Journals / Balkan Medical Journal / 2016 / Cilt: 33 - Sayı: 1

Evaluating Unscheduled Readmission to Emergency Department in the Early Period

Pages
72–79
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It was detected that 60.4% of the causes of RAEP were re-lated to disease, 20.0% were related to the doctor, 12.1% were related to the patient, and 7.5% were related to the hospital management system.Conclusion: This study revealed that there are patient-, doctor-,andsystem-relatedpreventablereasonsforRAEP and the patients requiring RAEP constitute the high risk group.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background:Thereadmissionintheearlyperiod(RAEP) is defined as the admission of a patient to emer-gency department (ED) for the second time within 72 hours after discharge from the ED.
📊
Key Findings & Data:Results: A total of 46,800 adult patients admitted to ED during the study period and 779 (1.66%) patients re-quired RAEP.
💡
Conclusion & Impact:It was detected that 60.4% of the causes of RAEP were re-lated to disease, 20.0% were related to the doctor, 12.1% were related to the patient, and 7.5% were related to the hospital management system.Conclusion: This study revealed that there are patient-, doctor-,andsystem-relatedpreventablereasonsforRAEP and the patients requiring RAEP constitute the high risk group.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background:Thereadmissionintheearlyperiod(RAEP) is defined as the admission of a patient to emer-gency department (ED) for the second time within 72 hours after discharge from the ED. Aims: The aim of this study was to determine the dis-ease, patient, doctor, and system related causes of RAEP.Study Design: Descriptive study.Methods: This study is a two-stage study that was con-ducted at Department of Emergency, Gazi University Faculty of Medicine. The causes of RAEP were defined as disease, patient, doctor, and system related causes. Results: A total of 46,800 adult patients admitted to ED during the study period and 779 (1.66%) patients re-quired RAEP. After the exclusion criteria, 429 of these patients were included the study. The most common rea-sons for RAEP were renal colic in 46 (10.7%) patients. It was detected that 60.4% of the causes of RAEP were re-lated to disease, 20.0% were related to the doctor, 12.1% were related to the patient, and 7.5% were related to the hospital management system.Conclusion: This study revealed that there are patient-, doctor-,andsystem-relatedpreventablereasonsforRAEP and the patients requiring RAEP constitute the high risk group.

🔖

Cite This Article

HOCAGİL, A. C., BİLDİK, F., HOCAGİL, H., DEMİRCAN, A., KELEŞ, A., KILIÇASLAN, İ., KARABULUT, H. (2022). Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal, Cilt: 33 - Sayı: 1, 72–79. https://ajindex.com/articles/461254

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Wu CL, Wang FT, Chiang YC, Chiu YF, Lin TG, Fu LF, et al. Unplanned Emergency Department Revisits within 72 Hours to a Secondary Teaching Referral Hospital in Taiwan. J Emerg Med 2010;38:512-7.
  2. Sturm JJ, Hirsh DA, Lee EK, Massey R, Weselman B, Si- mon HK. Practice Characteristics. That Influence Nonurgent Pediatric Emergency Department Utilization. Acad Pediatr 2010;10:70-4.
  3. Martin-Gill C, Reiser RC. Reiser Risk factors for 72-hour ad- mission to the ED. Am J Emerg Med 2004;22:448-53.
  4. Hu KW, Lu YH, Lin HJ, Guo HR, Foo NP. Return unscheduled Emergency Department Visits With and Without Admission Discharge Post. J Emerg Med 2012;43:1110-8.
  5. Nunez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care 2006;15:102-8.
  6. Han CY, Chang W, Lee HL. Unplanned revisits to the emer- gency department: What emergency department nurses can do? AENJ 2009;12:178. Fan JS, Kao WF, Yen DHT, Wang LM, Huang C, Lee CH. Risk factors and prognostic predictors of unexpected intensive care unit admission with in 3 days after ED discharge. Am J Emerg Med 2007;25:1009-14.
  7. Lerman B, Kobernick MS. Return visits to the emergency de- partment. J Emerg Med 1987;5:359-62.
  8. Keith KD, Bocka JJ, Kobernick MS, Krome RL, Ross MA. Emergency department revisits. Ann Emerg Med 1989;18:964-8.
  9. Pierce JM, Kellerman AL, Bounces CO. An analysis of short- term return visits to a public hospital emergency department. Ann Emerg Med 1990;19:752-7.
  10. Gordon JA, An LC, Hayward RA, Williams BC. Initial Emer- gency Department Diagnosis and Return Visits: Risk Versus Perception. Ann Emerg Med 1998;32:569-73.
  11. Liaw SJ, Bullard MJ, Hu PM, Chen JS, Liao HC. Rates and causes of emergency department revisits within 72 hours. J Formos Med Assoc 1999;98:422-5.
  12. Sklar DP, Crandall CS. In reply. Ann Emerg Med 2008;212:216. Hung SC, Chew G, Kong CT, Hsiao CT, Liaw JS. Unplanned emergency department revisits within 72 hours. J Taiwan Emerg Med 2004;6:230-8. Hu SC. Analysis of patient revisits to the emergency department. Am J Emerg Med 1992;10:366-70.
  13. Gordon JA, An LC, Hayward RA, Williams BC. Initial Emer- gency Department Diagnosis and Return Visits: Risk Versus Perception. Ann Emerg Med 1998;32:569-73.
  14. McCusker J, Cardin S, Bellavance F, Belzile E. Return to the emergency department among elders: patterns and predictors. Acad Emer Med 2000;7:249-59. Adekoya N. Patients seen in emergency departments who had a prior visit with in the previous 72 h-Nationa