Evidence map›Paper›PMID 28757746›Full record

ArticleTzu chi medical journal

Characteristics and outcomes of patients with emergency department revisits within 72 hours and subsequent admission to the intensive care unit.

I-Ting Tsai, Cheuk-Kwan Sun, Chao-Sung Chang, Kuo-Hsin Lee, Chih-Yu Liang, Chih-Wei Hsu

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Article in Tzu chi medical journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

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15citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

I-Ting TsaiDepartment of Emergency Medicine, E-Da Hospital and I-Shou University, Kaohsiung, Taiwan.
Cheuk-Kwan SunDepartment of Emergency Medicine, E-Da Hospital and I-Shou University, Kaohsiung, Taiwan.
Chao-Sung ChangDepartment of Emergency Medicine, E-Da Hospital and I-Shou University, Kaohsiung, Taiwan.
Kuo-Hsin LeeDepartment of Emergency Medicine, E-Da Hospital and I-Shou University, Kaohsiung, Taiwan.
Chih-Yu LiangDepartment of Emergency Medicine, E-Da Hospital and I-Shou University, Kaohsiung, Taiwan.
Chih-Wei HsuDepartment of Emergency Medicine, E-Da Hospital and I-Shou University, Kaohsiung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate the characteristics and outcomes of patients with emergency department (ED) revisits within 72 hours and subsequent admission to the intensive care unit (ICU). MATERIALS AND

methodsThe medical records of all adult patients revisiting the ED of a single tertiary referral medical center with ICU admissions between January 2012 and September 2014 were reviewed in terms of patient characteristics, clinical manifestations, diagnoses, triage according to the Taiwan Triage and Acuity Scale, causes of revisits, and mortality.

resultsThe majority of the 51 patients reviewed were male (64.7%). Their mean age was 62.9 ± 14.9 years. Most patients visited the ED during the evening shift (51%) and were categorized into triage Level III (76.5%) during their first ED visit. The causes of revisits were doctor-related (21/51, 41.1%), illness-related (18/51, 35.3%), and patient-related (12/51, 23.5%). Disease categories included the neurological (23.5%), digestive (23.5%), and cardiovascular systems (21.6%). Abdominal pain and vertigo/dizziness were the two most common initial manifestations. The mortality rate was 27.5%. Malignancy and hepatic diseases were the two most common underlying medical conditions for nonsurvivors. In addition, patients initially presenting to the ED with lower triage scores (III & IV) had a higher mortality rate than those with higher scores (I & II).

conclusionMost of the patients who revisited the ED within 72 hours and were subsequently admitted to the ICU visited the ED during the evening shift and were categorized into triage Level III on their first visit. The most common chief complaint at the first visit was abdominal pain. The most common cause of revisits with ICU admission was doctor-related, while the most common underlying disease was hypertension. Significantly higher mortality was observed after ED revisits in patients with lower triage scores with underlying malignancy and liver cirrhosis.

Indexed as

EmergencyICU admissionRevisit

Identifiers

PMID28757746
PMCPMC5442903

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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.