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Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department

Elders have a higher rate of return visits to the emergency department (ED) than other patients. It is critical to understand the risk factors for return visits to the ED by elders. The aim of this study was to determine the factors associated with return visits to the ED by elders. This study retro...

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Autores principales: Wang, Li-Hsiang, Lee, Hui-Ling, Lin, Chun-Chih, Lan, Chia-Ju, Huang, Pei-Ting, Han, Chin-Yen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10298110/
https://www.ncbi.nlm.nih.gov/pubmed/37372843
http://dx.doi.org/10.3390/healthcare11121726
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author Wang, Li-Hsiang
Lee, Hui-Ling
Lin, Chun-Chih
Lan, Chia-Ju
Huang, Pei-Ting
Han, Chin-Yen
author_facet Wang, Li-Hsiang
Lee, Hui-Ling
Lin, Chun-Chih
Lan, Chia-Ju
Huang, Pei-Ting
Han, Chin-Yen
author_sort Wang, Li-Hsiang
collection PubMed
description Elders have a higher rate of return visits to the emergency department (ED) than other patients. It is critical to understand the risk factors for return visits to the ED by elders. The aim of this study was to determine the factors associated with return visits to the ED by elders. This study retrospectively reviewed the hospital charts of elders who returned to the ED within 72 h after discharge from ED. The risk factors identified in the Triage Risk Screening Tool were applied in this study. Of the elders discharged from the ED, 8.64% made a return visit to the ED within 72 h. The highest revisit rate occurred within 24 h after discharge. Factors associated with return ED visits within 24 h by elders were difficulty walking and having discharge care needs. The factor associated with ED return visits within 24–48 h was polypharmacy. Difficulty walking, having discharge care needs, and hospitalization within the past 120 days were associated with return visits made within 48–72 h following discharge. Identifying the reasons for return visits to the ED and providing a continuous review of geriatric assessment and discharge planning could reduce unnecessary revisits.
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spelling pubmed-102981102023-06-28 Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department Wang, Li-Hsiang Lee, Hui-Ling Lin, Chun-Chih Lan, Chia-Ju Huang, Pei-Ting Han, Chin-Yen Healthcare (Basel) Article Elders have a higher rate of return visits to the emergency department (ED) than other patients. It is critical to understand the risk factors for return visits to the ED by elders. The aim of this study was to determine the factors associated with return visits to the ED by elders. This study retrospectively reviewed the hospital charts of elders who returned to the ED within 72 h after discharge from ED. The risk factors identified in the Triage Risk Screening Tool were applied in this study. Of the elders discharged from the ED, 8.64% made a return visit to the ED within 72 h. The highest revisit rate occurred within 24 h after discharge. Factors associated with return ED visits within 24 h by elders were difficulty walking and having discharge care needs. The factor associated with ED return visits within 24–48 h was polypharmacy. Difficulty walking, having discharge care needs, and hospitalization within the past 120 days were associated with return visits made within 48–72 h following discharge. Identifying the reasons for return visits to the ED and providing a continuous review of geriatric assessment and discharge planning could reduce unnecessary revisits. MDPI 2023-06-12 /pmc/articles/PMC10298110/ /pubmed/37372843 http://dx.doi.org/10.3390/healthcare11121726 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wang, Li-Hsiang
Lee, Hui-Ling
Lin, Chun-Chih
Lan, Chia-Ju
Huang, Pei-Ting
Han, Chin-Yen
Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department
title Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department
title_full Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department
title_fullStr Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department
title_full_unstemmed Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department
title_short Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department
title_sort factors associated with return visits by elders within 72 hours of discharge from the emergency department
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10298110/
https://www.ncbi.nlm.nih.gov/pubmed/37372843
http://dx.doi.org/10.3390/healthcare11121726
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