Bleeding-related diagnosesICD-9 6262 Excessive or frequent menstruation 6268 Other disorders of menstruation and other abnormal bleeding from female genital tract 6271 Postmenopausal bleeding 6269 Unspecified disorders of menstruation and other abnormal bleeding from female genital tract 6266 Metrorrhagia 6264 Irregular menstrual cycle 6270 Premenopausal menorrhagia 2859 Anemia, unspecified 2800 Iron deficiency anemia secondary to blood loss (chronic) 2851 Acute posthemorrhagic anemia 28529 Anemia of other chronic disease 2858 Other specified anemias 2809 Iron deficiency anemia, unspecified ICD-10 N939 Abnormal uterine and vaginal bleeding, unspecified N938 Other specified abnormal uterine and vaginal bleeding N920 Excessive and frequent menstruation with regular cycle N921 Excessive and frequent menstruation with irregular cycle N926 Irregular menstruation, unspecified N9489 Oth cond assoc w female genital organs and menstrual cycle N924 Excessive bleeding in the premenopausal period N949 Unsp cond assoc w female genital organs and menstrual cycle D509 Iron deficiency anemia, unspecified
ventable readmission was one that could have been prevented if the patient had received correct counseling, diagnosis, or management at the index admission. Our primary outcome was frequency of ED readmission among English versus Spanish speakers. This protocol was approved for IRB exemption by the University of Texas.RESULTS: Threatened abortion was the most common diagnosis among both groups. Readmissions were more frequent among Spanish speakers (40% versus 26% [P 5.01]). Preventable readmissions were more common among Spanish speakers (31% versus 25%). The majority of preventable readmissions (81%) among Spanish speakers could have been prevented if correct management was offered, compared to 25% in English speakers (P 5.03).CONCLUSION: Spanish and English speakers present with similar types of early pregnancy concerns, but Spanish speakers are not offered management of early pregnancy concerns at the same frequency. Standardization of care for early pregnancy concerns in the ED may help reduce language-based disparities in quality and equity of care.
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