Di-You Guo1, Kai-Hua Chen2, I-Chuan Chen1,3, Kuan-Yu Lu2, Yu-Ching Lin4,5,6, Kuang-Yu Hsiao1,7. 1. Chang Gung Memorial Hospital, Chiayi Department of Emergency Medicine Chiayi Taiwan. 2. Chang Gung Memorial Hospital Department of Physical Medicine and Rehabilitation Chiayi Taiwan. 3. Chang Gung University of Science and Technology Department of Nursing Chiayi Taiwan. 4. Chang Gung University of Science and Technology Department of Respiratory Care Chiayi Taiwan. 5. Chang Gung Memorial Hospital Division of Pulmonary and Critical Care Medicine Chiayi Taiwan. 6. Chang Gung University School of Medicine Taoyuan Taiwan. 7. Shu-Zen Junior College of Medicine and Management Department of Optometry Taiwan.
Abstract
BACKGROUND: Emergency department (ED) revisits may be associated with a higher percentage of adverse events and increased costs. Our hospital is a university affiliation hospital accepted regional referral patients, and located in the region in Taiwan with the highest percentage of elderly people. In this study, we attempted to identify whether old age was a risk factor of ED revisit. METHODS: Patients who visited the ED from July 2011 to June 2016 were included. Factors associated with revisit were collected from medical information database. A total of 239,405 patients were included in our study, with 13,272 having ED revisits within 72 hours. Chi square and independent t test were applied for univariable factors, and a logistic regression model was used for multivariable analysis. RESULTS: Old age (age ≥ 65 years) was found to be a risk factor for ED revisit (odds ratio [OR]: 1.14; 95% confidence interval [CI]: 1.09-1.19). Diagnosis, pulse rate, diastolic blood pressure, fever, pain management, paracentesis, triage level, registration category, male gender, discharge status, and major illness may have some effect on ED revisit. CONCLUSIONS: In our patients, old age is a risk factor for ED revisit; however, only a weak association was found.
BACKGROUND: Emergency department (ED) revisits may be associated with a higher percentage of adverse events and increased costs. Our hospital is a university affiliation hospital accepted regional referral patients, and located in the region in Taiwan with the highest percentage of elderly people. In this study, we attempted to identify whether old age was a risk factor of ED revisit. METHODS: Patients who visited the ED from July 2011 to June 2016 were included. Factors associated with revisit were collected from medical information database. A total of 239,405 patients were included in our study, with 13,272 having ED revisits within 72 hours. Chi square and independent t test were applied for univariable factors, and a logistic regression model was used for multivariable analysis. RESULTS: Old age (age ≥ 65 years) was found to be a risk factor for ED revisit (odds ratio [OR]: 1.14; 95% confidence interval [CI]: 1.09-1.19). Diagnosis, pulse rate, diastolic blood pressure, fever, pain management, paracentesis, triage level, registration category, male gender, discharge status, and major illness may have some effect on ED revisit. CONCLUSIONS: In our patients, old age is a risk factor for ED revisit; however, only a weak association was found.
Authors: Ka Ming Ngai; Corita R Grudzen; Roy Lee; Vicky Y Tong; Lynne D Richardson; Alicia Fernandez Journal: Ann Emerg Med Date: 2016-03-29 Impact factor: 5.721
Authors: Bo Jin; Yifan Zhao; Shiying Hao; Andrew Young Shin; Yue Wang; Chunqing Zhu; Zhongkai Hu; Changlin Fu; Jun Ji; Yong Wang; Yingzhen Zhao; Yunliang Jiang; Dorothy Dai; Devore S Culver; Shaun T Alfreds; Todd Rogow; Frank Stearns; Karl G Sylvester; Eric Widen; Xuefeng B Ling Journal: BMC Emerg Med Date: 2016-02-03