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Influence of Overcrowding in the Emergency Department on Return Visit Within 72 Hours

Authors
 Dong-Uk Kim  ;  Yoo Seok Park  ;  Joon Min Park  ;  Nathan J Brown  ;  Kevin Chu  ;  Ji Hwan Lee  ;  Ji Hoon Kim  ;  Min Joung Kim 
Citation
 JOURNAL OF CLINICAL MEDICINE, Vol.9(5) : 1406, 2020-05 
Journal Title
 JOURNAL OF CLINICAL MEDICINE 
Issue Date
2020-05
Keywords
admission ; crowding ; emergency department ; patient satisfaction ; quality of healthcare ; return visit
Abstract
This study was conducted to determine whether overcrowding in the emergency department (ED) affects the occurrence of a return visit (RV) within 72 hours. The crowding indicator of index visit was the average number of total patients, patients under observation, and boarding patients during the first 1 and 4 hours from ED arrival time and the last 1 h before ED departure. Logistic regression analysis was conducted to determine whether each indicator affects the occurrence of RV and post-RV admission. Of the 87,360 discharged patients, 3743 (4.3%) returned to the ED within 72 hours. Of the crowding indicators pertaining to total patients, the last 1 h significantly affected decrease in RV (p = 0.0046). Boarding patients were found to increase RV occurrence during the first 1 h (p = 0.0146) and 4 hours (p = 0.0326). Crowding indicators that increased the likelihood of admission post-RV were total number of patients during the first 1 h (p = 0.0166) and 4 hours (p = 0.0335) and evaluating patients during the first 1 h (p = 0.0059). Overcrowding in the ED increased the incidence of RV and likelihood of post-RV admission. However, overcrowding at the time of ED departure was related to reduced RV.
Files in This Item:
T202001655.pdf Download
DOI
10.3390/jcm9051406
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Joung(김민정) ORCID logo https://orcid.org/0000-0003-1634-5209
Kim, Ji Hoon(김지훈) ORCID logo https://orcid.org/0000-0002-0070-9568
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
Lee, Ji Hwan(이지환)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176221
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