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Unscheduled-Return-Visits after an Emergency Department (ED) Attendance and Clinical Link between Both Visits in Patients Aged 75 Years and Over: A Prospective Observational Study

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  • Laurent Pereira
  • Christophe Choquet
  • Anne Perozziello
  • Mathias Wargon
  • Gaelle Juillien
  • Luisa Colosi
  • Romain Hellmann
  • Michel Ranaivoson
  • Enrique Casalino

Abstract

Background: Predictors of unscheduled return visits (URV), best time-frame to evaluate URV rate and clinical relationship between both visits have not yet been determined for the elderly following an ED visit. Methods: We conducted a prospective-observational study including 11,521 patients aged ≥75-years and discharged from ED (5,368 patients (53.5%)) or hospitalized after ED visit (6,153 patients). Logistic Regression and time-to-failure analyses including Cox proportional model were performed. Results: Mean time to URV was 17 days; 72-hour, 30-day and 90-day URV rates were 1.8%, 6.1% and 10% respectively. Multivariate analysis indicates that care-pathway and final disposition decisions were significantly associated with a 30-day URV. Thus, we evaluated predictors of 30-day URV rates among non-admitted and hospitalized patient groups. By using the Cox model we found that, for non-admitted patients, triage acuity and diagnostic category and, for hospitalized patients, that visit time (day, night) and diagnostic categories were significant predictors (p

Suggested Citation

  • Laurent Pereira & Christophe Choquet & Anne Perozziello & Mathias Wargon & Gaelle Juillien & Luisa Colosi & Romain Hellmann & Michel Ranaivoson & Enrique Casalino, 2015. "Unscheduled-Return-Visits after an Emergency Department (ED) Attendance and Clinical Link between Both Visits in Patients Aged 75 Years and Over: A Prospective Observational Study," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-13, April.
    • Handle: RePEc:plo:pone00:0123803
    DOI: 10.1371/journal.pone.0123803
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