Predicting Factors and Risk Stratification for Return Visits to the Emergency Department Within 72 Hours in Pediatric Patients

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題名:	Predicting Factors and Risk Stratification for Return Visits to the Emergency Department Within 72 Hours in Pediatric Patients
作者:	胡雅涵;Sung, Sheng-Feng;Liu, Kang Ernest;Chen, Solomon Chih-Cheng;Lo, Chia-Lun;Lin, Kuei-Chih;Hu, Ya-Han
貢獻者:	管理學院資訊管理學系
關鍵詞:	Child;Child, Preschool;Cohort Studies;Emergency Service, Hospital - statistics & numerical data;Female;Hospitals, Pediatric - statistics & numerical data;Hospitals, Urban;Humans;Infant;Male;Patient Readmission - statistics & numerical data;Pediatrics;Retrospective Studies;Risk Assessment;Risk Factors
日期:	2015-12-01
上傳時間:	2026-04-23 13:50:02 (UTC+8)
出版者:	United States: Copyright Wolters Kluwer Health, Inc. All rights reserved
摘要:	摘要： OBJECTIVESA return visit (RV) to the emergency department (ED) is usually used as a quality indicator for EDs. A thorough comprehension of factors affecting RVs is beneficial to enhancing the quality of emergency care. We performed this study to identify pediatric patients at high risk of RVs using readily available characteristics during an ED visit. METHODSWe retrospectively collected data of pediatric patients visiting 6 branches of an urban hospital during 2007. Potential variables were analyzed using a multivariable logistic regression analysis to determine factors associated with RVs and a classification and regression tree technique to identify high-risk groups. RESULTSOf the 35,435 visits from which patients were discharged home, 2291 (6.47%) visits incurred an RV within 72 hours. On multivariable analysis, younger age, weekday visits, diagnoses belonging to the category of symptoms, signs, and ill-defined conditions, and being seen by a female physician were associated with a higher probability of RVs. Children younger than 6.5 years who visited on weekdays or between midnight and 8:00 AM on weekends or holidays had the highest probability of returning to the ED within 72 hours. CONCLUSIONSOur study reexamined several important factors that could affect RVs of pediatric patients to the ED and identified high-risk groups of RVs. Further intervention studies or qualitative research could be targeted on these at-risk groups. 其他題名： Pediatr Emerg Care 出版者： United States: Copyright Wolters Kluwer Health, Inc. All rights reserved 出版日期： 2015-12 出處： Pediatric emergency care, 2015-12, Vol.31 (12), p.819-824 版權： Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. 識別號： ISSN: 0749-5161 識別號： EISSN: 1535-1815 識別號： DOI: 10.1097/PEC.0000000000000417 識別號： PMID: 25875996
顯示於類別:	[資訊管理學系] 期刊論文

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