Risk of hospitalisation after early‐revisit in the emergency department

Cozzi, Giorgio; Ghirardo, Sergio; Fiorese, Ilaria; Proietti, Ilaria; Monasta, Lorenzo; Minute, Marta; Barbi, Egidio; Calligaris, Lorenzo

doi:10.1111/jpc.13561

Cited by 9 publications

(6 citation statements)

References 13 publications

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“…The ED revisit rates were high among infants, toddlers [ 9 , 12 , 14 , 17 , 18 , 19 ], and children with chronic diseases [ 11 , 20 ]. The hospitalization rate of pediatric patients was higher at the revisit than at their first visit, similar to the pattern reported in adults [ 13 ]. Furthermore, few previous studies showed the factors contributing to revisits, such as diagnoses and symptoms.…”

Section: Introductionsupporting

confidence: 80%

“…The visit-revisit interval was classified as follows: revisit to the ED within 1, 3, and 7 days. Most studies on ED revisits of pediatric patients use a visit-revisit interval of 3 to 7 days [ 13 , 16 , 26 ]. However, we also included revisits within 1 day because, according to Perry et al, ED revisits within 24 h could represent serious deficiencies in emergency health care [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

“…A few studies on ED revisits were conducted on pediatric patients. In previous studies, the ED revisit rates of pediatric patients varied from 2.2% to 8.0% [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ], and the number of pediatric revisits to EDs was reported to increase each year [ 19 ]. The ED revisit rates were high among infants, toddlers [ 9 , 12 , 14 , 17 , 18 , 19 ], and children with chronic diseases [ 11 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

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A Comparison of Emergency Department Revisit Rates of Pediatric Patients between Pre-COVID-19 and COVID-19 Periods

et al. 2022

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Unscheduled revisits to emergency departments (EDs) are important because they indicate the quality of emergency care. However, the characteristics of pediatric patients visiting EDs changed during the coronavirus disease (COVID-19) pandemic, and these changes may have affected their revisit patterns. Therefore, we aimed to compare the ED revisit patterns of pediatric patients between the pre-COVID-19 and COVID-19 periods. This retrospective multicenter study included patients aged below 18 years who visited the ED in the pre-COVID-19 and COVID-19 periods. ED revisit rates were analyzed using five age groups and three visit-revisit intervals. In the pre-COVID-19 period, the revisit rates decreased with increasing age. In the COVID-19 period, the revisit rates were the lowest for the group aged 4–6 years, and the rates increased for those aged ≥7 years. In conclusion, there were changes in the patterns of revisit rates of pediatric patients according to age between the pre-COVID-19 and COVID-19 periods. Therefore, it is necessary to identify the reasons for revisits according to age and establish strategies to reduce the revisit rates of pediatric patients.

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Section: Introductionsupporting

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Comparison of Emergency Department Revisit Rates of Pediatric Patients between Pre-COVID-19 and COVID-19 Periods

et al. 2022

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“…In contrast, we had a considerably lower frequency of hospitalization (1% vs 8.2%), but these data may reflect the very low rate of hospitalization for any cause at our PED. 8 The main limitation of our study was that the reported diagnoses were clinically established by the PED physicians, without the confirmation of a dermatologist. Being a retrospective study, we were not able to investigate the accuracy of diagnoses, and considering the reported low concordance between paediatricians and dermatologists, 9 we cannot exclude that some diagnoses could have been inaccurate.…”

mentioning

confidence: 94%

Pediatric Emergency Department Access Related to Skin Disorders

et al. 2019

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“…[ 8 ] There are also a high number of referrals to children's emergency centers for somatoform pain. [ 9 ] In this regard, Cerruti et al . [ 10 ] reported that somatic disorders are associated with major impairments in the functioning of school-aged children.…”

Section: Introductionmentioning

confidence: 99%

Investigation of the psychometric properties of children's somatization inventory in Iranian adolescents

Hoseini

Jafari

Bagajan

et al. 2022

Journal of Education and Health Promotion

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BACKGROUND: This study aimed to investigate the psychometric properties of children's somatization inventory (CSI-24) in a sample of Iranian school adolescents. MATERIALS AND METHODS: In this study, after translating and back-translating CSI-24, comparisons were made with the original version. The study population consisted of 394 school adolescents. Cronbach's alpha method was used to examine the reliability of the scale. Furthermore, the correlation of the scale with the Symptom Checklist-90-Revised was evaluated to determine its criterion validity, using Pearson's correlation coefficient. Exploratory and confirmatory factor analysis methods were applied for construct validity. RESULTS: Investigation of the psychometric properties of the Iranian version of CSI-24 showed its high reliability and confirmatory factor analysis results show the model's satisfactory fitting. CONCLUSION: The Persian version of CSI-24 is a useful self-report tool for evaluating the physical complaints of Iranian school adolescents aged between 12 and 18 years.

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Risk of hospitalisation after early‐revisit in the emergency department

Abstract: Early revisited patients in the ED had a significantly higher risk of hospitalisation, but this risk was only partially related to their clinical conditions.

Cited by 9 publications

References 13 publications

A Comparison of Emergency Department Revisit Rates of Pediatric Patients between Pre-COVID-19 and COVID-19 Periods

A Comparison of Emergency Department Revisit Rates of Pediatric Patients between Pre-COVID-19 and COVID-19 Periods

Pediatric Emergency Department Access Related to Skin Disorders

Investigation of the psychometric properties of children's somatization inventory in Iranian adolescents

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