ArticleJournal of multidisciplinary healthcare2020
Frequency, Causes, and Outcomes of Return Visits to the Emergency Department Within 72 Hours: A Retrospective Observational Study.
Article in Journal of multidisciplinary healthcare, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Comparison of Patient-Reported Hospital Discharge Experiences in Patients with Long-Term and Episodic Opioid Therapy: A Qualitative Study.Journal of general internal medicine · 2026Article
- Factors Associated With 72-Hour Emergency Department Revisits at a Tertiary Care Hospital in Saudi Arabia.Cureus · 2026Article
- Emergency Medicine Pharmacist Prescriptive Authority for Resolution of Outpatient Prescription Issues.Journal of the American College of Emergency Physicians open · 2025Article
- Telehealth Emergency Department Transition-of-care Program: A Value-based Innovation.The western journal of emergency medicine · 2025Article
- Influence of Previous Emergency Department Visit Information on Care of Current Patients.The western journal of emergency medicine · 2025Article
- Assessing artificial intelligence-generated patient discharge information for the emergency department: a pilot study.International journal of emergency medicine · 2025Article
- Analyzing the Reasons and Hospital Admission Rates of 72-Hour Emergency Department Revisits.Emergency medicine international · 2025Article
- Enhanced Diagnostic Precision in Revisited Emergency Patients via Point-of-Care Ultrasound: A Tool for Emergency Department Quality Management.Journal of multidisciplinary healthcare · 2025Article
- The risk factors of the 72-h unscheduled return visit admission to emergency department in adults below 50 years old.European journal of medical research · 2023Article
- ED Revisits Within 72 Hours to a Tertiary Health Care Facility in Dubai: A Descriptive Study.Cureus · 2023Review
- Healthcare-associated adverse events and readmission to the emergency departments within seven days after a first consultation.Frontiers in public health · 2023Article
- Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency departments (EDs) serve as an accessible gateway to healthcare system wherein numerous patients consider it a prime choice for medical complaints. Frequency of ED revisits, causes, and its burden are necessary to assess quality of care provided to patients and identify factors that leads to revisit. PATIENTS AND
methodsElectronic and printed medical records of all patients who revisited ED from January to May 2016 within 72 hours of initial visit were reviewed. Patients' cause of revisit were classified to three categories: patient-, physician- and system-related factors. Common complaints that require revisits were also collected. Descriptive analysis was performed and categorical variables were represented by the frequency; percentages and continuous variables were presented as median, and range if data did not follow normal distribution.
resultsOf the 79,279 patients who visited ED during the study period, 1.3% (1000) patients revisited within 72 hours; 51.3% (n=513) were males, with a mean age of 31.5 years (SD=17.7 years) where majority (57.1%) had no comorbidity recorded. The most attributed factors for revisit were as follows: patient-related causes 635 patients (63.5%), physician-related factors 167 patients (16.7%), and system-related factors 42 patients (4.2%); 15.6% were found not related to the initial visit. Recurrence of the same complaint was the highest among patient-related factors (80.5%), inadequate management and no improvement of symptoms in 71.3% among the physician-related factors. The most common ED revisit complaint was fever 29.1% (n=291). Outcomes of the revisit were mainly patient discharge 96.7% (n=967), admission 1.2% (n=12) and death in 0.2% (n=2).
conclusionRecurrence of the same complaint with no symptoms improvement and suboptimal management of physicians contributed to most of the ED revisits within 72 hours. Encouraging physicians to provide clear instructions in educating patients on discharge regarding disease progression and its red flags as to when a return to ED, might help in reducing revisit rate.
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