Patients seen in emergency departments who had a prior visit within the previous 72 h-National Hospital Ambulatory Medical Care Survey, 2002.

Abstract:

OBJECTIVE:This study characterized emergency department (ED) visits of patients who had received services in an ED within the previous 72 h. METHODS:ED data from the National Hospital Ambulatory Medical Care Survey were analysed for: (a) infectious-disease-related visits; (b) infectious-disease-related return visits; and (c) return visits reported within the previous 72 h for all visits. Data were collected from a nationally representative sample of hospital EDs and were weighted to generate national estimates. RESULTS:In 2002, an estimated 20.5 million ED visits occurred in the USA for infectious diseases, for a visit rate of 73/1,000 people. A total of 3.5 million total return visits to EDs occurred within 72 h, and 67% were for follow-up visits. An estimated 625,280 return visits were for infectious diseases (18% of total ED return visits); 72% of these were for follow-up services. For total visits and infectious-disease-related visits, the majority of return visits were reported among those aged 25--44 years and among females. DISCUSSION:Approximately seven of every 10 return visits to EDs in 2002 were for follow-up services, and no difference existed in the percentage of return visits for infectious diseases compared with total visits. A health services implication exists for treating this percentage of patients in EDs when primary care practitioners should be the point of contact.

journal_name

Public Health

journal_title

Public health

authors

Adekoya N

doi

10.1016/j.puhe.2005.03.006

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

914-8

issue

10

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(05)00104-6

journal_volume

119

pub_type

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