in visits per 100,000 persons from 42.17 in 2006\u20132008 to 64.27 in 2016\u20132018 (\n                    <jats:italic>p<\/jats:italic>\n                    value &lt; 0.001). The proportion of uninsured patients declined from 5.07% to 4.70%, and the percentage of Medicaid\u2010insured patients increased. There was a decrease in the admission rates from 92.47% to 75.97% in 2016\u20132018 (\n                    <jats:italic>p<\/jats:italic>\n                    value &lt; 0.001). The mean cost per admitted patient increased from $32,794 to $47,344 in 2016\u20132018 (\n                    <jats:italic>p<\/jats:italic>\n                    value &lt; 0.001).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    From 2006 to 2018, PE ED visits in the US increased with a noticeable decrease in admission rates and length of stay, likely secondary to advancement in diagnostic and therapeutic modalities like computed tomography pulmonary angiography and novel oral anticoagulants. However, the observed rising healthcare costs pose challenges to sustainable management. Further research studies are needed to address cost\u2010effective strategies.\n                  <\/jats:p>","DOI":"10.1155\/emmi\/6610196","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T05:49:11Z","timestamp":1737352151000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["National Trends in Pulmonary Embolism Visit in United State Emergency Departments and Associated Costs (2006\u20132018)"],"prefix":"10.1155","volume":"2025","author":[{"given":"Ahmad","family":"Aalam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7374-3329","authenticated-orcid":false,"given":"Diyaa","family":"Bokhary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awad","family":"Alsabban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Bakhribah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01647-2019"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9103221"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-020-02340-0"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/M14-1772"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12221"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu283"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1113572"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1302507"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2008.02944.x"},{"key":"e_1_2_11_10_2","unstructured":"Healthcare Cost and Utilization Project (HCUP) Collection of Longitudinal Hospital Care Data in the United States https:\/\/hcup-us.ahrq.gov\/."},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.2662"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.016784"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.opresp.2022.100188"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2020.12.056"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/jth.13868"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v12.i5.161"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12170-020-00659-z"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S85635"}],"container-title":["Emergency Medicine International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/emmi\/6610196","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/emmi\/6610196","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/emmi\/6610196","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T19:11:11Z","timestamp":1773774671000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/emmi\/6610196"}},"subtitle":[],"editor":[{"given":"Canan","family":"Akman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/emmi\/6610196"],"URL":"https:\/\/doi.org\/10.1155\/emmi\/6610196","archive":["Portico"],"relation":{},"ISSN":["2090-2840","2090-2859"],"issn-type":[{"value":"2090-2840","type":"print"},{"value":"2090-2859","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-09-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6610196"}}