Seventy-two-hour emergency department revisits among adults with chronic diseases: a Saudi Arabian study

Ahmed, Anwar; AlBuraikan, Doaa A.; Almazroa, Hend R; Alrajhi, Manair N; ALMuqbil, Bashayr I.; Albaijan, Monirah A.; Alsalamah, Majid; Al‐Jahdali, Hamdan

doi:10.2147/tcrm.s168763

Cited by 13 publications

(10 citation statements)

References 19 publications

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“…Data were extracted from unified BESTCare database, a large multi-center electronic health information system implemented in MNGHA in 2015 [12]. BESTCare provides patient-centered care through a single electronic health system accessible to health care providers for documentation and updating records and fully accessible to patients to review their medical records electronically [13]. We retrieved data on children’s age, gender, region where a case was diagnosed, and diagnosis weekdays (Yes/No).…”

Section: Methodsmentioning

confidence: 99%

Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study

et al. 2019

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Background Despite the fact that several scabies outbreaks emerged in schools in Saudi Arabia in 2018, no study has investigated the risk of scabies recurrence among children in Saudi Arabia. This study aimed to estimate the rate of scabies recurrence and identify factors that were associated with an increased risk of recurrence among children. Methods This is a multi-center retrospective study of children (age < 14 years) who were diagnosed between May 20, 2015 and September 12, 2018 with one or multiple recurrent scabies at the Ministry of National Guard Health Affairs (MNGHA) hospitals and clinics in Saudi Arabia. Data were obtained from an electronic health system, BestCare database. Results A sample of 264 children analyzed (mean age of 6.7 years) resulted in a cumulative number of 316 scabies diagnoses in which 86 (27.2%) experienced scabies recurrence (at least once). Independent factors associated with a high risk of scabies recurrence: older children (adjusted hazard ratio [aHR], 1.036; 95% CI, 1.002–1.072; P = 0.039), female gender (aHR, 1.734; 95% CI, 1.329–2.262; P = 0.001), Western region of Saudi Arabia (aHR, 1.548; 95% CI, 1.115–2.151; P = 0.009), and 2nd tertile season [May to August] (aHR, 2.368; 95% CI, 1.706–3.288; P = 0.001). Conclusions The study demonstrated that the recurrence rate of scabies among children is high. Older children, the female gender, the Western region of Saudi Arabia, and the seasonality were independently associated with an increased risk of scabies recurrence. High temperature and low humidity should be explored as leading factors for scabies infestations in Saudi Arabia. Findings derived from this study may be useful for clinicians and governments in optimizing clinical management of scabies cases and contacts.

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Section: Methodsmentioning

confidence: 99%

Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study

et al. 2019

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“…12,13 Respiratory problems were the frequent presenting complaints in the study conducted in Malaysia and Turkey whereas abdominal pain accounted for the first and second most presenting complaints in different studies done with similar objectives. 7,10,18,20 These complaints are attributed to the next common presenting complaint in our study. Return visits to ED due to previously diagnosed lower respiratory and upper respiratory tract infections among patients could be due to cold season, missed or wrong diagnosis, and short ER stay during the first visit.…”

Section: Discussionmentioning

confidence: 51%

“…Since various factors which can be patientrelated, physician-related, or disease-related contributing to revisits have also been studied, it can reduce the rates if properly addressed. 5 This study may help in improving patient care as the revisit rates are also considered as a tool to assess the quality of care. 6…”

Section: Introductionmentioning

confidence: 99%

Prevalence and outcomes of unscheduled revisits within 72 hours of discharge from emergency department

Maharjan

Joshi

Thapa

2021

J Patan Acad Health Sci

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Introduction: Emergency Department (ED) revisit shortly after discharge not only increases the workload but also impacts healthcare cost and quality of patient care. The main aim of this study was to determine the rates, causes, and outcome of revisits within 72 h of ED. Method: A cross-sectional study over six months was carried out in the ED of Patan Hospital, Patan Academy of Health Science (PAHS). All patients who revisited an ED within 72 h of the initial visit were included. Variables studied were age-group, gender, chief complaints, diagnosis of initial and revisit. Study was ethically approved by the Institutional Review Committee of PAHS. Data were analyzed descriptively using MS Excel and SPSSversion20. Result: Out of 23,879 cases, 280(1.2%) revisited the ED within 72 h. Fever was the most common symptom accounting for 109(38.9%) patients of total revisit cases. In 190(67.9%) patients, the main reason for the visit was due to the symptoms not getting better. Around two-third i.e. 177(63.2%) of revisits were discharged and 103(36.8%) were admitted. Maximum revisits were found to be done among the 20-59y age group. Conclusion: The main reason for the revisit to ED was due to the persistence of the previous symptoms.

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“…In addition, disadvantaged groups such as less educated individuals were shown to lack knowledge about their health conditions and ways to manage at home and hence resort to ED as their main source of disease management and education (AL-Jahdali et al 2012). Evidence indicates that elderly tend to use more ED services (Alghanim and Alomar 2015, Pines et al 2011b, Fuda and Immekus 2006, Ahmed et al 2018 while other studies showed that both young and old individuals often use ED services (LaCalle and Rabin 2010). Older patients who tend to have multiple co-morbidities may perceive the hospital ED as a better choice to get more advanced healthcare (Peppe et al 2007).…”

Section: Discussion Of Resultsmentioning

confidence: 99%

Association between Emergency Department Visits and Predisposing, Enabling, Need, and Reinforcing Social Factors in an Acute Care

Da’ar¹,

Alahmary²,

Alsalamah³

2019

AJHMS

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No primary evidence has hitherto existed of predisposing, enabling, need, and social reinforcing factors influencing Emergency Department (ED) visits in an acute setting in Saudi Arabia. The aim of this study was to examine the association between emergency department visits and predisposing, enabling, need, and reinforcing social factors in an acute care. A cross-sectional study that randomly selected representative patients visiting ED services at King Abdulaziz Medical City in Riyadh from December 2016 to January 2017. Patient and facility validated questionnaires were used. Descriptive analysis and multivariate analysis were carried using STATA version 12. Average ED visit was 3.8 in 12 months with a range of 50 visits. Visits were concentrated on a few small discrete and non-negative integer values, but without an explicit upper limit.

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Seventy-two-hour emergency department revisits among adults with chronic diseases: a Saudi Arabian study

Cited by 13 publications

References 19 publications

Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study

Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study

Prevalence and outcomes of unscheduled revisits within 72 hours of discharge from emergency department

Association between Emergency Department Visits and Predisposing, Enabling, Need, and Reinforcing Social Factors in an Acute Care

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