Emergency department visits following discharge: Implications for healthcare management

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dc.authoridTeles, Mesut/0000-0002-3255-0096
dc.authoridBahcecioglu Mutlu, Adile Begum/0000-0003-0777-8934
dc.contributor.authorKaya, Sidika
dc.contributor.authorGuven, Gulay Sain
dc.contributor.authorTeles, Mesut
dc.contributor.authorAydan, Seda
dc.contributor.authorKar, Ahmet
dc.contributor.authorBahcecioglu, A. Begum
dc.contributor.authorSenturk, Esra Firat
dc.date.accessioned2024-11-07T13:35:24Z
dc.date.available2024-11-07T13:35:24Z
dc.date.issued2021
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjective: This study aimed to reveal the frequency of emergency department (ED) visits within 7 and 30 days after discharge and to identify the factors affecting these ED visits. Methods: A total of 1570 patients discharged from the internal medicine wards of a university hospital in Turkey within 1 year were included in this prospective cohort study. Multiple logistic regression analyses were used to identify the factors affecting ED visits. Results: Of the patients, 1.3% visited the ED within the first 7 days after discharge and 5.2% within 30 days. Multivariable analyses showed that the probability of an ED visit within 30 days was 1.83 (95% CI 1.09-3.08; p = 0.023) times higher for male patients and 2.15 (95% CI 1.00-4.60; p = 0.049) times higher for patients with intensive care unit (ICU) stay before discharge. The probability of an ED visit increased by 1.25 (95% CI 1.11-1.42, p < 0.001) times for every 1-point increase in the comorbidity score. The costs of ED visits within 0-7 days were lower than the costs within 8-30 days (p = 0.001). Conclusion: Innovative approaches targeting discharge planning and postdischarge care for patients with high comorbidity scores and ICU use during index hospitalization could reduce ED visits within 30 days after discharge.
dc.description.sponsorshipScientific and Technological Research Council of Turkey (Turkiye Bilimsel ve Teknolojik Arastirma Kurumu [TUBITAK]) [114K404]; TUBITAK
dc.description.sponsorshipThe data (except ED visits data) used in this study were obtained from research project no. 114K404 supported by the Scientific and Technological Research Council of Turkey (Turkiye Bilimsel ve Teknolojik Arastirma Kurumu [TUBITAK]). The authors thank TUBITAK for providing financial support.
dc.identifier.doi10.1080/20479700.2020.1762050
dc.identifier.endpage1381
dc.identifier.issn2047-9700
dc.identifier.issn2047-9719
dc.identifier.issue4
dc.identifier.scopus2-s2.0-85086911266
dc.identifier.scopusqualityQ2
dc.identifier.startpage1373
dc.identifier.urihttps://doi.org/10.1080/20479700.2020.1762050
dc.identifier.urihttps://hdl.handle.net/11480/16467
dc.identifier.volume14
dc.identifier.wosWOS:000546936000001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherRoutledge Journals, Taylor & Francis Ltd
dc.relation.ispartofInternational Journal of Healthcare Management
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectEmergency department
dc.subjectreturn visit
dc.subjectrisk factors
dc.subjectpost-discharge
dc.subjectinternal medicine
dc.titleEmergency department visits following discharge: Implications for healthcare management
dc.typeArticle

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