Evidence map›Paper›PMID 34689542›Full record

ArticleAnnals of geriatric medicine and research2021

A Descriptive Study of Emergency Department Visits Within 30 Days of Discharge.

Hyeanji Kim, Seung Jun Han, Jae Hyun Lee, Jin Lim, Sung do Moon, Hongran Moon, Seo-Young Lee, Sock-Won Yoon, Hee-Won Jung

Abstract read
In one paragraph

Article in Annals of geriatric medicine and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 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

9 authors.

Hyeanji KimRegional Emergency Medical Center, Seoul National University Hospital, Seoul, Korea.
Seung Jun HanDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Jae Hyun LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Jin LimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Sung do MoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Hongran MoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Seo-Young LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Sock-Won YoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Hee-Won JungDivision of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnnecessary emergency department (ED) visits are a crucial consideration in discharge planning for acutely admitted patients. This study aimed to identify the reasons for unnecessary visits to the ED within 30 days of discharge from a medical hospitalist unit.

methodsWe performed a retrospective review of patients discharged in 2018 from a medical unit of tertiary teaching hospital in Korea. The authors discussed in-depth and determined whether or not an ED visit was unnecessary, and further classified the causes of unnecessary visits into three categories.

resultsThe mean age of the patients was 62.9 years (range, 15-99 years), and among the 1,343 patients discharged from the unit, 720 (53.6%) were men. Overall, 215 patients (16.0%) visited the ED within 30 days after discharge; among them, 16.3% were readmitted. Of the 215 cases of ED visits within 30 days after discharge, 57 (26.5%) were considered unnecessary. Of these, 30 (52.6%) were categorized as having failed care transition, 15 (26.3%) had unestablished care plans for predictable issues, and 12 (21.1%) had insufficient patient education.

conclusionA substantial number of short-term ED visits by discharged multimorbid or older medical patients were considered unnecessary. Discharging patients with a thorough discharge plan is essential to avoid unnecessary ED visits.

Indexed as

GeriatricsHospital medicineMultimorbidityPatient dischargePatient readmission

Identifiers

PMID34689542
PMCPMC8749036

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