Hospital Readmission Through the Emergency Department

Mahmoudi, Sadrollah; Taghipour, Hamid Reza; Javadzadeh, Hamid Reza; Ghane, Mohammad Reza; Goodarzi, Hassan; Motamedi, Mohammad Hosein Kalantar

doi:10.5812/traumamon.35139

Cited by 11 publications

(4 citation statements)

References 32 publications

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“…7,8 Besides cost of treatment, avoidable readmissions also burdens emergency departments of hospitals with preventable admissions. 9 Data regarding cost of readmissions after a surgical procedure is not available from Pakistan or South Asia.…”

Section: Introductionmentioning

confidence: 99%

30-day Readmission Rate And Its Causes In General Surgical Patients

Sultan

Abdullah

Chawla

2018

J Coll Physicians Surg Pak

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Section: Introductionmentioning

confidence: 99%

30-day Readmission Rate And Its Causes In General Surgical Patients

Sultan

Abdullah

Chawla

2018

J Coll Physicians Surg Pak

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“…Preventable readmissions create a burden on public hospitals, incurring substantial financial costs at the national exchequer [ 12 ]. Conforming to Universal Health Coverage (UHC) and the launch of community health insurance programs in low- and middle-income countries (LMICs), especially South Asia, e.g., Sehat Sahulat Program-Pakistan; Health insurance program—India; National Health Insurance Program—Nepal; Health protection scheme—Bangladesh; Agrahara—Sri Lanka, etc.)…”

Section: Introductionmentioning

confidence: 99%

Post Discharge mHealth and Teach-Back Communication Effectiveness on Hospital Readmissions: A Systematic Review

Mashhadi

Hisam

Sikander

et al. 2021

IJERPH

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Hospital readmissions pose a threat to the constrained health resources, especially in resource-poor low-and middle-income countries. In such scenarios, appropriate technologies to reduce avoidable readmissions in hospitals require innovative interventions. mHealth and teach-back communication are robust interventions, utilized for the reduction in preventable hospital readmissions. This review was conducted to highlight the effectiveness of mHealth and teach-back communication in hospital readmission reduction with a view to provide the best available evidence on such interventions. Two authors independently searched for appropriate MeSH terms in three databases (PubMed, Wiley, and Google Scholar). After screening the titles and abstracts, shortlisted manuscripts were subjected to quality assessment and analysis. Two authors checked the manuscripts for quality assessment and assigned scores utilizing the QualSyst tool. The average of the scores assigned by the reviewers was calculated to assign a summary quality score (SQS) to each study. Higher scores showed methodological vigor and robustness. Search strategies retrieved a total of 1932 articles after the removal of duplicates. After screening titles and abstracts, 54 articles were shortlisted. The complete reading resulted in the selection of 17 papers published between 2002 and 2019. Most of the studies were interventional and all the studies focused on hospital readmission reduction as the primary or secondary outcome. mHealth and teach-back communication were the two most common interventions that catered for the hospital readmissions. Among mHealth studies (11 out of 17), seven studies showed a significant reduction in hospital readmissions while four did not exhibit any significant reduction. Among the teach-back communication group (6 out of 17), the majority of the studies (5 out of 6) showed a significant reduction in hospital readmissions while one publication did not elicit a significant hospital readmission reduction. mHealth and teach-back communication methods showed positive effects on hospital readmission reduction. These interventions can be utilized in resource-constrained settings, especially low- and middle-income countries, to reduce preventable readmissions.

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“…It is known that revisits increase intensity of EDs, prolong waiting times, and delay intervention to the actual emergency patients, resulting in decreased quality of healthcare service delivered [10]. In addition, revisits cause a significant financial burden on healthcare systems of countries [11].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Characteristics of Revisits to an Adult Emergency Department Within 72 Hours

Uzun

Altınbilek

Sever

et al. 2020

RoJES

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The objective of this study was to determine revisits of the patients discharged from the adult emergency department of our hospital in the early period (72 hours) between January 2016 and December 2016, and to evaluate characteristics of these revisits. In this study, records of the patients discharged from the adult emergency department in 2016 were retrospectively screened from the hospital information management system. Of the 361,413 patients, 7,800 (2.1%) met the inclusion criteria. The most common cause of the initial presentation was unexplained pain with 890 (11.4%) patients, while the most common diagnosis in revisits was acute upper respiratory tract infection with 642 (8.2%) patients. It was found that 18 patients (2.23%) died in the emergency department. No significant difference was found between triage scores of the emergency department presentations, while 161 patients with green area triage in the initial presentation presented to the red area and 134 of these patients were discharged. In our study, the revisit rate was similar with the studies in the literature. It was observed that the majority of the patients who revisited were discharged after the initial visit and they presented to the emergency department again upon their complaints continued. It was thought that revisits can be largely prevented with correct prescription and providing better information to patients.

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Hospital Readmission Through the Emergency Department

Cited by 11 publications

References 32 publications

30-day Readmission Rate And Its Causes In General Surgical Patients

30-day Readmission Rate And Its Causes In General Surgical Patients

Post Discharge mHealth and Teach-Back Communication Effectiveness on Hospital Readmissions: A Systematic Review

Evaluation of the Characteristics of Revisits to an Adult Emergency Department Within 72 Hours

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