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

Anwar E Ahmed1,2,3, Bashayr I ALMuqbil4, Manair N Alrajhi4

  • 1King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia. ahmeda5@vcu.edu.

BMC Pediatrics
|June 28, 2018
PubMed

Insights

A study found that 11% of pediatric chronic disease patients revisited the Emergency Department (ED) within 72 hours. Young age and specific conditions were linked to these frequent ED revisits.

Area of Science:

  • Pediatric Healthcare
  • Health Services Research
  • Chronic Disease Management

Background:

  • Emergency Department (ED) revisits are a key indicator of medical care quality.
  • Understanding factors influencing early revisits is crucial for improving pediatric care.

Purpose of the Study:

  • To quantify the frequency of ED revisits within 72 hours among children with chronic diseases.
  • To identify factors associated with these early revisits.

Main Methods:

  • Retrospective cohort study of 11,057 pediatric ED discharges with chronic diseases.
  • Data collected from King Abdullah Specialist Children's Hospital (KASCH-RD) between April 2015 and July 2017.
  • Outcome measured: ED revisits within 72 hours of discharge.

Main Results:

  • An 11% revisit rate within 72 hours was observed.
  • Common causes included respiratory, digestive, genitourinary issues, symptoms, and external causes.
  • Factors associated with revisits: young age, insurance, new health information system year, external causes, genitourinary issues.

Conclusions:

  • The rate of 72-hour ED revisits for pediatric chronic disease patients was high.
  • Interventions are needed to reduce early ED revisits in this population.
Abstract

Keywords:
ChildrenChronic diseasesED revisitEmergency departmentSaudi Arabia

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