scholarly journals The Effect of COVID-19 on the Characteristics of Adult Emergency Department Visits: A Retrospective Cohort Tertiary Hospital Experience in Riyadh

2021 ◽  
Author(s):  
Raied Alotaibi ◽  
Ali Alahmari ◽  
Ibrahim Ababtain ◽  
Abdullah Altamimi ◽  
Abdullah Alkhaldi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Retrospective Cohort ◽  
Tertiary Hospital ◽  
Emergency Department Visits ◽  
Hospital Experience

Phyllodes tumor of the breast clinical experience and outcomes: A retrospective cohort tertiary hospital experience

2021 ◽  
Vol 51 ◽  
pp. 151702
Author(s):  
Abdulmohsen Alkushi ◽  
Haitham Arabi ◽  
Lolwah Al-Riyees ◽  
Abdulelah M. Aldakheel ◽  
Raed Al Zarah ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Retrospective Cohort ◽  
Phyllodes Tumor ◽  
Tertiary Hospital ◽  
Hospital Experience

scholarly journals A Sample of The Relationship Between The Non-Integrated Healthcare System And National Epidemic of Emergency Department Overcrowding In Turkey

2021 ◽  
Author(s):  
Cihad Dundar ◽  
Seydanur Dal Yaylaoglu
Keyword(s):  
Emergency Department ◽  
Female Gender ◽  
Tertiary Hospital ◽  
Emergency Department Visits ◽  
Work Hours ◽  
Diagnostic Code ◽  
Diagnostic Codes ◽  
Logistic Analysis ◽  
Ed Visits ◽  
Negative Impacts

Abstract Background: The use of EDs has significantly increased, and a majority of this increase is attributed to non-urgent visits, which has negative impacts. We aim to explore the frequency of non-urgent emergency department (ED) visits and to identify risk factors for non-urgent ED visits. Methods: This retrospective, the record-based study was conducted at a tertiary hospital in Samsun province of Turkey. The records of all adult patients who visited to the ED between January 1 and December 31, 2017, were included in this study. All emergency department visits were evaluated according to age, gender, time of visit, means of arrival, ICD diagnostic codes, and the number of repeated non-urgent ED visits. The number of ED visits was 87,528 for the year 2017. Results: The non-urgent emergency visit rate was 9.9%. According to binary logistic analysis, non-urgent visits were associated with young age (OR = 2.75), female gender (OR = 1.11) and non-ambulance transportation (OR = 9.86). The prevalence of non-emergent visits was very similar between weekends and weekdays but was significantly higher in work hours on weekdays than non-work hours (p<0.001). The most frequent diagnostic code was “Pain, unspecified” (R52) and the rate of repeated visits was 14.8% of non-urgent ED visits. Conclusions: Harmonization of various databases at the primary level in terms of design and connectivity and integration with hospital information systems will contribute to the identification of problems and the generation of solutions. The next step is establishing an integrated health care system that can benefit emergency care organizations in Turkey.

Retrospective Cohort Study of Rates of Return Emergency Department Visits Among Patients Transported Home by Ambulance

2020 ◽  
Vol 59 (1) ◽  
pp. 147-152 ◽  
Author(s):  
Kevin G. Munjal ◽  
Siri Shastry ◽  
Hugh Chapin ◽  
Nadir Tan ◽  
Anjali Misra ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Emergency Department Visits ◽  
Rates Of Return

scholarly journals Impact of a countywide smoke-free workplace law on emergency department visits for respiratory diseases: a retrospective cohort study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Ivana T Croghan ◽  
Jon O Ebbert ◽  
J Taylor Hays ◽  
Darrell R Schroeder ◽  
Alanna M Chamberlain ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Respiratory Diseases ◽  
Emergency Department Visits

Palliative home care and emergency department visits in the last 30 and 90 days of life: a retrospective cohort study of patients with cancer

2021 ◽  
pp. bmjspcare-2021-002889
Author(s):  
Jennifer Mracek ◽  
Madalene Earp ◽  
Aynharan Sinnarajah
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Home Care ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Emergency Department Visits ◽  
Palliative Home Care ◽  
Patients With Cancer ◽  
Diagnosis Of Cancer ◽  
Ed Visits

ObjectivesEvaluate the association of specialist palliative home care (HC) on emergency department (ED) visits in the 30 and 90 days prior to death.MethodsThis retrospective cohort study using administrative data identified 6976 adults deceased from cancer between 2008 and 2015, living ≥180 days after diagnosis of cancer, and residing in the urban Calgary Zone of Alberta Health Services. All palliative HC and generalist HC services were examined. Regression analyses examined the relationships of HC type to ED visits in the last 30 or 90 days of life.ResultsIn the last 30 days of life, compared with patients receiving palliative HC, patients receiving only generalist HC, or no HC, were more likely to visit the ED (OR)generalist-HC 1.19; 95% CI 1.06 to 1.34; ORno-HC 1.54; 95% CI 1.31 to 1.82). In the last 90 days of life, compared with patients receiving palliative HC, those receiving generalist HC (OR 1.48; 95% CI 1.32 to 1.67) and no HC (OR 1.66; 95% CI 1.39 to 1.99) had increased odds of visiting the ED.ConclusionsReceiving generalist HC and no HC was associated with increased odds of visiting the ED in the last 30 and 90 days of life, when compared with patients receiving palliative HC. Improving access to palliative HC for patients at high risk of visiting the ED may reduce ED visits and acute care costs and improve quality of life in the last 90 days of life.

Discharges against medical advice and 30-day healthcare costs: an analysis of commercially insured adults

2021 ◽  
Author(s):  
Eberechukwu Onukwugha ◽  
Aakash Bipin Gandhi ◽  
David Alfandre
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Healthcare Costs ◽  
Retrospective Cohort ◽  
Medical Advice ◽  
Emergency Department Visits ◽  
Against Medical Advice ◽  
Prior Literature ◽  
Discharge Against Medical Advice

Aim: Prior literature detailing the consequences of a discharge against medical advice (DAMA) has not focused on costs. We examine costs following a DAMA. Materials & methods: This retrospective cohort study utilized the IQVIA PharMetrics® Plus database to identify adults hospitalized during 2007–2015. We compared 30-day postdischarge healthcare costs between matched DAMA and routinely discharged groups. Results: Thirty-day healthcare costs for the DAMA group were US$1078 (95% CI: US$434–1730) higher, driven by inpatient readmissions (US$979; 95% CI: US$415–1543) and emergency department visits (US$79; 95% CI: US$56–102). Costs due to prescription drug fills were lower in the DAMA group. Conclusion: A DAMA was associated with higher 30-day postdischarge healthcare costs compared with routine discharges.

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