Back so soon? Characterizing emergency department use after trauma.

Abstract:

BACKGROUND:Trauma readmissions have been well studied but little data exists regarding Emergency Department (ED) utilization following an injury. This study was performed to determine the factors associated with a return to the ED after trauma. METHODS:A retrospective review of all adult trauma patients evaluated between January and December of 2014 was performed. Demographics, follow-up plan, and characteristics of ED visits within 30 days of discharge were recorded. Predictive factors of ED utilization were identified using univariate analysis and multi-logistic regression. RESULTS:Fourteen percent of 1836 consecutive patients returned to the ED within 30 days of initial trauma. On multi-logistic regression, penetrating trauma (OR 2.15 p = 0.001), and scheduled follow-up (OR 1.81 p = 0.046) remained significant predictors. CONCLUSIONS:Penetrating trauma victims are at increased risk of returning to the ED, most often because of wound or pain issues. Recognizing these factors allows for targeted interventions to decrease ED resource utilization.

journal_name

Am J Surg

authors

Abou-Hanna J,Kugler NW,Rein L,Szabo A,Carver TW

doi

10.1016/j.amjsurg.2019.10.046

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

217-221

issue

1

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(19)30994-8

journal_volume

220

pub_type

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