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The relation between regular outpatient follow-up and frequency of emergency department visits in sickle cell

Abeer F Ismail1, Raghad A Tarawah, Zainab Y Azzouni

  • 1Department of Pediatrics, Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia. E-mail. abeerfathy2000@yahoo.com.

Saudi Medical Journal
|December 9, 2020
PubMed

Insights

Regular outpatient department (OPD) follow-up is crucial for managing pediatric sickle cell disease (SCD). Missing OPD appointments significantly increases emergency department (ED) visits, highlighting the need for consistent patient engagement in SCD care.

Area of Science:

  • Pediatric Hematology
  • Public Health

Background:

  • Sickle Cell Disease (SCD) is a genetic blood disorder requiring consistent medical management.
  • Pediatric patients with SCD often face challenges in accessing regular healthcare, leading to potential complications.

Purpose of the Study:

  • To investigate the association between emergency department (ED) visit frequency and outpatient department (OPD) follow-up adherence in pediatric SCD patients.
  • To identify factors influencing ED utilization among children with SCD.

Main Methods:

  • A retrospective cohort study analyzed data from 247 pediatric SCD patients over a three-year period (2016-2018) in Saudi Arabia.
  • Electronic medical records were used to extract demographic data, medication information, and frequencies of ED and OPD visits.
  • Statistical analyses included Pearson correlation, linear regression, and independent sample t-tests.

Main Results:

  • No significant correlation was found between the overall frequency of ED visits and regular OPD visits.
  • A significant positive correlation was identified between ED visits and missed OPD appointments.
  • Each missed OPD appointment was associated with approximately 1.92 ED visits, indicating a high reliance on emergency care (43%).

Conclusions:

  • Regular OPD follow-up is essential for effective management of pediatric SCD.
  • Missed OPD appointments are a key predictor of increased ED utilization in this population.
  • Strategies to improve OPD adherence may reduce ED visits and enhance overall SCD patient care.
Abstract

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