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Year 2016, Volume: 33 Issue: 1, 72 - 79, 01.01.2016

Abdullah Cüneyt Hocagil Hilal Hocagil Fikret Bildik İsa Kılıçaslan Hasan Karabulut Ayfer Keleş Ahmet Demircan

Abstract

References

  • 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. [CrossRef]
  • 2. Sturm JJ, Hirsh DA, Lee EK, Massey R, Weselman B, Simon HK. Practice Characteristics. That Influence Nonurgent Pediatric Emergency Department Utilization. Acad Pediatr 2010;10:70-4. [CrossRef]
  • 3. Martin-Gill C, Reiser RC. Reiser Risk factors for 72-hour admission to the ED. Am J Emerg Med 2004;22:448-53. [CrossRef]
  • 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. [CrossRef]
  • 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. [CrossRef]
  • 6. Han CY, Chang W, Lee HL. Unplanned revisits to the emergency department: What emergency department nurses can do? AENJ 2009;12:178. [CrossRef]
  • 7. 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. [CrossRef]
  • 8. Lerman B, Kobernick MS. Return visits to the emergency department. J Emerg Med 1987;5:359-62. [CrossRef]
  • 9. Keith KD, Bocka JJ, Kobernick MS, Krome RL, Ross MA. Emergency department revisits. Ann Emerg Med 1989;18:964- 8. [CrossRef]
  • 10. Pierce JM, Kellerman AL, Bounces CO. An analysis of shortterm return visits to a public hospital emergency department. Ann Emerg Med 1990;19:752-7. [CrossRef]
  • 11. Gordon JA, An LC, Hayward RA, Williams BC. Initial Emergency Department Diagnosis and Return Visits: Risk Versus Perception. Ann Emerg Med 1998;32:569-73. [CrossRef]
  • 12. 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.
  • 13. Sklar DP, Crandall CS. In reply. Ann Emerg Med 2008;212:216. [CrossRef]
  • 14. 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.
  • 15. Hu SC. Analysis of patient revisits to the emergency department. Am J Emerg Med 1992;10:366-70. [CrossRef]
  • 16. Gordon JA, An LC, Hayward RA, Williams BC. Initial Emergency Department Diagnosis and Return Visits: Risk Versus Perception. Ann Emerg Med 1998;32:569-73. [CrossRef]
  • 17. 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. [CrossRef]
  • 18. 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. [CrossRef]
  • 19. Kelly AM, Chirnside AM, Curry CH. An analysis of unscheduled return Visits to an urban emergency department. N Z Med J 1993;106:334-6.
  • 20. 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.
  • 21. Kellermann AL. Clinical emergency medicine, today and tomorrow. Ann Emerg Med 1995;25:235-8. [CrossRef]
  • 22. Sklar DP, Crandall CS, Loeliger E, Edmunds K, Paul I, Helitzer DL. Unanticipated death after discharge home from the emergency department. Ann Emerg Med 2007;49:735-45. [CrossRef

Evaluating Unscheduled Readmission to Emergency Department in the Early Period

Year 2016, Volume: 33 Issue: 1, 72 - 79, 01.01.2016

Abdullah Cüneyt Hocagil Hilal Hocagil Fikret Bildik İsa Kılıçaslan Hasan Karabulut Ayfer Keleş Ahmet Demircan

Abstract

Background: The readmission in the early period (RAEP) is defined as the admission of a patient to emergency department (ED) for the second time within 72 hours after discharge from the ED. Aims: The aim of this study was to determine the disease, patient, doctor, and system related causes of RAEP. Study Design: Descriptive study. Methods: This study is a two-stage study that was conducted 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 required RAEP. After the exclusion criteria, 429 of these patients were included the study. The most common reasons for RAEP were renal colic in 46 (10.7%) patients. It was detected that 60.4% of the causes of RAEP were related 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-, and system-related preventable reasons for RAEP and the patients requiring RAEP constitute the high risk group.

Keywords

Early period emergency department readmission

References

  • 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. [CrossRef]
  • 2. Sturm JJ, Hirsh DA, Lee EK, Massey R, Weselman B, Simon HK. Practice Characteristics. That Influence Nonurgent Pediatric Emergency Department Utilization. Acad Pediatr 2010;10:70-4. [CrossRef]
  • 3. Martin-Gill C, Reiser RC. Reiser Risk factors for 72-hour admission to the ED. Am J Emerg Med 2004;22:448-53. [CrossRef]
  • 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. [CrossRef]
  • 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. [CrossRef]
  • 6. Han CY, Chang W, Lee HL. Unplanned revisits to the emergency department: What emergency department nurses can do? AENJ 2009;12:178. [CrossRef]
  • 7. 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. [CrossRef]
  • 8. Lerman B, Kobernick MS. Return visits to the emergency department. J Emerg Med 1987;5:359-62. [CrossRef]
  • 9. Keith KD, Bocka JJ, Kobernick MS, Krome RL, Ross MA. Emergency department revisits. Ann Emerg Med 1989;18:964- 8. [CrossRef]
  • 10. Pierce JM, Kellerman AL, Bounces CO. An analysis of shortterm return visits to a public hospital emergency department. Ann Emerg Med 1990;19:752-7. [CrossRef]
  • 11. Gordon JA, An LC, Hayward RA, Williams BC. Initial Emergency Department Diagnosis and Return Visits: Risk Versus Perception. Ann Emerg Med 1998;32:569-73. [CrossRef]
  • 12. 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.
  • 13. Sklar DP, Crandall CS. In reply. Ann Emerg Med 2008;212:216. [CrossRef]
  • 14. 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.
  • 15. Hu SC. Analysis of patient revisits to the emergency department. Am J Emerg Med 1992;10:366-70. [CrossRef]
  • 16. Gordon JA, An LC, Hayward RA, Williams BC. Initial Emergency Department Diagnosis and Return Visits: Risk Versus Perception. Ann Emerg Med 1998;32:569-73. [CrossRef]
  • 17. 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. [CrossRef]
  • 18. 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. [CrossRef]
  • 19. Kelly AM, Chirnside AM, Curry CH. An analysis of unscheduled return Visits to an urban emergency department. N Z Med J 1993;106:334-6.
  • 20. 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.
  • 21. Kellermann AL. Clinical emergency medicine, today and tomorrow. Ann Emerg Med 1995;25:235-8. [CrossRef]
  • 22. Sklar DP, Crandall CS, Loeliger E, Edmunds K, Paul I, Helitzer DL. Unanticipated death after discharge home from the emergency department. Ann Emerg Med 2007;49:735-45. [CrossRef
There are 22 citations in total.

Details

Other ID JA45KT73CP
Journal Section Research Article
Authors

Abdullah Cüneyt Hocagil This is me

Hilal Hocagil This is me

Fikret Bildik This is me

İsa Kılıçaslan This is me

Hasan Karabulut This is me

Ayfer Keleş This is me

Ahmet Demircan This is me

Publication Date January 1, 2016
Published in Issue Year 2016 Volume: 33 Issue: 1

Cite

APA Hocagil, A. C., Hocagil, H., Bildik, F., Kılıçaslan, İ., et al. (2016). Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal, 33(1), 72-79.
AMA Hocagil AC, Hocagil H, Bildik F, Kılıçaslan İ, Karabulut H, Keleş A, Demircan A. Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal. January 2016;33(1):72-79.
Chicago Hocagil, Abdullah Cüneyt, Hilal Hocagil, Fikret Bildik, İsa Kılıçaslan, Hasan Karabulut, Ayfer Keleş, and Ahmet Demircan. “Evaluating Unscheduled Readmission to Emergency Department in the Early Period”. Balkan Medical Journal 33, no. 1 (January 2016): 72-79.
EndNote Hocagil AC, Hocagil H, Bildik F, Kılıçaslan İ, Karabulut H, Keleş A, Demircan A (January 1, 2016) Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal 33 1 72–79.
IEEE A. C. Hocagil, “Evaluating Unscheduled Readmission to Emergency Department in the Early Period”, Balkan Medical Journal, vol. 33, no. 1, pp. 72–79, 2016.
ISNAD Hocagil, Abdullah Cüneyt et al. “Evaluating Unscheduled Readmission to Emergency Department in the Early Period”. Balkan Medical Journal 33/1 (January 2016), 72-79.
JAMA Hocagil AC, Hocagil H, Bildik F, Kılıçaslan İ, Karabulut H, Keleş A, Demircan A. Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal. 2016;33:72–79.
MLA Hocagil, Abdullah Cüneyt et al. “Evaluating Unscheduled Readmission to Emergency Department in the Early Period”. Balkan Medical Journal, vol. 33, no. 1, 2016, pp. 72-79.
Vancouver Hocagil AC, Hocagil H, Bildik F, Kılıçaslan İ, Karabulut H, Keleş A, Demircan A. Evaluating Unscheduled Readmission to Emergency Department in the Early Period. Balkan Medical Journal. 2016;33(1):72-9.