In-Hospital Outcomes and Costs Among Patients Hospitalized During a Return Visit to the Emergency Department.

JAMA : the Journal of the American Medical Association
Amber K SabbatiniRenee Y Hsia

Abstract

Unscheduled short-term return visits to the emergency department (ED) are increasingly monitored as a hospital performance measure and have been proposed as a measure of the quality of emergency care. To examine in-hospital clinical outcomes and resource use among patients who are hospitalized during an unscheduled return visit to the ED. Retrospective analysis of adult ED visits to acute care hospitals in Florida and New York in 2013 using data from the Healthcare Cost and Utilization Project. Patients with index ED visits were identified and followed up for return visits to the ED within 7, 14, and 30 days. Hospital admission occurring during an initial visit to the ED vs during a return visit to the ED. In-hospital mortality, intensive care unit (ICU) admission, length of stay, and inpatient costs. Among the 9,036,483 index ED visits to 424 hospitals in the study sample, 1,758,359 patients were admitted to the hospital during the index ED visit. Of these patients, 149,214 (8.5%) had a return visit to the ED within 7 days of the index ED visit, 228,370 (13.0%) within 14 days, and 349,335 (19.9%) within 30 days, and 76,151 (51.0%), 122,040 (53.4%), and 190,768 (54.6%), respectively, were readmitted to the hospital. Among the 7...Continue Reading

Citations

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