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van der Linden MC, Lindeboom R, de Haan R, et al. Unscheduled return visits to a Dutch inner-city emergency department. Int J Emerg Med. 2014;7:23doi: 10.1186/s12245-014-0023-6.
van der Linden, M. C., Lindeboom, R., de Haan, R., van der Linden, N., de Deckere, E. R., Lucas, C., Rhemrev, S. J., & Goslings, J. C. (2014). Unscheduled return visits to a Dutch inner-city emergency department. International journal of emergency medicine, 723. https://doi.org/10.1186/s12245-014-0023-6
van der Linden, M Christien, et al. "Unscheduled return visits to a Dutch inner-city emergency department." International journal of emergency medicine vol. 7 (2014): 23. doi: https://doi.org/10.1186/s12245-014-0023-6
van der Linden MC, Lindeboom R, de Haan R, van der Linden N, de Deckere ER, Lucas C, Rhemrev SJ, Goslings JC. Unscheduled return visits to a Dutch inner-city emergency department. Int J Emerg Med. 2014 Jul 05;7:23. doi: 10.1186/s12245-014-0023-6. eCollection 2014. PMID: 25045407; PMCID: PMC4100563.
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Int J Emerg Med. 2014 Jul 05;7:23. doi: 10.1186/s12245-014-0023-6. eCollection 2014.

Unscheduled return visits to a Dutch inner-city emergency department.

International journal of emergency medicine

M Christien van der Linden, Robert Lindeboom, Rob de Haan, Naomi van der Linden, Ernie Rjt de Deckere, Cees Lucas, Steven J Rhemrev, J Carel Goslings

Affiliations

  1. Accident and Emergency Department, Medical Centre Haaglanden, The Hague 2501 CK, The Netherlands.
  2. Division of Clinical Methods and Public Health, Master Evidence Based Practice, Academic Medical Centre, University of Amsterdam, Amsterdam 1100 DD, The Netherlands.
  3. Clinical Research Unit, Academic Medical Centre, University of Amsterdam, J1b-118, Amsterdam 1100 DD, The Netherlands.
  4. Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam 3000 DR, The Netherlands.
  5. Department of Surgery, Trauma Unit, Academic Medical Centre, University of Amsterdam, Amsterdam 1100 DD, The Netherlands.

PMID: 25045407 PMCID: PMC4100563 DOI: 10.1186/s12245-014-0023-6

Abstract

BACKGROUND: Unscheduled return visits to the emergency department (ED) may reflect shortcomings in care. This study characterized ED return visits with respect to incidence, risk factors, reasons and post-ED disposition. We hypothesized that risk factors for unscheduled return and reasons for returning would differ from previous studies, due to differences in health care systems.

METHODS: All unscheduled return visits occurring within 1 week and related to the initial ED visit were selected. Multivariable logistic regression was conducted to determine independent factors associated with unscheduled return, using patient information available at the initial visit. Reasons for returning unscheduled were categorized into illness-, patient- or physician-related. Post-ED disposition was compared between patients with unscheduled return visits and the patients who did not return.

RESULTS: Five percent (n = 2,492) of total ED visits (n = 49,341) were unscheduled return visits. Patients with an urgent triage level, patients presenting during the night shift, with a wound or local infection, abdominal pain or urinary problems were more likely to return unscheduled. Reasons to revisit unscheduled were mostly illness-related (49%) or patient-related (41%). Admission rates for returning patients (16%) were the same as for the patients who did not return (17%).

CONCLUSIONS: Apart from abdominal complaints, risk factors for unscheduled return differ from previous studies. Short-term follow-up at the outpatient clinic or general practitioner for patients with urgent triage levels and suffering from wounds or local infections, abdominal pain or urinary problem might prevent unscheduled return.

Keywords: Emergency department; Emergency service; Hospital; Unscheduled return visits

References

  1. Acad Emerg Med. 2011 Dec;18(12):1289-94 - PubMed
  2. Singapore Med J. 2009 Nov;50(11):1068-71 - PubMed
  3. Acad Emerg Med. 2010 Feb;17(2):177-86 - PubMed
  4. Acad Emerg Med. 2011 Apr;18(4):390-7 - PubMed
  5. Ann Emerg Med. 1990 Jul;19(7):752-7 - PubMed
  6. J Emerg Med. 2010 May;38(4):512-7 - PubMed
  7. Can J Rural Med. 2010 Summer;15(3):108-12 - PubMed
  8. Eur J Emerg Med. 2011 Oct;18(5):276-8 - PubMed
  9. Am J Emerg Med. 1992 Jul;10(4):366-70 - PubMed
  10. Ann Emerg Med. 1989 Sep;18(9):964-8 - PubMed
  11. Qual Saf Health Care. 2006 Apr;15(2):102-8 - PubMed
  12. Eur J Emerg Med. 2010 Oct;17(5):274-9 - PubMed
  13. Pediatr Emerg Care. 2006 Aug;22(8):545-9 - PubMed
  14. J Emerg Med. 2012 Dec;43(6):1110-8 - PubMed
  15. Am J Emerg Med. 2003 Jan;21(1):30-1 - PubMed
  16. Int J Emerg Med. 2014 Feb 05;7(1):9 - PubMed
  17. Acad Emerg Med. 2010 Mar;17(3):252-9 - PubMed
  18. Emerg Med Australas. 2013 Apr;25(2):140-6 - PubMed
  19. Acad Emerg Med. 2000 Mar;7(3):249-59 - PubMed
  20. Ann Emerg Med. 1998 Nov;32(5):569-73 - PubMed
  21. West J Emerg Med. 2009 Nov;10(4):268-72 - PubMed
  22. Ann Emerg Med. 1996 Nov;28(5):467-73 - PubMed
  23. Ann Emerg Med. 2010 Jul;56(1):42-8 - PubMed
  24. Ann Emerg Med. 2012 Jul;60(1):24-32 - PubMed
  25. BMC Public Health. 2007 Nov 10;7:320 - PubMed
  26. Adv Emerg Nurs J. 2011 Oct-Dec;33(4):344-53 - PubMed
  27. Acad Emerg Med. 2001 Nov;8(11):1091-4 - PubMed
  28. Pediatr Emerg Care. 2005 Dec;21(12):816-21 - PubMed
  29. Emerg Med J. 2013 Aug;30(8):662-8 - PubMed
  30. Acad Emerg Med. 2013 Jan;20(1):33-9 - PubMed

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