Observational studyPloS one2015
Unscheduled-return-visits after an emergency department (ED) attendance and clinical link between both visits in patients aged 75 years and over: a prospective observational study.
Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed.
- Frequencies and reasons for unplanned emergency department return visits by older adults: a cohort study.BMC geriatrics · 2023Trial
- Observational
- Article
- Unplanned re-attendance to emergency department of patients with systemic inflammatory response syndrome: a situational analysis.BMC health services research · 2025Article
- Revisits and frailty in older patients in the emergency department - a prospective observational multicenter study.BMC emergency medicine · 2024Observational
- Burden and patient characteristics associated with repeat consultation for unscheduled care within 30 days in primary care: a retrospective case control study with implications for aging and public health.Frontiers in public health · 2023Article
- Healthcare-associated adverse events and readmission to the emergency departments within seven days after a first consultation.Frontiers in public health · 2023Article
- Reducing 48-h emergency department revisits and subsequent admissions: a retrospective study of increased emergency medicine resident floor coverage.International journal of emergency medicine · 2022Article
- Association between access to primary care and unplanned emergency department return visits among patients 75 years and older.Canadian family physician Medecin de famille canadien · 2022Article
- Safety assessment of a redirection program using an electronic application for low-acuity patients visiting an emergency department.BMC emergency medicine · 2022Observational
- Article
- Status of Emergency Department Seventy-Two Hour Return Visits Among Homeless Patients.Journal of clinical medicine research · 2019Article
- Factors Affecting Unscheduled Return Visits to the Emergency Department among Minor Head Injury Patients.BioMed research international · 2017Article
- Older patient hospital admissions following primary care referral: the truth is in the referring.Irish journal of medical science · 2016Article
- Risk Factors for Emergency Department Short Time Readmission in Stratified Population.BioMed research international · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPredictors of unscheduled return visits (URV), best time-frame to evaluate URV rate and clinical relationship between both visits have not yet been determined for the elderly following an ED visit.
methodsWe conducted a prospective-observational study including 11,521 patients aged ≥75-years and discharged from ED (5,368 patients (53.5%)) or hospitalized after ED visit (6,153 patients). Logistic Regression and time-to-failure analyses including Cox proportional model were performed.
resultsMean time to URV was 17 days; 72-hour, 30-day and 90-day URV rates were 1.8%, 6.1% and 10% respectively. Multivariate analysis indicates that care-pathway and final disposition decisions were significantly associated with a 30-day URV. Thus, we evaluated predictors of 30-day URV rates among non-admitted and hospitalized patient groups. By using the Cox model we found that, for non-admitted patients, triage acuity and diagnostic category and, for hospitalized patients, that visit time (day, night) and diagnostic categories were significant predictors (p<0.001). For URV, we found that 25% were due to closely related-clinical conditions. Time lapses between both visits constituted the strongest predictor of closely related-clinical conditions.
conclusionOur study shows that a decision of non-admission in emergency departments is linked with an accrued risk of URV, and that some diagnostic categories are also related for non-admitted and hospitalized subjects alike. Our study also demonstrates that the best time frame to evaluate the URV rate after an ED visit is 30 days, because this is the time period during which most URVs and cases with close clinical relationships between two visits are concentrated. Our results suggest that URV can be used as an indicator or quality.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.