Characteristics of recurrent emergency department visits within 72 hours of visits for the same or related complaints

The purpose of the study was to examine the characteristics of recurrent emergency department visits within 72 hours for the same or related complaints. Any repeated visits to the emergency department within the first 72 hours of discharge after the first admission as a result of same or similar complaints were defined as recurrent visits. Patients who revisited the emergency department within 72 hours after the first visit were included in the study. Recurrent visit files were taken from the Hospital Information Management System, and data were compared between the first and second visits. 1,952 (2.3%) of the 83,578 patients included fulfilled the inclusion criteria. The revisit rate was 2.3%. no significant differences were found between the visits in terms of Emergency Department triage scores; however, 2 patients with triage scores of 4 in the first visit had triage score of 1 in the recurrent visits. Presence of comorbidity was found to be significantly associated with revisit and hospitalization. Measuring and evaluating the causes of revisits to the emergency department is important since it is possible to assess hospital quality by using these parameters. We believe that prolonged emergency room observation is necessary, particularly for patients with comorbidities and those presenting complaints related to the cardiovascular system, oncology, and respiratory system in order to reduce the rate of revisit, which will eventually decrease the rates of morbidity and mortality

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1. Wu CL, Wang FT, Chiang YC, Chiu YF, Lin TG, Fu LF, Tsai TL. Unplanned Emergency Department revisits within 72 hours to a secondary teaching referral hospital in Taiwan. J Emerg Med. 2010;38(4):512-7.

Ergin M. Acil servis kalabalığının bilimsel yöntemler ile ölçümü. Uzmanlık tezi. Ankara: Gazi Üniversitesi, 2008.

Han CY, Chang W, Lee HL. Unplanned revisits to the emergency department: What emergency department nurses can do? AENJ. 2009;12(4):178.

Hocagil A. C. Acil Servise Erken Dönemde (İlk 72 Saat) Tekrar Başvuran Hastaların Değerlendirilmesi. Uzmanlık Tezi. Ankara: Gazi Üniversitesi 2011.

Lerman B, Kobernick MS. Return visits to the emergency department. J Emerg Med. 1987;5(5):359-62.

Martin-Gill C, Reiser RC. Risk factors for 72-hour admission to the ED. Am J Emerg Med. 2004;22(6):448-53.

Gordon JA, An LC, Hayward RA, Williams BC. Initial Emergency Department Diagnosis and Return Visits: Risk Versus Perception. Ann Emerg Med. 1998;32(5):569-73.

Keith KD, Bocka JJ, Kobernick MS, Krome RL, Ross MA. Emergency department revisits. Ann Emerg Med. 1989;18(9):964-8.

Robinson K, Lam B. Early emergency department representations. EMA. 2013;25(2):140-6.

Miro O, Jimenez S, Alsina C et al. Unscheduled revisits in medical emergency units at the hospital : incidence and related factors. Med Clin (Barc.). 1999;112:610-5.

Liaw SJ, Bullard MJ, Hu PM, Chen JC, Liao HC. Rates and causes of emergency department revisits within 72 hours. J Formos Med Assoc. 1999;98:422-5.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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