Cargando…
Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital
BACKGROUND: The purpose of this study was to investigate the primary factors associated with inappropriate out‐of‐hours emergency department (ED) use by patients with nonurgent conditions. METHODS: We compared patients with nonurgent conditions who made inappropriate, out‐of‐hours ED visits to patie...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612776/ https://www.ncbi.nlm.nih.gov/pubmed/31312581 http://dx.doi.org/10.1002/jgf2.249 |
_version_ | 1783432935412596736 |
---|---|
author | Miyazawa, Asako Maeno, Takami Shaku, Fumio Tsutsumi, Madoka Kurihara, Hiroshi Takayashiki, Ayumi Kohno, Mototsugu Suzuki, Masatsune Maeno, Tetsuhiro |
author_facet | Miyazawa, Asako Maeno, Takami Shaku, Fumio Tsutsumi, Madoka Kurihara, Hiroshi Takayashiki, Ayumi Kohno, Mototsugu Suzuki, Masatsune Maeno, Tetsuhiro |
author_sort | Miyazawa, Asako |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to investigate the primary factors associated with inappropriate out‐of‐hours emergency department (ED) use by patients with nonurgent conditions. METHODS: We compared patients with nonurgent conditions who made inappropriate, out‐of‐hours ED visits to patients who visited an acute care hospital during daytime consultation hours between May 30 and October 16, 2014, in terms of patient characteristics and reasons for consultation. Our goal was to identify factors associated with inappropriate ED use, defined as an out‐of‐hours, nonurgent, and unnecessary visits. RESULTS: We analyzed data from 84 patients who made inappropriate use of out‐of‐hours emergency care and 147 patients who sought care during regular consultation hours. In the inappropriate use group, “desire to be cured quickly” was the most common reason. Acute upper respiratory infection, acute gastroenteritis, and primary headache comprised 51.1% of diagnoses in the inappropriate use group. One factor associated with inappropriate use was two or more previous out‐of‐hours ED visits (odds ratio (OR) 3.19; 95% confidence interval (CI) 1.22‐8.31) (reference: 0 visits). CONCLUSIONS: Patients with two or more previous out‐of‐hours ED visits were more than three times as likely to inappropriately use the ED compared to patients who had not visited the ED at all in the past 3 years. |
format | Online Article Text |
id | pubmed-6612776 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-66127762019-07-16 Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital Miyazawa, Asako Maeno, Takami Shaku, Fumio Tsutsumi, Madoka Kurihara, Hiroshi Takayashiki, Ayumi Kohno, Mototsugu Suzuki, Masatsune Maeno, Tetsuhiro J Gen Fam Med Original Articles BACKGROUND: The purpose of this study was to investigate the primary factors associated with inappropriate out‐of‐hours emergency department (ED) use by patients with nonurgent conditions. METHODS: We compared patients with nonurgent conditions who made inappropriate, out‐of‐hours ED visits to patients who visited an acute care hospital during daytime consultation hours between May 30 and October 16, 2014, in terms of patient characteristics and reasons for consultation. Our goal was to identify factors associated with inappropriate ED use, defined as an out‐of‐hours, nonurgent, and unnecessary visits. RESULTS: We analyzed data from 84 patients who made inappropriate use of out‐of‐hours emergency care and 147 patients who sought care during regular consultation hours. In the inappropriate use group, “desire to be cured quickly” was the most common reason. Acute upper respiratory infection, acute gastroenteritis, and primary headache comprised 51.1% of diagnoses in the inappropriate use group. One factor associated with inappropriate use was two or more previous out‐of‐hours ED visits (odds ratio (OR) 3.19; 95% confidence interval (CI) 1.22‐8.31) (reference: 0 visits). CONCLUSIONS: Patients with two or more previous out‐of‐hours ED visits were more than three times as likely to inappropriately use the ED compared to patients who had not visited the ED at all in the past 3 years. John Wiley and Sons Inc. 2019-04-29 /pmc/articles/PMC6612776/ /pubmed/31312581 http://dx.doi.org/10.1002/jgf2.249 Text en © 2019 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Miyazawa, Asako Maeno, Takami Shaku, Fumio Tsutsumi, Madoka Kurihara, Hiroshi Takayashiki, Ayumi Kohno, Mototsugu Suzuki, Masatsune Maeno, Tetsuhiro Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital |
title | Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital |
title_full | Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital |
title_fullStr | Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital |
title_full_unstemmed | Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital |
title_short | Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital |
title_sort | inappropriate use of the emergency department for nonurgent conditions: patient characteristics and associated factors at a japanese hospital |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612776/ https://www.ncbi.nlm.nih.gov/pubmed/31312581 http://dx.doi.org/10.1002/jgf2.249 |
work_keys_str_mv | AT miyazawaasako inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital AT maenotakami inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital AT shakufumio inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital AT tsutsumimadoka inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital AT kuriharahiroshi inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital AT takayashikiayumi inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital AT kohnomototsugu inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital AT suzukimasatsune inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital AT maenotetsuhiro inappropriateuseoftheemergencydepartmentfornonurgentconditionspatientcharacteristicsandassociatedfactorsatajapanesehospital |