Evidence map›Paper›PMID 41497959›Full record

ArticleEmergency medicine international2025

Analyzing the Reasons and Hospital Admission Rates of 72-Hour Emergency Department Revisits.

Abdulaziz Alalshaikh, Bader Alyahya, Badr Aldawood, Abdulaziz S Almehlisi, Sara Almubrik, Sarah Alaidarous, Abdulrahman Alrajhi, Abdulaziz Alhussainy, Mohammed Alageel

Abstract read
In one paragraph

Article in Emergency medicine international, 2025. 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.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

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.

Abdulaziz AlalshaikhEmergency Medicine Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0000-0003-3730-5337
Bader AlyahyaEmergency Medicine Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0000-0002-4869-4852
Badr AldawoodEmergency Medicine Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0009-0005-2326-920X
Abdulaziz S AlmehlisiEmergency Medicine Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0000-0001-6617-5282
Sara AlmubrikEmergency Medicine Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia, ksu.edu.sa.
Sarah AlaidarousEmergency Medicine Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0009-0004-0623-8615
Abdulrahman AlrajhiEmergency Medicine Department, King Abdulaziz Medical City, National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, Saudi Arabia, ksau-hs.edu.sa.ORCID https://orcid.org/0000-0003-1026-8329
Abdulaziz AlhussainyEmergency Medicine Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0009-0008-4383-8838
Mohammed AlageelEmergency Medicine Department, King Saud University, College of Medicine, Riyadh, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0000-0002-1215-6825

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Emergency department (ED) revisits are considered a significant indicator of the quality of care provided and are used as a benchmark for the performance of individual providers and institutions. The aim of this study is to assess ED revisit rates, reasons, and hospital admission rates among our adult ED patients. Methods: This is a retrospective chart review study conducted in a single-center tertiary referral hospital in Riyadh, Saudi Arabia. Study participants comprised adult patients who attended the ED, had been discharged, and had an ED revisit within 72 h from April 2019 to January 2020. Results: A total of 573 patients met our inclusion criteria, of whom 53.1% were males. The majority of the patients (74.5%) revisiting the ED were categorized as CTAS Level 3, with gastrointestinal complaints being the most common presentation for revisits (23.6%). During the second visit, 94%, 4%, 0.7%, and 0.3% of the participants were discharged, admitted, discharged against medical advice, and died, respectively. Disease progression was the most common cause of revisits at 96.5%. The factors that showed statistically significant associations with nondischarge disposition in the second visit were CTAS levels in the first and second visits, dementia, functional dependency, and reason for the revisit. Conclusion: Most ED visits within 72 h are due to disease progression rather than system- or physician-related issues, and the majority of these patients are safely discharged after the second visit. Identification of high-risk patients-such as those with higher CTAS levels, dementia, or functional dependency-may aid emergency physicians in implementing targeted discharge planning and coordinated outpatient follow-up to reduce unnecessary revisits and optimize use of emergency services. Our findings highlight the importance of structured post-discharge support and underscore the need for tailored interventions in resource-limited healthcare settings.

Indexed as

discharge failureemergency medicine revisitsemergency medicine visitsreturn visits

Identifiers

PMID41497959
PMCPMC12767670

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Registered trials

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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.