Healthcare-associated adverse events and readmission to the emergency departments within seven days after a first consultation

The use of emergency hospital service has become increasingly frequent with a rise of approximately 3.6%. in annual emergency department visits. The objective of this study was to describe the reasons for reconsultations to emergency departments and to identify the risk and protective factors of rec...

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Bibliographic Details
Published in:	Frontiers in public health Vol. 11; p. 1189939
Main Authors:	Gasperini, Guillaume, Bouazzi, Leila, Sanchez, Antoine, Marotte, Louis, Kézachian, Laury, Bellec, Guillaume, Cazes, Nicolas, Rosetti, Maxime, Bousquet, Claire, Renard, Aurélien, Sanchez, Stéphane
Format:	Journal Article
Language:	English
Published:	Switzerland Frontiers Media S.A 07-07-2023
Subjects:	Adolescent Adult adverse event Delivery of Health Care emergency departments emergency medical service Emergency Service, Hospital healthcare-associated adverse events Humans Patient Readmission Public Health reconsultation Referral and Consultation Retrospective Studies second visit emergency medical service adverse event second visit reconsultation emergency departments healthcare-associated adverse events
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Summary:	The use of emergency hospital service has become increasingly frequent with a rise of approximately 3.6%. in annual emergency department visits. The objective of this study was to describe the reasons for reconsultations to emergency departments and to identify the risk and protective factors of reconsultations linked to healthcare-associated adverse events. A retrospective, descriptive, multicenter study was performed in the emergency department of Troyes Hospital and the Sainte Anne Army Training Hospital in Toulon, France from January 1 to December 31, 2019. Patients over 18 years of age who returned to the emergency department for a reconsultation within 7 days were included. Healthcare-associated adverse events in the univariate analysis ( < 0.10) were introduced into a multivariate logistic regression model. Model performance was examined using the Hosmer-Lemeshow test and calculated with c-statistic. Weekend visits and performing radiology examinations were risk factors linked to healthcare associated adverse events. Biological examinations and the opinion of a specialist were protective factors. Numerous studies have reported that a first consultation occurring on a weekend is a reconsultation risk factor for healthcare-associated adverse events, however, performing radiology examinations were subjected to confusion bias. Patients having radiology examinations due to trauma-related pathologies were more apt for a reconsultation. Our study supports the need for better emergency departments access to biological examinations and specialist second medical opinions. An appropriate patient to doctor ratio in hospital emergency departments may be necessary at all times.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Edited by: Maurizio Gabrielli, Agostino Gemelli University Polyclinic (IRCCS), Italy Reviewed by: Guglielmo Imbriaco, AUSL di Bologna, Italy; Lorenzo Franceschetti, University of Milan, Italy
ISSN:	2296-2565 2296-2565
DOI:	10.3389/fpubh.2023.1189939