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We analyzed the 2007–2016 public-use datasets of the National Hospital Ambulatory Medical Care Survey (NHAMCS) ED sample. NHAMCS is an annual survey conducted by the Ambulatory and Hospital Care Statistics Branch of the National Center for Health Statistics (NCHS). The NHAMCS consists of multistage, probability samples of visits to hospital-based EDs in the US. Each encounter was assigned a weight and corresponding design variables to generate nationally representative estimates and standard errors. Detailed sampling and survey methodologies are available on the NCHS website.11 This study was exempt from review by the institutional review boards of the authors’ institutions.

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