Kilicaslan Onder, Sönmez Feruza Turan, Gunes Harun, Temizkan Ramazan Cahit, Kocabay Kenan, Saritas Ayhan
Faculty, Department of Pediatric Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey.
Faculty, Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey.
J Clin Diagn Res. 2017 Mar;11(3):SC12-SC15. doi: 10.7860/JCDR/2017/25098.9484. Epub 2017 Mar 1.
Reviewing the reasons for return visits within 24 hours is a very important method of determining possible problems of emergency health care. Several causes stay behind unscheduled emergency return visits. Therefore, identifying these factors is crucial to set strategies in order to decrease the number of unnecessary visits.
To define the characteristics of the patients returning to the Paediatric Emergency Department (PED) within 24 hours via determining rate, number and demographic data of patients.
The present study design involves retrospective data collection of patients who returned to PED within 24 hours after being discharged. Data was included over six year period and was collected from July 1, 2010 to June 30, 2016. The data was analysed with SPSS17.0 statistical package for windows.
A total of 1994 patients returned to PED within 24 hours from July 1, 2010 to June 30, 2016. The most common group of revisiting patients were toddlers (aged 0-2-year old), n=1168 (58.5%), and the least number represented young adolescents (aged 15-18-year old), n=82 (4.1%). Number of patients returning to PED in 24 hours has significantly increased within years from approximately 90 patients to 720 (p<0.05). This increase in number was observed in all and each age group (from 0-18 years of age) without any exception. Seasonal distribution of the patients showed no significant difference (p>0.05) for each age, but again, presented definite negative correlation with age (the older is the patient group, the less is the number of revisits). The most common time for revisits was 17-24 hours after first discharge from PED, n=1277 (64.04%).
The number of return visits is increasing over the years. The younger the patient is, more likely is the risk of unscheduled revisit to PED. Most of the patients returned to PED in 17 to 24 hours after discharge.
回顾24小时内复诊的原因是确定急诊医疗可能存在问题的非常重要的方法。有几个原因导致了非计划内的急诊复诊。因此，识别这些因素对于制定策略以减少不必要的就诊次数至关重要。
通过确定患者的复诊率、数量和人口统计学数据，明确24小时内返回儿科急诊科（PED）的患者特征。
本研究设计涉及对出院后24小时内返回PED的患者进行回顾性数据收集。数据涵盖六年期间，从2010年7月1日至2016年6月30日收集。使用SPSS17.0 Windows统计软件包对数据进行分析。
2010年7月1日至2016年6月30日期间，共有1994例患者在24小时内返回PED。复诊患者中最常见的群体是幼儿（0至2岁），n = 1168例（58.5%），最少的是青少年（15至18岁），n = 82例（4.1%）。24小时内返回PED的患者数量在几年内显著增加，从大约90例增加到720例（p < 0.05）。在所有年龄组（0至18岁）中均观察到这种数量增加，无一例外。患者的季节分布在各年龄组中无显著差异（p > 0.05），但再次显示出与年龄的明确负相关（患者组年龄越大，复诊次数越少）。最常见的复诊时间是首次从PED出院后的17至24小时，n = 1277例（64.04%）。
多年来复诊次数在增加。患者年龄越小，非计划内复诊至PED的风险越高。大多数患者在出院后17至24小时返回PED。
