Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study

Abstract Background Emergency Department (ED) revisits have often been used as an indicator of medical care quality. This study aimed to quantify the frequency of ED revisits within 72 h of discharge and identify its factors among children with chronic diseases. Methods We designed a retrospective c...

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Main Authors: Anwar E. Ahmed, Bashayr I. ALMuqbil, Manair N. Alrajhi, Hend R. Almazroa, Doaa A. AlBuraikan, Monirah A. Albaijan, Maliha Nasim, Majid A. Alsalamah, Donna K. McClish, Hamdan AL-Jahdali
Format: Article
Language:English
Published: BMC 2018-06-01
Series:BMC Pediatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12887-018-1186-8
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spelling doaj-b61ff00562a14209b4c075123620833f2020-11-24T21:34:07ZengBMCBMC Pediatrics1471-24312018-06-011811710.1186/s12887-018-1186-8Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian studyAnwar E. Ahmed0Bashayr I. ALMuqbil1Manair N. Alrajhi2Hend R. Almazroa3Doaa A. AlBuraikan4Monirah A. Albaijan5Maliha Nasim6Majid A. Alsalamah7Donna K. McClish8Hamdan AL-Jahdali9King Abdullah International Medical Research Center (KAIMRC)King Saud bin Abdulaziz University for Health Sciences, National Guard Health AffairsKing Saud bin Abdulaziz University for Health Sciences, National Guard Health AffairsKing Saud bin Abdulaziz University for Health Sciences, National Guard Health AffairsKing Saud bin Abdulaziz University for Health Sciences, National Guard Health AffairsKing Abdullah International Medical Research Center (KAIMRC)King Abdullah International Medical Research Center (KAIMRC)King Saud bin Abdulaziz University for Health Sciences, National Guard Health AffairsDepartment of Biostatistics, School of Medicine, Virginia Commonwealth UniversityKing Saud bin Abdulaziz University for Health Sciences, National Guard Health AffairsAbstract Background Emergency Department (ED) revisits have often been used as an indicator of medical care quality. This study aimed to quantify the frequency of ED revisits within 72 h of discharge and identify its factors among children with chronic diseases. Methods We designed a retrospective cohort study of children with at least one chronic disease who were also under 18 years of age and had attended and were discharged from the ED at King Abdullah Specialist Children’s Hospital (KASCH-RD), Riyadh, Saudi Arabia between April 19, 2015 and July 29, 2017. The outcome measure was the frequency of ED revisits during a period of 72 h after discharge. Results The study included 11,057 ED discharges of children with at least one chronic disease. Their revisit rate was 1211 (11%), with 83 (6.9%) having had a second ED revisit within 72 h of ED discharge. According to ICD-10 codes, the most common causes of ED revisits were respiratory, digestive, genitourinary, symptoms, and external causes. Factors of frequent ED revisits within 72 h were young age, institutional health insurance coverage, year of new health information system (2015), external causes, and genitourinary. Conclusion The rate of 72-h ED revisits after discharge of children with chronic diseases treated at KASCH-RD was relatively high, and was associated with young age, institutional health insurance coverage, year of a new health information system implementation, and external causes of ED visit. These study findings amplify the need for intervention to reduce the rate of early ED revisits among children with chronic diseases.http://link.springer.com/article/10.1186/s12887-018-1186-8Emergency departmentED revisitChronic diseasesChildrenSaudi Arabia
collection DOAJ
language English
format Article
sources DOAJ
author Anwar E. Ahmed
Bashayr I. ALMuqbil
Manair N. Alrajhi
Hend R. Almazroa
Doaa A. AlBuraikan
Monirah A. Albaijan
Maliha Nasim
Majid A. Alsalamah
Donna K. McClish
Hamdan AL-Jahdali
spellingShingle Anwar E. Ahmed
Bashayr I. ALMuqbil
Manair N. Alrajhi
Hend R. Almazroa
Doaa A. AlBuraikan
Monirah A. Albaijan
Maliha Nasim
Majid A. Alsalamah
Donna K. McClish
Hamdan AL-Jahdali
Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study
BMC Pediatrics
Emergency department
ED revisit
Chronic diseases
Children
Saudi Arabia
author_facet Anwar E. Ahmed
Bashayr I. ALMuqbil
Manair N. Alrajhi
Hend R. Almazroa
Doaa A. AlBuraikan
Monirah A. Albaijan
Maliha Nasim
Majid A. Alsalamah
Donna K. McClish
Hamdan AL-Jahdali
author_sort Anwar E. Ahmed
title Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study
title_short Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study
title_full Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study
title_fullStr Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study
title_full_unstemmed Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study
title_sort emergency department 72-hour revisits among children with chronic diseases: a saudi arabian study
publisher BMC
series BMC Pediatrics
issn 1471-2431
publishDate 2018-06-01
description Abstract Background Emergency Department (ED) revisits have often been used as an indicator of medical care quality. This study aimed to quantify the frequency of ED revisits within 72 h of discharge and identify its factors among children with chronic diseases. Methods We designed a retrospective cohort study of children with at least one chronic disease who were also under 18 years of age and had attended and were discharged from the ED at King Abdullah Specialist Children’s Hospital (KASCH-RD), Riyadh, Saudi Arabia between April 19, 2015 and July 29, 2017. The outcome measure was the frequency of ED revisits during a period of 72 h after discharge. Results The study included 11,057 ED discharges of children with at least one chronic disease. Their revisit rate was 1211 (11%), with 83 (6.9%) having had a second ED revisit within 72 h of ED discharge. According to ICD-10 codes, the most common causes of ED revisits were respiratory, digestive, genitourinary, symptoms, and external causes. Factors of frequent ED revisits within 72 h were young age, institutional health insurance coverage, year of new health information system (2015), external causes, and genitourinary. Conclusion The rate of 72-h ED revisits after discharge of children with chronic diseases treated at KASCH-RD was relatively high, and was associated with young age, institutional health insurance coverage, year of a new health information system implementation, and external causes of ED visit. These study findings amplify the need for intervention to reduce the rate of early ED revisits among children with chronic diseases.
topic Emergency department
ED revisit
Chronic diseases
Children
Saudi Arabia
url http://link.springer.com/article/10.1186/s12887-018-1186-8
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