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Recurrent Emergency Department Users: Two Categories with Different Risk Profiles
Recurrent emergency department (ED) visits are responsible for an increasing proportion of overcrowding. Therefore, our aim was to investigate the characteristics and prevalence of recurrent ED visitors as well as to determine risk factors associated with multiple ED visits. ED patients visiting the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463097/ https://www.ncbi.nlm.nih.gov/pubmed/30857294 http://dx.doi.org/10.3390/jcm8030333 |
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author | Slankamenac, Ksenija Zehnder, Meret Langner, Tim O. Krähenmann, Kathrin Keller, Dagmar I. |
author_facet | Slankamenac, Ksenija Zehnder, Meret Langner, Tim O. Krähenmann, Kathrin Keller, Dagmar I. |
author_sort | Slankamenac, Ksenija |
collection | PubMed |
description | Recurrent emergency department (ED) visits are responsible for an increasing proportion of overcrowding. Therefore, our aim was to investigate the characteristics and prevalence of recurrent ED visitors as well as to determine risk factors associated with multiple ED visits. ED patients visiting the ED of a tertiary care hospital at least four times consecutively in 2015 were enrolled. Of 33,335 primary ED visits, 1921 ED visits (5.8%) were performed by 372 ED patients who presented in the ED at least four times within the one-year period. Two different categories of recurrent ED patients were identified: repeated ED users presenting always with the same symptoms and frequent ED visitors who were suffering from different symptoms on each ED visit. Repeated ED users had more ED visits (p < 0.001) and needed more hospital admissions (p < 0.010) compared to frequent ED users. Repeated ED users visited the ED more likely due to symptoms from chronic obstructive pulmonary diseases (p < 0.001) and mental disorders (p < 0.001). In contrast, frequent ED patients showed to be at risk for multiple ED visits when being disabled (p = 0.001), had an increased Charlson co-morbidity index (p = 0.004) or suffering from rheumatic diseases (p < 0.001). A small number of recurrent ED visitors determines a relevant number of ED visits with a relevance for and impact on patient centred care and emergency services. There are two categories of recurrent ED users with different risk factors for multiple ED visits: repeated and frequent. Therefore, multi-professional follow-up care models for recurrent ED patients are needed to improve patients’ needs, quality of life as well as emergency services. |
format | Online Article Text |
id | pubmed-6463097 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-64630972019-04-19 Recurrent Emergency Department Users: Two Categories with Different Risk Profiles Slankamenac, Ksenija Zehnder, Meret Langner, Tim O. Krähenmann, Kathrin Keller, Dagmar I. J Clin Med Article Recurrent emergency department (ED) visits are responsible for an increasing proportion of overcrowding. Therefore, our aim was to investigate the characteristics and prevalence of recurrent ED visitors as well as to determine risk factors associated with multiple ED visits. ED patients visiting the ED of a tertiary care hospital at least four times consecutively in 2015 were enrolled. Of 33,335 primary ED visits, 1921 ED visits (5.8%) were performed by 372 ED patients who presented in the ED at least four times within the one-year period. Two different categories of recurrent ED patients were identified: repeated ED users presenting always with the same symptoms and frequent ED visitors who were suffering from different symptoms on each ED visit. Repeated ED users had more ED visits (p < 0.001) and needed more hospital admissions (p < 0.010) compared to frequent ED users. Repeated ED users visited the ED more likely due to symptoms from chronic obstructive pulmonary diseases (p < 0.001) and mental disorders (p < 0.001). In contrast, frequent ED patients showed to be at risk for multiple ED visits when being disabled (p = 0.001), had an increased Charlson co-morbidity index (p = 0.004) or suffering from rheumatic diseases (p < 0.001). A small number of recurrent ED visitors determines a relevant number of ED visits with a relevance for and impact on patient centred care and emergency services. There are two categories of recurrent ED users with different risk factors for multiple ED visits: repeated and frequent. Therefore, multi-professional follow-up care models for recurrent ED patients are needed to improve patients’ needs, quality of life as well as emergency services. MDPI 2019-03-09 /pmc/articles/PMC6463097/ /pubmed/30857294 http://dx.doi.org/10.3390/jcm8030333 Text en © 2019 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Slankamenac, Ksenija Zehnder, Meret Langner, Tim O. Krähenmann, Kathrin Keller, Dagmar I. Recurrent Emergency Department Users: Two Categories with Different Risk Profiles |
title | Recurrent Emergency Department Users: Two Categories with Different Risk Profiles |
title_full | Recurrent Emergency Department Users: Two Categories with Different Risk Profiles |
title_fullStr | Recurrent Emergency Department Users: Two Categories with Different Risk Profiles |
title_full_unstemmed | Recurrent Emergency Department Users: Two Categories with Different Risk Profiles |
title_short | Recurrent Emergency Department Users: Two Categories with Different Risk Profiles |
title_sort | recurrent emergency department users: two categories with different risk profiles |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463097/ https://www.ncbi.nlm.nih.gov/pubmed/30857294 http://dx.doi.org/10.3390/jcm8030333 |
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