The aim of this study was to analyze the incidence and associated charges of fecal impaction
for trends in hospital and patient demographics in emergency departments (ED) across the United States.
In 2010, an ICD-9-CM code (560.32) for fecal impaction
was introduced, allowing for assessment of fecal impaction
Data were obtained from the National Emergency Department
Sample records in which fecal impaction
(ICD-9-CM code 560.32) was first listed as a diagnosis in 2011.
In 2011, there were 42,481 [95% confidence interval (CI), 39,908-45,054] fecal impaction
ED visits, with an overall rate of 32 fecal impaction
visits per 100,000 ED visits. Adjusted for inflation in 2014 dollars, the associated mean charge of a fecal impaction
ED visit was $3060.47 (95% CI, $2943.02-$3177.92), with an aggregate national charge in the US of $130,010,772 (95% CI, $120,688,659-$139,332,885). All charges were adjusted for inflation and reported in 2014 dollars. Late elders (85+ y) had the highest rate of fecal impaction
ED visits, followed by early elders (65 to 84 y). Medicare was the primary payer for the greatest number of fecal impaction
ED visits accounting for nearly two thirds of visit payments.
This study reports previously unexplored statistics on the number, frequency, and associated charges of ED visits with a primary diagnosis of fecal impaction
, a condition found most commonly among elders.