ArticleAnnals of emergency medicine2011
Factors affecting the likelihood of presentation to the emergency department of trauma patients after discharge.
Article in Annals of emergency medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Characterizing a Common Phenomenon: Why do Trauma Patients Re-present to the Emergency Department?The Journal of surgical research · 2024Article
- Risk factors for loss to follow-up after traumatic injury: An updated view of a chronic problem.Surgery · 2024Article
- Article
- Measuring Health Equity in Emergency Care Using Routinely Collected Data: A Systematic Review.Health equity · 2021Review
- A multicenter mixed-effects model for inference and prediction of 72-h return visits to the emergency department for adult patients with trauma-related diagnoses.Journal of orthopaedic surgery and research · 2020Article
- Article
- Community Need Index (CNI): a simple tool to predict emergency department utilization after hospital discharge from the trauma service.Trauma surgery & acute care open · 2019Article
- Patient Presentations in Outpatient Settings: Epidemiology of Adult Head Trauma Treated Outside of Hospital Emergency Departments.Epidemiology (Cambridge, Mass.) · 2018Article
- Trauma Transitional Care Coordination: protecting the most vulnerable trauma patients from hospital readmission.Trauma surgery & acute care open · 2018Article
- Preinjury ASA score as an independent predictor of readmission after major traumatic injury.Trauma surgery & acute care open · 2017Article
- Trauma advanced practice provider programme development in an academic setting to optimize care coordination.Trauma surgery & acute care open · 2017Article
- Hospital Readmission Through the Emergency Department.Trauma monthly · 2016Article
- Census-based socioeconomic indicators for monitoring injury causes in the USA: a review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2015Review
- Outpatient follow-up after traumatic injury: Challenges and opportunities.Journal of emergencies, trauma, and shock · 2014Article
- Association between intentional injury and long-term survival after trauma.Annals of surgery · 2014Article
- Article
- Timing and causes of death after injuries.Proceedings (Baylor University. Medical Center) · 2013Article
- Lack of Association of Household Income and Acute Gastroenteritis Disease Severity in Young Children: A Cohort Study.Academic pediatricsArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
STUDY
objectiveWe determine the rate at which trauma patients re-present to the emergency department (ED) after discharge from the hospital and determine whether re-presentation is related to race, insurance, and socioeconomic factors such as neighborhood income level.
methodsTrauma patients admitted to a Level I trauma center between January 1, 1997, and December 31, 2007, were identified with the hospital's trauma registry. These patients were linked to administrative data to obtain information about re-presentation to the hospital. Neighborhood income was obtained with census block data; multiple imputation was implemented to account for missing income data. Logistic regression analysis was used to determine the predictors of re-presentation.
resultsThere were 6,675 patients who were included in the study. A total of 886 patients (13.3%) returned to the ED within 30 days of discharge from the hospital. Uninsured patients (odds ratio [OR]=1.64; 95% confidence interval [CI] 1.30 to 2.06) and publicly insured patients (OR=1.60; 95% CI 1.20 to 2.14) were more likely to re-present to the ED than those with commercial insurance. Residing in a neighborhood with a median household income less than $20,000 was associated with a higher odds of re-presentation (OR=1.77; 95% CI 1.37 to 2.29). Only 13.2% of patients who came to the ED were readmitted to the hospital.
conclusionA substantial number of trauma patients return to the ED within 30 days of being discharged, but only a small proportion of these patients required readmission. Re-presentation is associated with being uninsured or underinsured and with lower neighborhood income level.
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