Yıl: 2016 Cilt: 33 Sayı: 1 Sayfa Aralığı: 72 - 79 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Evaluating Unscheduled Readmission to Emergency Department in the Early Period

Öz:
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.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 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.
  • 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.
  • Martin-Gill C, Reiser RC. Reiser Risk factors for 72-hour ad- mission to the ED. Am J Emerg Med 2004;22:448-53.
  • 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.
  • 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.
  • 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.
  • Lerman B, Kobernick MS. Return visits to the emergency de- partment. J Emerg Med 1987;5:359-62.
  • Keith KD, Bocka JJ, Kobernick MS, Krome RL, Ross MA. Emergency department revisits. Ann Emerg Med 1989;18:964-8.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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-National Hospital Ambulatory Medical Care Survey 2002. Public Health 2005;119:914-98.
  • Kelly AM, Chirnside AM, Curry CH. An analysis of unsched- uled return Visits to an urban emergency department. N Z Med J 1993;106:334-6.
  • Miro O, Jimenez S, Alsina C, Javier Tovillas-Moran F, Sanchez M, Borras A, et al. Un scheduled revisits in Medical emergency units at the hospital: incidence and related factors. Med Clin (Barc) 1999;112:610-5.
  • Kellermann AL. Clinical emergency medicine, today and tomor- row. Ann Emerg Med 1995;25:235-8.
  • Sklar DP, Crandall CS, Loeliger E, Edmunds K, Paul I, Helitzer DL. Unanticipated death after discharge home from the emer- gency department. Ann Emerg Med 2007;49:735-45.
APA HOCAGİL A, BİLDİK F, Kilicaslan I, Hocagil H, Karabulut E, KELEŞ A, Demircan A (2016). Evaluating Unscheduled Readmission to Emergency Department in the Early Period. , 72 - 79.
Chicago HOCAGİL Abdullah Cüneyt,BİLDİK Fikret,Kilicaslan Isa,Hocagil Hilal,Karabulut E. Hasan,KELEŞ Ayfer,Demircan AHMET Evaluating Unscheduled Readmission to Emergency Department in the Early Period. (2016): 72 - 79.
MLA HOCAGİL Abdullah Cüneyt,BİLDİK Fikret,Kilicaslan Isa,Hocagil Hilal,Karabulut E. Hasan,KELEŞ Ayfer,Demircan AHMET Evaluating Unscheduled Readmission to Emergency Department in the Early Period. , 2016, ss.72 - 79.
AMA HOCAGİL A,BİLDİK F,Kilicaslan I,Hocagil H,Karabulut E,KELEŞ A,Demircan A Evaluating Unscheduled Readmission to Emergency Department in the Early Period. . 2016; 72 - 79.
Vancouver HOCAGİL A,BİLDİK F,Kilicaslan I,Hocagil H,Karabulut E,KELEŞ A,Demircan A Evaluating Unscheduled Readmission to Emergency Department in the Early Period. . 2016; 72 - 79.
IEEE HOCAGİL A,BİLDİK F,Kilicaslan I,Hocagil H,Karabulut E,KELEŞ A,Demircan A "Evaluating Unscheduled Readmission to Emergency Department in the Early Period." , ss.72 - 79, 2016.
ISNAD HOCAGİL, Abdullah Cüneyt vd. "Evaluating Unscheduled Readmission to Emergency Department in the Early Period". (2016), 72-79.
APA HOCAGİL A, BİLDİK F, Kilicaslan I, Hocagil H, Karabulut E, KELEŞ A, Demircan A (2016). Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal, 33(1), 72 - 79.
Chicago HOCAGİL Abdullah Cüneyt,BİLDİK Fikret,Kilicaslan Isa,Hocagil Hilal,Karabulut E. Hasan,KELEŞ Ayfer,Demircan AHMET Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal 33, no.1 (2016): 72 - 79.
MLA HOCAGİL Abdullah Cüneyt,BİLDİK Fikret,Kilicaslan Isa,Hocagil Hilal,Karabulut E. Hasan,KELEŞ Ayfer,Demircan AHMET Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal, vol.33, no.1, 2016, ss.72 - 79.
AMA HOCAGİL A,BİLDİK F,Kilicaslan I,Hocagil H,Karabulut E,KELEŞ A,Demircan A Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal. 2016; 33(1): 72 - 79.
Vancouver HOCAGİL A,BİLDİK F,Kilicaslan I,Hocagil H,Karabulut E,KELEŞ A,Demircan A Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal. 2016; 33(1): 72 - 79.
IEEE HOCAGİL A,BİLDİK F,Kilicaslan I,Hocagil H,Karabulut E,KELEŞ A,Demircan A "Evaluating Unscheduled Readmission to Emergency Department in the Early Period." Balkan Medical Journal, 33, ss.72 - 79, 2016.
ISNAD HOCAGİL, Abdullah Cüneyt vd. "Evaluating Unscheduled Readmission to Emergency Department in the Early Period". Balkan Medical Journal 33/1 (2016), 72-79.