Risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study.
To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. The needs of patients with uncompleted visits to the emergency department (ED) are uncertain. The aim was to evaluate ED patients who leave against medical advice (AMA) and who leav...
Published in: | Emergency Medicine Journal |
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Language: | English |
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2013
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Online Access: | http://hdl.handle.net/2336/313099 https://doi.org/10.1136/emermed-2012-201129 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/313099 2023-05-15T16:47:43+02:00 Risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study. Geirsson, Oli Pall Gunnarsdottir, Oddny Sigurborg Baldursson, Jon Hrafnkelsson, Birgir Rafnsson, Vilhjalmur Department of Mathematics, University of Iceland, Reykjavik, Iceland 2Office of Education, Research and Development, the Landspitali, the National University Hospital, Reykjavik, Iceland 3Ministry of Welfare, Reykjavik, Iceland 4Department of Preventive Medicine, University of Iceland, Reykjavik, Iceland 2013 http://hdl.handle.net/2336/313099 https://doi.org/10.1136/emermed-2012-201129 en eng BMJ Pub. Group http://dx.doi.org/10.1136/emermed-2012-201129 Emerg Med J 2013, 30 (8):662-8 1472-0213 22983976 doi:10.1136/emermed-2012-201129 http://hdl.handle.net/2336/313099 Emergency medicine journal : EMJ Archived with thanks to Emergency medicine journal : EMJ Landspitali Access - LSH-aðgangur Sjúklingar Heilbrigðisþjónusta Meðferð Sjúkrahúsvist Adult Emergency Service Hospital Female Humans Iceland Male Middle Aged Patient Readmission Prospective Studies Risk Factors Treatment Refusal Young Adult Article 2013 ftlandspitaliuni https://doi.org/10.1136/emermed-2012-201129 2022-05-29T08:21:55Z To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. The needs of patients with uncompleted visits to the emergency department (ED) are uncertain. The aim was to evaluate ED patients who leave against medical advice (AMA) and who leave without being seen (WBS) regarding repeat ED visits, hospitalisation and mortality within 30 days. The National University Hospital operates the only ED for adults in the capital area of Reykjavik. The source of data was the electronic records for patients 18 years or older, who left AMA, who left WBS, who had the ICD-10 code Z53.2, or who completed their visits. ED visits, hospital admissions and the death registry are filed with the personal identification number, which enabled recognition of the index visit, and the outcomes, rates of return visits, hospitalisation and death. Of 107 119 patients, 77 left AMA, 4471 left WBS and 423 had code Z53.2. The HR for returning to the ED within 30 days was 4.79 for AMA patients, 4.84 for WBS patients and 3.67 for Z53.2 patients. The HR for hospitalisation within 30 days was 6.90 for AMA patients, 1.09 for WBS patients and 1.07 for Z53.2 patients. The HR for death within 30 days was 10.97 for AMA patients, 0.84 for WBS and no deaths occurred among Z53.2 patients. During 30 days follow-up, AMA and WBS patients had an increased rate of repeat ED visits compared with those patients who completed their ED visits. AMA patients also had an increased rate of hospitalisations. Landspitali—the National University Hospital of Iceland research fund, Landspitali—the National University Hospital of Iceland Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Emergency Medicine Journal 30 8 662 668 |
institution |
Open Polar |
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Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Sjúklingar Heilbrigðisþjónusta Meðferð Sjúkrahúsvist Adult Emergency Service Hospital Female Humans Iceland Male Middle Aged Patient Readmission Prospective Studies Risk Factors Treatment Refusal Young Adult |
spellingShingle |
Sjúklingar Heilbrigðisþjónusta Meðferð Sjúkrahúsvist Adult Emergency Service Hospital Female Humans Iceland Male Middle Aged Patient Readmission Prospective Studies Risk Factors Treatment Refusal Young Adult Geirsson, Oli Pall Gunnarsdottir, Oddny Sigurborg Baldursson, Jon Hrafnkelsson, Birgir Rafnsson, Vilhjalmur Risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study. |
topic_facet |
Sjúklingar Heilbrigðisþjónusta Meðferð Sjúkrahúsvist Adult Emergency Service Hospital Female Humans Iceland Male Middle Aged Patient Readmission Prospective Studies Risk Factors Treatment Refusal Young Adult |
description |
To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. The needs of patients with uncompleted visits to the emergency department (ED) are uncertain. The aim was to evaluate ED patients who leave against medical advice (AMA) and who leave without being seen (WBS) regarding repeat ED visits, hospitalisation and mortality within 30 days. The National University Hospital operates the only ED for adults in the capital area of Reykjavik. The source of data was the electronic records for patients 18 years or older, who left AMA, who left WBS, who had the ICD-10 code Z53.2, or who completed their visits. ED visits, hospital admissions and the death registry are filed with the personal identification number, which enabled recognition of the index visit, and the outcomes, rates of return visits, hospitalisation and death. Of 107 119 patients, 77 left AMA, 4471 left WBS and 423 had code Z53.2. The HR for returning to the ED within 30 days was 4.79 for AMA patients, 4.84 for WBS patients and 3.67 for Z53.2 patients. The HR for hospitalisation within 30 days was 6.90 for AMA patients, 1.09 for WBS patients and 1.07 for Z53.2 patients. The HR for death within 30 days was 10.97 for AMA patients, 0.84 for WBS and no deaths occurred among Z53.2 patients. During 30 days follow-up, AMA and WBS patients had an increased rate of repeat ED visits compared with those patients who completed their ED visits. AMA patients also had an increased rate of hospitalisations. Landspitali—the National University Hospital of Iceland research fund, Landspitali—the National University Hospital of Iceland |
author2 |
Department of Mathematics, University of Iceland, Reykjavik, Iceland 2Office of Education, Research and Development, the Landspitali, the National University Hospital, Reykjavik, Iceland 3Ministry of Welfare, Reykjavik, Iceland 4Department of Preventive Medicine, University of Iceland, Reykjavik, Iceland |
format |
Article in Journal/Newspaper |
author |
Geirsson, Oli Pall Gunnarsdottir, Oddny Sigurborg Baldursson, Jon Hrafnkelsson, Birgir Rafnsson, Vilhjalmur |
author_facet |
Geirsson, Oli Pall Gunnarsdottir, Oddny Sigurborg Baldursson, Jon Hrafnkelsson, Birgir Rafnsson, Vilhjalmur |
author_sort |
Geirsson, Oli Pall |
title |
Risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study. |
title_short |
Risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study. |
title_full |
Risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study. |
title_fullStr |
Risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study. |
title_full_unstemmed |
Risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study. |
title_sort |
risk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study. |
publisher |
BMJ Pub. Group |
publishDate |
2013 |
url |
http://hdl.handle.net/2336/313099 https://doi.org/10.1136/emermed-2012-201129 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/10.1136/emermed-2012-201129 Emerg Med J 2013, 30 (8):662-8 1472-0213 22983976 doi:10.1136/emermed-2012-201129 http://hdl.handle.net/2336/313099 Emergency medicine journal : EMJ |
op_rights |
Archived with thanks to Emergency medicine journal : EMJ Landspitali Access - LSH-aðgangur |
op_doi |
https://doi.org/10.1136/emermed-2012-201129 |
container_title |
Emergency Medicine Journal |
container_volume |
30 |
container_issue |
8 |
container_start_page |
662 |
op_container_end_page |
668 |
_version_ |
1766037812808777728 |