{"id":"https://openalex.org/W4281656707","doi":"https://doi.org/10.1002/emp2.12741","title":"Antibiotic and antitussive prescribing among urgent care and emergency department visits for respiratory diagnoses in a large health system","display_name":"Antibiotic and antitussive prescribing among urgent care and emergency department visits for respiratory diagnoses in a large health system","publication_year":2022,"publication_date":"2022-05-30","ids":{"openalex":"https://openalex.org/W4281656707","doi":"https://doi.org/10.1002/emp2.12741","pmid":"https://pubmed.ncbi.nlm.nih.gov/35662900","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9149652"},"language":"en","primary_location":{"id":"doi:10.1002/emp2.12741","doi":"https://doi.org/10.1002/emp2.12741","is_oa":true,"landing_page_url":"https://doi.org/10.1002/emp2.12741","pdf_url":null,"source":{"id":"https://openalex.org/S4210207081","display_name":"Journal of the American College of Emergency Physicians Open","issn_l":"2688-1152","issn":["2688-1152"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACEP Open","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1002/emp2.12741","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053960058","display_name":"Marina Zakharevich","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marina Zakharevich","raw_affiliation_strings":["Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000280780","display_name":"Matthew Kippenhan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew A. Kippenhan","raw_affiliation_strings":["Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001807731","display_name":"Alice C. Lu","orcid":"https://orcid.org/0000-0001-7463-1882","observed_orcids":["https://orcid.org/0000-0001-7463-1882"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alice Lu","raw_affiliation_strings":["Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090218751","display_name":"Daniel Mark Courtney","orcid":"https://orcid.org/0000-0002-0905-465X","observed_orcids":["https://orcid.org/0000-0002-0905-465X"]},"institutions":[{"id":"https://openalex.org/I867280407","display_name":"The University of Texas Southwestern Medical Center","ror":"https://ror.org/05byvp690","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I867280407"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"D. Mark Courtney","raw_affiliation_strings":["Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA","institution_ids":["https://openalex.org/I867280407"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072138553","display_name":"Danielle M. McCarthy","orcid":"https://orcid.org/0000-0002-9038-2852","observed_orcids":["https://orcid.org/0000-0002-9038-2852"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Danielle M. McCarthy","raw_affiliation_strings":["Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5069145827","display_name":"Howard S. Kim","orcid":"https://orcid.org/0000-0002-1934-4829","observed_orcids":["https://orcid.org/0000-0002-1934-4829"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Howard S. Kim","raw_affiliation_strings":["Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5069145827"],"corresponding_institution_ids":["https://openalex.org/I111979921"],"apc_list":{"value":2200,"currency":"USD","value_usd":2200},"apc_paid":{"value":2200,"currency":"USD","value_usd":2200},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.06550449,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"3","issue":"3","first_page":"e12741","last_page":"e12741"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9672999978065491,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9672999978065491,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.019099999219179153,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.0034000000450760126,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antibiotic-prescribing","display_name":"antibiotic prescribing","score":0.9599999785423279},{"id":"https://openalex.org/keywords/opioid-prescribing","display_name":"opioid prescribing","score":0.953000009059906},{"id":"https://openalex.org/keywords/urgent-care-centers","display_name":"urgent care centers","score":0.8830000162124634},{"id":"https://openalex.org/keywords/emergency-department-visits","display_name":"emergency department visits","score":0.9660000205039978},{"id":"https://openalex.org/keywords/respiratory-tract-infections","display_name":"respiratory infections","score":0.9700000286102295},{"id":"https://openalex.org/keywords/codeine","display_name":"codeine","score":0.7590000033378601},{"id":"https://openalex.org/keywords/penicillin","display_name":"penicillin","score":0.8410000205039978},{"id":"https://openalex.org/keywords/macrolides","display_name":"macrolides","score":0.9990000128746033},{"id":"https://openalex.org/keywords/rational-antibiotic-use","display_name":"rational antibiotic use","score":0.6930000185966492},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9430000185966492}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9163181781768799},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.8191817998886108},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.6773939728736877},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.6725403070449829},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.634758710861206},{"id":"https://openalex.org/C2777866328","wikidata":"https://www.wikidata.org/wiki/Q174723","display_name":"Codeine","level":3,"score":0.5780783891677856},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5144608020782471},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.4578264355659485},{"id":"https://openalex.org/C2776012195","wikidata":"https://www.wikidata.org/wiki/Q754447","display_name":"Respiratory tract infections","level":3,"score":0.45476916432380676},{"id":"https://openalex.org/C2993183539","wikidata":"https://www.wikidata.org/wiki/Q754447","display_name":"Respiratory infection","level":3,"score":0.42317891120910645},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3777022957801819},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.3725161552429199},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3554171919822693},{"id":"https://openalex.org/C2777389121","wikidata":"https://www.wikidata.org/wiki/Q81225","display_name":"Morphine","level":2,"score":0.13140085339546204},{"id":"https://openalex.org/C170493617","wikidata":"https://www.wikidata.org/wiki/Q208467","display_name":"Receptor","level":2,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1002/emp2.12741","doi":"https://doi.org/10.1002/emp2.12741","is_oa":true,"landing_page_url":"https://doi.org/10.1002/emp2.12741","pdf_url":null,"source":{"id":"https://openalex.org/S4210207081","display_name":"Journal of the American College of Emergency Physicians Open","issn_l":"2688-1152","issn":["2688-1152"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACEP Open","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9149652","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9149652","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Am Coll Emerg Physicians Open","raw_type":"Text"},{"id":"pmid:35662900","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35662900","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American College of Emergency Physicians open","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:b396a144cfe74534a3737be402082db7","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/b396a144cfe74534a3737be402082db7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of the American College of Emergency Physicians Open, Vol 3, Iss 3, Pp n/a-n/a (2022)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/emp2.12741","doi":"https://doi.org/10.1002/emp2.12741","is_oa":true,"landing_page_url":"https://doi.org/10.1002/emp2.12741","pdf_url":null,"source":{"id":"https://openalex.org/S4210207081","display_name":"Journal of the American College of Emergency Physicians Open","issn_l":"2688-1152","issn":["2688-1152"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACEP Open","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320313711","display_name":"Davee Foundation","ror":"https://ror.org/00309wp03"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":13,"referenced_works":["https://openalex.org/W2042467034","https://openalex.org/W2070123858","https://openalex.org/W2091139031","https://openalex.org/W2296986887","https://openalex.org/W2347049117","https://openalex.org/W2417634322","https://openalex.org/W2588545823","https://openalex.org/W2589067153","https://openalex.org/W2883374826","https://openalex.org/W2891090032","https://openalex.org/W2898870962","https://openalex.org/W2951499921","https://openalex.org/W4292762969"],"related_works":["https://openalex.org/W3208401011","https://openalex.org/W2752900475","https://openalex.org/W2804013907","https://openalex.org/W4292512997","https://openalex.org/W1974339127","https://openalex.org/W3090134776","https://openalex.org/W2983779605","https://openalex.org/W2065541117","https://openalex.org/W4406948961","https://openalex.org/W2981740894"],"abstract_inverted_index":{"Objective:":[0],"Urgent":[1],"care":[2],"centers":[3],"(UCs)":[4],"commonly":[5,177],"evaluate":[6],"patients":[7,12],"with":[8,42,75,225],"respiratory":[9,43,83,140,227],"infections,":[10],"and":[11,34,39,56,114,129,147,160,166,169,172,183,192,197,207,213,222,243],"increasingly":[13],"prefer":[14],"UCs":[15,58],"to":[16,31,53,71,234],"emergency":[17],"departments":[18],"(EDs)":[19],"because":[20],"of":[21,27,51,79,89,117,203,237,246],"their":[22],"customer-centric":[23],"approach.":[24],"The":[25,153,175],"aim":[26],"this":[28],"study":[29,50],"is":[30,47],"describe":[32,86,111],"antibiotic":[33,94,128,146,238],"opioid":[35,179],"prescribing":[36,239],"among":[37,158],"UC":[38,137,161,198,223],"ED":[40,122,159,196,221],"visits":[41,52,66,90,138,162,224],"diagnoses.":[44,228],"Methods:":[45],"This":[46],"a":[48,76],"cross-sectional":[49],"7":[54],"EDs":[55],"6":[57],"in":[59,92,106,240,252],"the":[60,87,101,112,235,244],"greater":[61,232],"Chicago":[62],"area.":[63],"We":[64,85,109],"included":[65],"from":[67],"July":[68],"1,":[69],"2017,":[70],"June":[72],"30,":[73],"2019,":[74],"primary":[77],"diagnosis":[78],"upper":[80],"or":[81,95],"lower":[82],"infection.":[84],"proportion":[88],"resulting":[91],"an":[93,127,131,145,149],"antitussive":[96,132,150],"prescription":[97],"as":[98,100],"well":[99],"most":[102,154,176],"frequently":[103,155,218],"prescribed":[104,126,144,156,178,219],"medications":[105],"these":[107],"categories.":[108],"also":[110],"demographic":[113],"clinical":[115],"characteristics":[116],"visits.":[118],"Results:":[119],"Of":[120,135],"9134":[121],"visits,":[123,199],"32.9%":[124],"were":[125,143,163],"14.4%":[130],"(6.6%":[133],"opioid).":[134,152],"41,380":[136],"for":[139,195,220],"diagnoses,":[141],"57.9%":[142],"25.0%":[148],"(9.3%":[151],"antibiotics":[157],"penicillins":[164],"(36.6%":[165],"44.5%,":[167],"respectively)":[168],"macrolides":[170],"(44.1%":[171],"35.3%,":[173],"respectively).":[174,185],"was":[180,190,205],"codeine":[181,250],"(55.6%":[182],"91.0%,":[184],"Median":[186],"waiting":[187],"room":[188],"time":[189],"16":[191],"5":[193],"minutes":[194],"respectively;":[200],"median":[201],"length":[202],"stay":[204],"178":[206],"41":[208],"minutes,":[209],"respectively.":[210],"Conclusions:":[211],"Antibiotics":[212],"antitussives,":[214],"including":[215],"opioids,":[216],"are":[217],"non-bacterial":[226],"These":[229],"findings":[230],"suggest":[231],"attention":[233],"appropriateness":[236],"both":[241],"settings":[242],"incorporation":[245],"specific":[247],"guidance":[248],"on":[249],"products":[251],"opioid-prescribing":[253],"guidelines.":[254]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2022-06-13T00:00:00"}