Back so soon? Characterizing emergency department use after trauma

被引:11
作者
Abou-Hanna, Jameil [1 ]
Kugler, Nathan W. [1 ]
Rein, Lisa [2 ]
Szabo, Aniko [1 ,2 ]
Carver, Thomas W. [1 ]
机构
[1] Med Coll Wisconsin, Div Trauma Crit Care & Acute Care Surg, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USA
[2] Med Coll Wisconsin, Div Biostat, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USA
关键词
Trauma; Readmissions; Emergency department; Injury; Resource utilization; Follow-up; HOSPITAL READMISSION; PATIENT; CARE;
D O I
10.1016/j.amjsurg.2019.10.046
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Trauma readmissions have been well studied but little data exists regarding Emergency Department (ED) utilization following an injury. This study was performed to determine the factors associated with a return to the ED after trauma. Methods: A retrospective review of all adult trauma patients evaluated between January and December of 2014 was performed. Demographics, follow-up plan, and characteristics of ED visits within 30 days of discharge were recorded. Predictive factors of ED utilization were identified using univariate analysis and multi -logistic regression. Results: Fourteen percent of 1836 consecutive patients returned to the ED within 30 days of initial trauma. On multi-logistic regression, penetrating trauma (OR 2.15 p = 0.001), and scheduled follow-up (OR 1.81 p = 0.046) remained signi fi cant predictors. Conclusions: Penetrating trauma victims are at increased risk of returning to the ED, most often because of wound or pain issues. Recognizing these factors allows for targeted interventions to decrease ED resource utilization. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:217 / 221
页数:5
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