Background In the home medical care setting, the factors causing emergency home visits (EHV) remain unclear. This study aimed to determine those factors and examine their relationship with EHV requests. Methods This is a single‐center retrospective observational study from data obtained from a home medical care clinic. We assessed the association between frequency of EHV and age, gender, level of care‐needed, cancer, and medical device in use with using Poisson regression analysis. Results A total of 608 EHV in 214 patients were analyzed. Common chief complaints were fever, death, and dyspnea. As factors that affect frequency of EHV because of fever, higher care‐needed level (RR: 3.35; 95% CI: 1.95‐5.74, P < .001), urinary catheter use (RR: 1.94; 95% CI: 1.22‐3.08, P = .005), and central venous port use (RR: 2.39; 95% CI: 1.44‐3.96, P = .001) showed significant correlation. Regarding EHV because of dyspnea, lung tumor (RR: 2.71; 95% CI: 1.26‐5.84, P = .011) and home oxygen use (RR: 3.96; 95% CI: 2.05‐7.68, P < .001) showed significant correlation. Regarding EHV because of all chief complaints, higher care‐needed level (RR: 1.59; 95% CI: 1.12‐2.26, P = .009), urinary catheter use (RR: 1.78; 95% CI: 1.13‐2.93, P = .014), and central venous port use (RR: 1.75; 95% CI: 1.04‐2.93, P = .034) showed positive correlation. Conclusion The factors associated with frequency of EHV because of fever or all chief complaints were urinary catheter use, central venous port use, and higher care‐needed level. As for dyspnea, they were lung cancer and home oxygen use. Our study suggests that the burdens on medical staffs, patients, and their families can be reduced through recognizing these risk factors.

IntroductionGeneral internists in Japanese hospitals sometimes consult on adolescents. Our university hospital encounters more adolescents with mental health complaints than other city hospitals. Consequently, based on our experience, we hypothesized that psychiatric disorders are significantly more common among teenagers who visit general internists. Therefore, we retrospectively analyzed the clinical profiles of teenage outpatients who visited general internists at three hospitals to test this hypothesis. MethodsThis study included 342 patients aged 13-19 years who visited the Departments of General Internal Medicine

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Background: In general practice, a wide variety of patients often present with various complaints. Some of them have multiple somatic symptoms, and it is possible for a general practitioner to miss an organic disease. In this crosssectional study, we retrospectively examined the correlation between the number of complaints and the prevalence of diseases in order to elucidate clues to help detect organic diseases in patients with multiple somatic complaints. Method:We evaluated 386 new walk-in outpatients who presented to the department of general medicine at the Toyama University Hospital between January 2014 and December 2014 with pain symptoms. Symptoms were classified by the number of pain sites (NPS) and the number of other non-pain complaints (NOC). Then we examined the association between these two variables and the final diagnosis.Results: The prevalence of organic diseases in the four and more NPS group was significantly higher than that of the three or less NPS group (66.7% and 27.5%, respectively). Psychiatric diseases were more prevalent in the group who had three and more NOC than in the patient population with two or less NOC (36.4% and 4.4%, respectively). Conclusion:Counting NPS and NOC could contribute to proper management of patients with multiple somatic complaints.