ArticleAnnals of emergency medicine2011
Patterns and predictors of short-term death after emergency department 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 32 papers.
What it found
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The trial behind it
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Who cites it
32 citing papers in PubMed, 54 citations in OpenAlex.
- Outpatient Follow-up Care for Diabetes Following Discharge from the Emergency Department.Journal of general internal medicine · 2026Article
- Emergency Severity Index Stratified by Post-Triage Lactate: Association with In-Hospital Mortality in Admitted Patients.The western journal of emergency medicine · 2026Article
- Outcomes of 72-hour emergency department return visits requiring hospital admission in older adults: a nationally representative analysis.BMC geriatrics · 2026Article
- Multi-Evidence Clinical Reasoning With Retrieval-Augmented Generation for Emergency Triage: Retrospective Evaluation Study.JMIR medical informatics · 2026Article
- Prognostic Significance of AI-Enhanced ECG for Emergency Department Patients.Diagnostics (Basel, Switzerland) · 2025Article
- Aspiring to clinical significance: Insights from developing and evaluating a machine learning model to predict emergency department return visit admissions.PLOS digital health · 2024Article
- Odds of return: a prospective study using provider assessment to predict short-term patient return visits to the emergency department.BMJ open · 2021Article
- A Scoping Review of Emergency Department Discharge Risk Stratification.The western journal of emergency medicine · 2021Article
- Ambulatory Follow-up and Outcomes Among Medicare Beneficiaries After Emergency Department Discharge.JAMA network open · 2020Article
- Study protocol for IMAGE: implementing multidisciplinary assessments for geriatric patients in an emergency department observation unit, a hybrid effectiveness/implementation study using the Consolidated Framework for Implementation Research.Implementation science communications · 2020Article
- Risk Factors and Causes of Short-Term Mortality after Emergency Department Discharge in Older Patients: Using Nationwide Health Insurance Claims Data.Annals of geriatric medicine and research · 2019Article
- Who Has an Unsuccessful Observation Care Stay?Healthcare (Basel, Switzerland) · 2018Article
- A Risk Score to Predict Short-term Outcomes Following Emergency Department Discharge.The western journal of emergency medicine · 2018Article
- Emergency Department Increased use of Observation Care for Elderly Medicare Patients.Journal of hospital administration · 2018Article
- Observational
- Emergency Department Vital Signs and Outcomes After Discharge.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2017Article
- Outcomes after observation stays among older adult Medicare beneficiaries in the USA: retrospective cohort study.BMJ (Clinical research ed.) · 2017Article
- Early death after emergency department discharge in patients with psychiatric illness.The American journal of emergency medicine · 2017Article
- Early death after discharge from emergency departments: analysis of national US insurance claims data.BMJ (Clinical research ed.) · 2017Article
- Poor Outcomes After Emergency Department Discharge of the Elderly: A Case-Control Study.Annals of emergency medicine · 2016Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
STUDY
objectiveThe emergency department (ED) is an inherently high-risk setting. Early death after an ED evaluation is a rare and devastating outcome; understanding it can potentially help improve patient care and outcomes. Using administrative data from an integrated health system, we describe characteristics and predictors of patients who experienced 7-day death after ED discharge.
methodsAdministrative data from 12 hospitals were used to identify death after discharge in adults aged 18 year or older within 7 days of ED presentation from January 1, 2007, to December 31, 2008. Patients who were nonmembers of the health system, in hospice care, or treated at out-of-network EDs were excluded. Predictors of 7-day postdischarge death were identified with multivariable logistic regression.
resultsThe study cohort contained a total of 475,829 members, with 728,312 discharges from Kaiser Permanente Southern California EDs in 2007 and 2008. Death within 7 days of discharge occurred in 357 cases (0.05%). Increasing age, male sex, and number of preexisting comorbidities were associated with increased risk of death. The top 3 primary discharge diagnoses predictive of 7-day death after discharge included noninfectious lung disease (odds ratio [OR] 7.1; 95% confidence interval [CI] 2.9 to 17.4), renal disease (OR 5.6; 95% CI 2.2 to 14.2), and ischemic heart disease (OR 3.8; 95% CI 1.0 to 13.6).
conclusionOur study suggests that 50 in 100,000 patients in the United States die within 7 days of discharge from an ED. To our knowledge, our study is the first to identify potentially "high-risk" discharge diagnoses in patients who experience a short-term death after discharge.
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Registered trials
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