Observational studyInquiry : a journal of medical care organization, provision and financing
Predicting Adverse Outcomes in Older Adults with 72-Hour Emergency Department Returns: A Retrospective Cohort Study Developing the Rec-FLASH Score.
Observational study in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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5 authors.
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Abstract
Older patients are heavy users of emergency department (ED) resources and are at high risk for short-term ED visits, often leading to adverse outcomes. We aim to elucidate the characteristics of older patients who undergo 72-h ED returns, and develop a prediction model for unfavorable outcomes to facilitate clinical practices. This retrospective observational study enrolled older patients who shortly returned to the ED of a tertiary hospital within 72 h between 2019 and 2020. The study population was divided into development and validation datasets. The primary outcome was high-risk ED returns, defined as intensive care unit admission or in-hospital mortality after ED returns. Multivariable logistic regression was performed to identify predictors of high-risk returns, and a prediction model was built accordingly. A total of 1118 encounters were enrolled in our development dataset, with a mean age of 79.4 ± 9.5 years. Through multivariable analysis, independent predictors of high-risk ED returns were identified. A simple prediction model (ReC-FLASH) was developed, demonstrating a C-statistic of 0.862 (95% CI: 0.822-0.903,
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