ArticleSingapore medical journal2016
Characteristics of patients who made a return visit within 72 hours to the emergency department of a Singapore tertiary hospital.
Article in Singapore medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 46 citations in OpenAlex.
- Assessment of quality of care in a pediatric emergency unit of a tertiary hospital, Ethiopia.BMC health services research · 2026Article
- Technological advancements and the use of key performance indicators in hospital management: a critical-conceptual review.Frontiers in health services · 2026Review
- Transfer versus direct-visit patients in medically underserved emergency departments: a retrospective cohort study.BMC emergency medicine · 2025Article
- The Effects of Health Information Technology on Quality of Care in Emergency Departments: A Systematic Review.Health science reports · 2025Review
- Critical revisits after discharge from the emergency department.International journal of emergency medicine · 2025Article
- Article
- Performance comparison of artificial intelligence models in predicting 72-h emergency department unscheduled return visits.Frontiers in public health · 2025Article
- Evaluation of unplanned reattendances to the pediatric emergency department - a five-year study.BMC pediatrics · 2024Article
- Machine learning models for predicting unscheduled return visits to an emergency department: a scoping review.BMC emergency medicine · 2024Article
- Emergency room readmission, an avoidable problem? Analysis and stratification of readmissions in a trauma reference center.Revista do Colegio Brasileiro de Cirurgioes · 2024Article
- Predictors of 72-h unscheduled return visits with admission in patients presenting to the emergency department with abdominal pain.European journal of medical research · 2023Article
- ED Revisits Within 72 Hours to a Tertiary Health Care Facility in Dubai: A Descriptive Study.Cureus · 2023Review
- Benchmarking emergency department prediction models with machine learning and public electronic health records.Scientific data · 2022Article
- A Machine Learning Model for Predicting Unscheduled 72 h Return Visits to the Emergency Department by Patients with Abdominal Pain.Diagnostics (Basel, Switzerland) · 2021Article
- Characteristics and outcomes of patients with an unscheduled return visit within 72 hours to the Paediatric Emergency Centre at a Private Tertiary Referral Hospital in Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Discharge against medical advice from the emergency department in a university hospital.BMC emergency medicine · 2021Article
- A prospective study of hospital episodes of adults with intellectual disability.Journal of intellectual disability research : JIDR · 2020Article
- Frequency, Causes, and Outcomes of Return Visits to the Emergency Department Within 72 Hours: A Retrospective Observational Study.Journal of multidisciplinary healthcare · 2020Article
- Characteristics of Febrile Children Admitted to the ICU Following an Unscheduled ED Revisit Within 72 h, a Case-Control Study.Frontiers in pediatrics · 2020Article
- Risk Factors for Emergency Department Unscheduled Return Visits.Medicina (Kaunas, Lithuania) · 2019Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction72-hour emergency department (ED) reattendance is a widely-used quality indicator for quality of care and patient safety. It is generally assumed that patients who return within 72 hours of ED discharge (72-hour re-attendees) received inadequate treatment or evaluation. The current literature also suggests considerable variation in probable causes of 72-hour ED reattendances internationally. This study aimed to understand the characteristics of these patients at the ED of a Singapore tertiary hospital.
methodsWe conducted a retrospective cohort study on all ED visits between 1 January 2013 and 31 December 2013. 72-hour re-attendees were compared against non-re-attendees based on patient demographics, mode of arrival, patient acuity category status (i.e. P1/P2/P3/P4), seniority ranking of doctor-in-charge and medical diagnoses. Multivariate analysis using the generalised linear model was conducted on variables associated with 72-hour ED re-attendance.
resultsAmong 104,751 unique patients, 3,065 (2.93%) were in the 72-hour re-attendees group. Multivariate analysis showed that the following risk factors were associated with higher risk of returning within 72 hours: male gender, older age, arrival by ambulance, triaged as P2, diagnoses of heart problems, abdominal pain or viral infection (all p < 0.001), and Chinese ethnicity (p = 0.006). There was no significant difference in the seniority ranking of the doctor-in-charge between both groups (p = 0.419).
conclusionSeveral patient and event factors were associated with higher risk of being a 72-hour re-attendee. This study forms the basis for hypothesis generation and further studies to explore reasons behind reattendances so that interventions can be developed to target high-risk groups.
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