• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Emergency

Emergency department revisit rates underestimated among pediatric patients

byKate AndersonandLeah Carr, MD
April 12, 2018
in Emergency, Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Emergency department (ED) revisit rates among pediatric patients were shown to be underestimated by almost 20% when only revisits that occurred at the same hospital as the original visit were considered.

2. Patients initially seen at institutions with the lowest annual pediatric volumes were more likely to have revisits at a different hospital compared to patients with index visits at hospitals with the largest pediatric volumes.

Evidence Rating Level: 4 (Below Average)

Study Rundown: While ED revisit rates are often used as an indication of department and hospital quality of care, data generally only include revisits that happen at the same hospital, potentially leading to underestimation of the true revisit rates. Researchers in this study analyzed data discharges among pediatric patients from 261 EDs in New York and Maryland to quantify revisit rates at the same (SHR) and different (DHR) facilities. They also sought to describe predictors of ED revisits and to determine the possible underestimation of revisit rates by comparing all facility revisits to SHR only. Results showed revisit rates within 7 days were underestimated by almost 20% among children <18 years when DHR facilities were not taken into consideration. Revisits occurred in about 1 of every 20 pediatric patients who were discharged from a participating ED, and of all revisits, about 1 in 5 happened at DHRs. DHRs were found to be significantly more common among patients initially seen at EDs with lower pediatric volumes. This study was limited by an inability to determine revisits for index sites on the last day of the study period. In cases where revisits occurred on the same day as the index visits, researchers were not able to determine which visit occurred first, thus these visits were excluded. Lack of data on both these circumstances likely contributed to an underestimation of the revisit rates. Results from this study suggest ED revisit rates among pediatric patients are significantly underestimated when analyzing data from individual institutions only.

Click to read the study, published today in Pediatrics

Relevant reading: Patients visiting multiple emergency departments: patterns, costs, and risk factors

RELATED REPORTS

Comparison of different types of ultrasound probes for lung ultrasound in neonates

Different variants presenting with different presentations amongst children with COVID-19 infections

Use of questionnaires and tools to assess suicide risk in adolescents in the Emergency Department

In-depth [cross-sectional]: Researchers analyzed data from 4.3 million ED visits in patients <18 years old at 261 EDs in New York and Maryland. Revisits were defined as visits which occurred between 1 and 7 days after the initial visit. Emergency departments were grouped into 4 quartiles based on annual pediatric volume. Results showed that a total of 250 856 (5.9%) patients had revisits, of which 43 630 (17.4%) were DHR. Patients originally seen at institutions with the highest annual pediatric volume were significantly less likely to have DHR compared with patients seen at centers with the lowest pediatric volumes (adjusted odds ratio [aOR] 0.27, 95%CI 0.19-0.36). Patients see at institutions with the highest proportion of Medicaid patients were 1.49 times as likely to have a revisit compared to those seen at institutions with the lowest proportion of Medicaid patients (OR 1.49, 95% CI 1.35-1.65). Revisit rates were highest among patients initially diagnosed with unspecified fever (6.6% index visits leading to revisits), upper respiratory tract infections (6.2%), and unspecified viral infections (5.1%). DHRs were associated with admissions in 28.8% of cases compared to 10.4% of cases in SHR (OR 3.93, 95% CI 3.83-4.04).

Image: CC/Wiki/Eyone ambulance emergency

©2018 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: pediatric emergency medicinerevisit
Previous Post

A Zika vaccine could virtually eliminate prenatal infections

Next Post

Inhibiting mitochondrial responses after intra-articular fracture slows progression of posttraumatic osteoarthritis

RelatedReports

Racial, ethnic differences in outcomes of extremely preterm infants decreasing but persistent
Emergency

Comparison of different types of ultrasound probes for lung ultrasound in neonates

July 12, 2024
Emergency

Different variants presenting with different presentations amongst children with COVID-19 infections

March 13, 2023
Preterm birth associated with lower high school academic performance
Emergency

Use of questionnaires and tools to assess suicide risk in adolescents in the Emergency Department

February 23, 2023
No significant increased risk of bladder cancer with pioglitazone use
Emergency

Quality improvement initiative in pediatric emergency departments improves opioid prescribing practices

November 2, 2021
Next Post
Brodalumab effective in treating active psoriatic arthritis

Inhibiting mitochondrial responses after intra-articular fracture slows progression of posttraumatic osteoarthritis

Racial differences in colorectal cancer survival linked to health at initial diagnosis

BEACON CRC Safety Lead-in Study suggests safety and efficacy of triplet combination therapy for treatment of metastatic colorectal cancer

AAP reaffirms support for adolescents’ rights to confidential reproductive care

Transgender youth found to have higher rates of mental health disorders

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Commonly cited medication triggers may not increase risk of microscopic colitis among older adults
  • Ablation may reduce stroke risk, death, heart failure hospitalization in patients with atrial fibrillation
  • Minimally invasive surgery is beneficial for epithelial ovarian cancer 
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.