Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study

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Tangkulpanich Panvilai; Yuksen Chaiyaporn; Kongchok Wanchalerm; Jenpanitpong Chestsadakon

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Journal Paper

Paper Information

Journal: Archives of Academic Emergency Medicine Year:2021 | Volume:9 | Issue:1 Page(s): 0-0

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Title

Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study

Author(s)

Tangkulpanich Panvilai | Yuksen Chaiyaporn | Kongchok Wanchalerm | Jenpanitpong Chestsadakon | Issue Writer Certificate

Keywords

Emergency service

hospital

patient discharge

clinical decision rules

triage

Thailand

Abstract

Introduction: Emergency department (ED) revisits increase overcrowding and predicting which patients may need to revisit could increase patient safety. This study aimed to identify clinical variables that could be used to predict the probability of revisiting ED within 48 hours of discharge. Methods: A retrospective case-control study was conducted between July 2018 and January 2019 at the Emergency Medicine Department in Ramathibodi hospital, Bangkok, Thailand. Patients who revisited the ED within 48 hours of discharge (case group) and patients who did not (control group) participated. The predictive factors for ED revisit were identiﬁ ed through multivariate logistic regression analysis. Results: The case group consisted of 372 patients, who revisited the ED within 48 hours, and the control group consisted of 1488 patients. The most common reason for revisiting the ED was recurring gastrointestinal illness, in 107 patients (28. 76%). According to the multivariate data analysis, ﬁ ve factors inﬂ uenced the probability of revisiting the ED: age of more than 60 years (p < 0. 001, OR = 2. 04, 95%CI: 1. 51-2. 77), initial Emergency Severity Index (ESI) triage level of 2 (p = 0. 007, OR = 1. 20, 95%CI: 0. 93-1. 56), ED stay duration of 4 hours or longer (p = 0. 013, OR = 1. 12, 95%CI: 0. 87-1. 44), body temperature of ¸ 37. 5± C on discharge (p = 0. 034, OR = 1. 34, 95%CI: 1. 00-1. 80), and pulse rate of less than 60 (OR = 1. 55, 95%CI: 0. 87-2. 77) or more than 100 beats/minute (OR = 1. 53, 95%CI: 1. 10-2. 11) (p = 0. 011). Conclusion: According to the ﬁ ndings, the most important and independent predictive factor of ED revisit within 48 hours of discharge were, age ¸ 60 years, ESI triage level 2, ED length of stay ¸ 4 hours, temperature ¸ 37. 5 C, and 60 > pulse rate ¸ 100 beats/minute.

Cites

Emergency Department and Overcrowding During COVID-19 Outbreak; a Letter to Editor

References

Identification of Seniors at Risk (ISAR) in the emergency room: A prospective study

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APA: Copy

Tangkulpanich, Panvilai, Yuksen, Chaiyaporn, Kongchok, Wanchalerm, & Jenpanitpong, Chestsadakon. (2021). Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 9(1), 0-0. SID. https://sid.ir/paper/762851/en

Vancouver: Copy

Tangkulpanich Panvilai, Yuksen Chaiyaporn, Kongchok Wanchalerm, Jenpanitpong Chestsadakon. Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2021;9(1):0-0. Available from: https://sid.ir/paper/762851/en

IEEE: Copy

Panvilai Tangkulpanich, Chaiyaporn Yuksen, Wanchalerm Kongchok, and Chestsadakon Jenpanitpong, “Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 9, no. 1, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/762851/en

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