ISSN : 2146-3123
E-ISSN : 2146-3131

Evaluating Unscheduled Readmission to Emergency Department in the Early Period
Abdullah Cüneyt Hocagil 1, Hilal Hocagil 1, Fikret Bildik 2, İsa Kılıçaslan 2, Hasan Karabulut 2, Ayfer Keleş 2, Ahmet Demircan 2
1Department of Emergency Medicine, Bülent Ecevit University Faculty of Medicine, Zonguldak, Turkey
2Department of Emergency, Gazi University Faculty of Medicine, Ankara, Turkey
DOI : 10.5152/balkanmedj.2015.15917

Abstract

Background: The readmission in the early period (RAEP) is defined as the admission of a patient to emergency department (ED) for the second time within 72 hours after discharge from the ED.

Aims: The aim of this study was to determine the disease, patient, doctor, and system related causes of RAEP.

Study Design: Descriptive study.

Methods: This study is a two-stage study that was conducted at Department of Emergency, Gazi University Faculty of Medicine. The causes of RAEP were defined as disease, patient, doctor, and system related causes.

Results: A total of 46,800 adult patients admitted to ED during the study period and 779 (1.66%) patients required RAEP. After the exclusion criteria, 429 of these patients were included the study. The most common reasons for RAEP were renal colic in 46 (10.7%) patients. It was detected that 60.4% of the causes of RAEP were related to disease, 20.0% were related to the doctor, 12.1% were related to the patient, and 7.5% were related to the hospital management system.

Conclusion:  This study revealed that there are patient-, doctor-, and system-related preventable reasons for RAEP and the patients requiring RAEP constitute the high risk group.

Keywords : Early period, emergency department, readmission
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