scholarly journals Emergency department visits and unanticipated readmissions after liver transplantation: A retrospective observational study

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Seung-Young Oh ◽  
Jeong Moo Lee ◽  
Hannah Lee ◽  
Chul-Woo Jung ◽  
Nam-Joon Yi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Liver Transplantation ◽  
Observational Study ◽  
Emergency Department Visits ◽  
Retrospective Observational Study

scholarly journals Determinants Associated With the Risk of Emergency Department Visits Among Patients Receiving Integrated Home Care Services: A 6-Year Retrospective Observational Study in a Large Italian Region

2020 ◽  
Author(s):  
Sara Campagna ◽  
Alberto Borraccino ◽  
Gianfranco Politano ◽  
Alfredo Benso ◽  
Marco Dalmasso ◽  
...  
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Home Care ◽  
Emergency Department Visits ◽  
Clinical Record ◽  
Retrospective Observational Study ◽  
Italian Region ◽  
Care Plans ◽  
Increased Risk ◽  
Ed Visits

Background: Allowing patients to remain at home and decreasing the number of unnecessary emergency room visits have become important policy goals in modern healthcare systems. However, the lack of available literature makes it critical to identify determinants that could be associated with increased emergency department (ED) visits in patients receiving integrated home care (IHC). Methods: A retrospective observational study was carried out in a large Italian region among patients with at least one IHC event between January 1, 2012 and December 31, 2017. IHC is administered from 8 am to 8 pm by a team of physicians, nurses, and other professionals as needed based on the patient’s health conditions. A clinical record is opened at the time a patient is enrolled in IHC and closed after the last service is provided. Every such clinical record was defined as an IHC event, and only ED visits that occurred during IHC events were considered. Sociodemographic, clinical and IHC variables were collected. A multivariate, stepwise logistic analysis was then performed, using likelihood of ED visit as a dependent variable. Results: A total of 29 209 ED visits were recorded during the 66 433 IHC events that took place during the observation period. There was an increased risk of ED visits in males (odds ratio [OR]=1.29), younger patients, those with a family caregiver (OR=1.13), and those with a higher number of cohabitant family members. Long travel distance from patients’ residence to the ED reduced the risk of ED visits. The risk of ED visits was higher when patients were referred to IHC by hospitals or residential facilities, compared to referrals by general practitioners. IHC events involving patients with neoplasms (OR=1.91) showed the highest risk of ED visits. Conclusion: Evidence of sociodemographic and clinical determinants of ED visits may offer IHC service providers a useful perspective to implement intervention programmes based on appropriate individual care plans and broad-based client assessment.

Emergency department visits for dental problems among adults with private dental insurance: A national observational study

2021 ◽  
Vol 44 ◽  
pp. 166-170
Author(s):  
Troy B. Amen ◽  
Inkyu Kim ◽  
Gregory Peters ◽  
Alba Gutiérrez-Sacristán ◽  
Nathan Palmer ◽  
...  
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Emergency Department Visits ◽  
Dental Insurance

scholarly journals Understanding the characteristics of recurrent visits to the emergency department by paediatric patients: a retrospective observational study conducted at three tertiary hospitals in Korea

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018208 ◽  
Author(s):  
Byung-Soo Kim ◽  
Jung-Youn Kim ◽  
Sung-Hyuk Choi ◽  
Young-Hoon Yoon
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Medical Condition ◽  
Paediatric Population ◽  
Retrospective Observational Study ◽  
Main Diagnosis ◽  
Paediatric Patients ◽  
Common Diagnosis ◽  
The Usa ◽  
Ed Visits

ObjectivesThe number of paediatric patients visiting the emergency department (ED) continues to rise. In South Korea, approximately 25% of the patients who visit the ED are paediatric patients. In the USA, about 20% of the paediatric population were found to have visited the ED in the past year. A recent study demonstrated that 4.5%–8% of patients account for 25% of all ED visits. Therefore, the aim of this study was to identify the characteristics of recurrent visits.MethodsDesign: retrospective observational study. Setting: this study examined and analysed medical record data involving three tertiary EDs. Participants: a total of 46 237 ED visits by patients <16 years during 1-year period. Main outcome measures: data collected included the number of recurrent ED patients, frequency of recurrent visits, age, sex, insurance status, period until recurrent visit (days), main diagnosis and ED discharge results.ResultsExcluding patients with multiple visits, the total number of paediatric patients who fit the study criteria was 33 765. Among these patients, 23 384 (69.2%) had no recurrent ED visits in the subsequent year after their first visit. A total of 15 849 (46.8%) patients were toddlers (between age 1 and 4 years). In the patient group without a recurrent visit, fever was the most common diagnosis.ConclusionsOur study reviewed medical records to inspect the characteristics of patients who return to care. Higher recurrent visit frequency was associated with using the 119 rescue centre service, having a medical condition, with younger age and a higher rate of hospitalisation. Analysis of the factors associated with frequent ED visits will help to improve care for paediatric patients who visit the ED.

scholarly journals Characterization and preventability of adverse drug events as cause of emergency department visits: a prospective 1-year observational study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ivan Lo Giudice ◽  
Eleonora Mocciaro ◽  
Claudia Giardina ◽  
Maria Antonietta Barbieri ◽  
Giuseppe Cicala ◽  
...  
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Adverse Drug Events ◽  
Emergency Department Visits

Understanding the use of emergency department and urgent care services by diabetic patients of a Family Medicine Health Team: a retrospective observational study

2016 ◽  
Vol 18 (02) ◽  
pp. 200-207 ◽  
Author(s):  
Matthew Ward
Keyword(s):  
Emergency Department ◽  
Family Medicine ◽  
Observational Study ◽  
International Classification Of Diseases ◽  
Urgent Care ◽  
Retrospective Observational Study ◽  
Diabetic Patients ◽  
Health Team ◽  
Scale Scores ◽  
Classification Of Diseases

Aim To understand the frequency, urgency, and rationale of emergency department and urgent care (ED/UC) use by diabetic patients of a Family Medicine Health Team (FHT). Methods A retrospective, observational study with comparison control groups was conducted from 1 January 2013 to 31 December 2014. A total of 693 diabetic patients were compared with two, age-standardized non-diabetic groups: one with a higher disease burden based on International Classification of Diseases 9 diagnoses and the other from a randomized patient pool. Findings The diabetic group utilized ED/UC services 1.25 and 1.92 times more often than the two control populations, consistent with that observed in other studies. Canadian Triage and Acuity Scale scores were essentially the same for the diabetic population. Only 3.1% of visits were for diabetic related emergencies, in contrast to the expected 23% by surveyed physicians of the FHT. Diabetic patient’s sought treatment for cellulitis, wounds, abscesses, and infections more often than the control populations.

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