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In addition to outpatient records, we include a subset of inpatient hospitalization, specifically cases where patients were admitted directly from the ED to a non-ambulatory inpatient facility. E-cigarette dependence-related visits among Kentuckians under age 18 rose from fewer than 300 in 2018 to over 2,700 in 2024, while visits among adults aged 25 and older more than quadrupled during the same period

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