Unplanned return visit to emergency department: a descriptive study from a tertiary care hospital in a low-income country.
Publication Type | Academic Article |
Authors | Khan N, Razzak J, Saleem A, Khan U, Mir M, Aashiq B |
Journal | Eur J Emerg Med |
Volume | 18 |
Issue | 5 |
Pagination | 276-8 |
Date Published | 10/01/2011 |
ISSN | 1473-5695 |
Keywords | Developing Countries, Emergency Service, Hospital, Hospitals, Teaching, Treatment Failure, Triage |
Abstract | The objective of this study was to determine the incidence, causes, and factors associated with unplanned return visits to emergency department of a tertiary care centre in a low-income country. We conducted a retrospective chart review of all patients who had unplanned returned visit to our emergency department within 48 h of their initial visit during a 1-year study period. The incidence of unplanned revisits is 2%. Two-thirds (69%) of these patients were adults. The most common presenting complaint was fever (29%). During return visits 55% of patients required admission. On multivariable logistic regression model; fever, triage categories 1 and 2, and patients leaving against medical advice were the independent risk factors for revisits requiring admission. Infectious diseases are the leading cause of return visits in our setting. |
DOI | 10.1097/MEJ.0b013e3283449100 |
PubMed ID | 21326103 |