Guo Di-You, Chen Kai-Hua, Chen I-Chuan, Lu Kuan-Yu, Lin Yu-Ching, Hsiao Kuang-Yu
Chang Gung Memorial Hospital, Chiayi Department of Emergency Medicine Chiayi Taiwan.
Chang Gung Memorial Hospital Department of Physical Medicine and Rehabilitation Chiayi Taiwan.
J Acute Med. 2020 Mar 1;10(1):20-26. doi: 10.6705/j.jacme.202003_10(1).0003.
Emergency department (ED) revisits may be associated with a higher percentage of adverse events and increased costs. Our hospital is a university affiliation hospital accepted regional referral patients, and located in the region in Taiwan with the highest percentage of elderly people. In this study, we attempted to identify whether old age was a risk factor of ED revisit.
Patients who visited the ED from July 2011 to June 2016 were included. Factors associated with revisit were collected from medical information database. A total of 239,405 patients were included in our study, with 13,272 having ED revisits within 72 hours. Chi square and independent t test were applied for univariable factors, and a logistic regression model was used for multivariable analysis.
Old age (age ≥ 65 years) was found to be a risk factor for ED revisit (odds ratio [OR]: 1.14; 95% confidence interval [CI]: 1.09-1.19). Diagnosis, pulse rate, diastolic blood pressure, fever, pain management, paracentesis, triage level, registration category, male gender, discharge status, and major illness may have some effect on ED revisit.
In our patients, old age is a risk factor for ED revisit; however, only a weak association was found.
急诊科复诊可能与更高比例的不良事件及成本增加相关。我院是一家接收区域转诊患者的大学附属医院，位于台湾地区老年人比例最高的区域。在本研究中，我们试图确定高龄是否为急诊科复诊的一个危险因素。
纳入2011年7月至2016年6月期间到急诊科就诊的患者。从医疗信息数据库收集与复诊相关的因素。我们的研究共纳入239,405例患者，其中13,272例在72小时内进行了急诊科复诊。对单因素采用卡方检验和独立t检验，多因素分析采用逻辑回归模型。
发现高龄（年龄≥65岁）是急诊科复诊的一个危险因素（比值比[OR]：1.14；95%置信区间[CI]：1.09 - 1.19）。诊断、脉率、舒张压、发热、疼痛管理、腹腔穿刺、分诊级别、挂号类别、男性、出院状态及重大疾病可能对急诊科复诊有一定影响。
在我们的患者中，高龄是急诊科复诊的一个危险因素；然而，仅发现了较弱的关联。
