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Inappropriate Emergency Department Visits: Insights on Incidence, Associated, and Predictive Factors From 5,429 Visits.
Alghamdi, Abdulaziz M; Alqazenli, Mohamed K; Alzahrani, Mohammed I; Bin Khamis, Nawaf A; Al Yusuf, Ghadeer A; Alaithan, Tajah M; Alshobaki, Hind H; AlGhamdi, Muhnnad A; Asiri, Mouath H; Hanafi, Sawsan T.
Afiliación
  • Alghamdi AM; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
  • Alqazenli MK; Research Office, King Abdullah International Medical Research Center, Jeddah, SAU.
  • Alzahrani MI; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
  • Bin Khamis NA; Research Office, King Abdullah International Medical Research Center, Jeddah, SAU.
  • Al Yusuf GA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
  • Alaithan TM; Research Office, King Abdullah International Medical Research Center, Jeddah, SAU.
  • Alshobaki HH; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
  • AlGhamdi MA; Research Office, King Abdullah International Medical Research Center, Jeddah, SAU.
  • Asiri MH; College of Medicine, Medical University of Warsaw, Warsaw, POL.
  • Hanafi ST; College of Medicine, AlMaarefa University, Riyadh, SAU.
Cureus ; 16(7): e65091, 2024 Jul.
Article en En | MEDLINE | ID: mdl-39171019
ABSTRACT

INTRODUCTION:

Inappropriate visits (IVs) and overcrowded emergency departments (EDs) can result in many complications for patients and medical staff. This study aimed to assess the incidence, associated factors, and predictive factors of IVs to ED.

METHODS:

This retrospective cohort single-center study was conducted in the ED of King Abdulaziz Medical City, Jeddah, Saudi Arabia. All ED visits in February 2023 were included. They were considered appropriate if the patient required investigation tests, underwent a procedure, was admitted to an inpatient ward, was admitted to the short-stay unit, was referred for follow-up at a specialist outpatient clinic after discharge from the ED, or was referred to the ED of another hospital. Failure to have at least one of these factors led to the visit being considered inappropriate.

RESULTS:

A total of 5,429 visits were included. The incidence rate of IVs was 1128 (20.7%). Of the visits, 1,028 (18.9%) were attended by patients aged <10 years, and 2,825 (52.0%) by female patients. The most reported complaints were pulmonological in 1,029 visits (18.9%). Patients with appropriate visits (AVs) had significantly higher median BMI scores than those with IVs (25.9 (20 - 3) vs. 23.7 (16.36 - 29), P = <0.0001). Visits with pulmonological (447 (39.6%) vs. 582 (13.5%)) and otorhinolaryngologic (54 (4.7%) vs. 94 (2.1%)) complaints were significantly more likely to be inappropriate (P = <0.0001). In multiple logistic regression, being a male (OR 1.3, CI 1.1 - 1.5, P = <0.0001), being non-Saudi (OR 2.7, CI 2.0 - 3.6, P = <0.0001), and visiting on the weekend (OR 1.1, CI 1.0 - 1.3, P = 0.0366) were significantly predictive of the visits being inappropriate.

CONCLUSIONS:

Our findings revealed a high incidence of IVs in the ED, with several factors predictive of IVs. Highlighting these factors can help minimize the incidence of IVs and, therefore, improve the quality of healthcare delivered to patients in need and their clinical outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos