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Related Experiment Video

Updated: May 12, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

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Published on: January 15, 2017

Early emergency department representations.

Kent Robinson1, Bonnie Lam

  • 1Department of Emergency Medicine, Liverpool Hospital, Sydney, NSW 2170, Australia. Kent.Robinson@sswahs.nsw.gov.au

Emergency Medicine Australasia : EMA
|April 9, 2013
PubMed
Summary

Nearly 5% of emergency department (ED) patients return within 72 hours, with most preventable returns linked to patient-related factors. Interventions targeting patient behavior could reduce these early emergency department representations.

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Area of Science:

  • Emergency Medicine
  • Health Services Research

Background:

  • Early return visits to the emergency department (ED) after discharge are a frequent clinical challenge.
  • Understanding the reasons for these representations is crucial for improving patient care and resource allocation.

Purpose of the Study:

  • To determine the rate of early ED representation within 72 hours of discharge.
  • To identify and categorize the primary causes of these early representations.

Main Methods:

  • A retrospective chart review was conducted on patients discharged from a tertiary ED in Sydney, Australia.
  • Data were collected over a two-month period (May-June 2010).
  • Representations were analyzed by diagnosis, cause, and categorized as avoidable or unavoidable.

Main Results:

  • Out of 10,141 presentations, 4.9% of patients represented within 72 hours.
  • Disease progression (39%) and patient-related factors (32.2%), particularly those leaving without waiting or against medical advice (20.9%), were major causes.
  • A significant proportion (37%) of these representations were deemed preventable.
  • Over 23% of patients who represented required hospital admission.

Conclusions:

  • Early ED representations are a common occurrence, impacting healthcare systems.
  • Patient-related factors are the most significant contributors to preventable early ED returns.
  • Targeted interventions focusing on patient-related causes may effectively reduce the incidence of early ED readmissions.