A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM
Introduction: Unscheduled revisits to the emergency department (ED) may present a considerable additional workload. This study investigated the risk factors contributing to adverse event during unscheduled early revisit to ED Hospital Universiti Sains Malaysia (USM). Methods: A retrospective coh...
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| Format: | Thesis |
| Language: | English |
| Published: |
2018
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| Subjects: | |
| Online Access: | http://eprints.usm.my/56861/ http://eprints.usm.my/56861/1/Loi%20Siew%20Ling-24%20pages.pdf |
| _version_ | 1848883469389660160 |
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| author | Ling, Loi Siew |
| author_facet | Ling, Loi Siew |
| author_sort | Ling, Loi Siew |
| building | USM Institutional Repository |
| collection | Online Access |
| description | Introduction: Unscheduled revisits to the emergency department (ED) may present a
considerable additional workload. This study investigated the risk factors contributing
to adverse event during unscheduled early revisit to ED Hospital Universiti Sains
Malaysia (USM).
Methods: A retrospective cohort study was conducted from January 2014 to January
2015 to character the nature of unscheduled early revisits to ED Hospital USM. It
included all patients 18 years old and above, revisited ED within 9 days post discharge
from ED.
Results: Data was collected from 492 case records. The rate of ED unplanned revisits
within 9 days of previous ED discharge was 0.66% for the study period. Risk factors for
revisit included advance age, pre-existing co-morbids, duration spent during first ED
visit and health care system related error. The independent predictors of morbidity were
diabetes mellitus (OR, 2.07; 95% CI, 1.08-3.96), respiratory disease (OR, 2.42; 95% CI,
1.18-4.98), gastrointestinal disease (OR, 5.93; 95% CI, 1.29-27.35), nervous system
disease (OR, 4.65; 95% CI, 1.27-17.02), duration spent more than 6 hours during first
ED visit (OR, 3.05; 95% CI, 1.53-6.07), and medical error leading to admission (OR,
8.85; 95% CI, 4.43-17.67). The overall mortality rate was 0.2% (1/492).
Conclusion: ED personnel need to be extra vigilant when managing patients with risk
factors particularly the modifiable risk factors to curb ED revisit. |
| first_indexed | 2025-11-15T18:51:18Z |
| format | Thesis |
| id | usm-56861 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T18:51:18Z |
| publishDate | 2018 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-568612023-03-01T03:08:39Z http://eprints.usm.my/56861/ A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM Ling, Loi Siew R Medicine Introduction: Unscheduled revisits to the emergency department (ED) may present a considerable additional workload. This study investigated the risk factors contributing to adverse event during unscheduled early revisit to ED Hospital Universiti Sains Malaysia (USM). Methods: A retrospective cohort study was conducted from January 2014 to January 2015 to character the nature of unscheduled early revisits to ED Hospital USM. It included all patients 18 years old and above, revisited ED within 9 days post discharge from ED. Results: Data was collected from 492 case records. The rate of ED unplanned revisits within 9 days of previous ED discharge was 0.66% for the study period. Risk factors for revisit included advance age, pre-existing co-morbids, duration spent during first ED visit and health care system related error. The independent predictors of morbidity were diabetes mellitus (OR, 2.07; 95% CI, 1.08-3.96), respiratory disease (OR, 2.42; 95% CI, 1.18-4.98), gastrointestinal disease (OR, 5.93; 95% CI, 1.29-27.35), nervous system disease (OR, 4.65; 95% CI, 1.27-17.02), duration spent more than 6 hours during first ED visit (OR, 3.05; 95% CI, 1.53-6.07), and medical error leading to admission (OR, 8.85; 95% CI, 4.43-17.67). The overall mortality rate was 0.2% (1/492). Conclusion: ED personnel need to be extra vigilant when managing patients with risk factors particularly the modifiable risk factors to curb ED revisit. 2018 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/56861/1/Loi%20Siew%20Ling-24%20pages.pdf Ling, Loi Siew (2018) A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM. Masters thesis, Universiti Saiins Malaysia. |
| spellingShingle | R Medicine Ling, Loi Siew A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM |
| title | A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM |
| title_full | A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM |
| title_fullStr | A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM |
| title_full_unstemmed | A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM |
| title_short | A study on factors and outcome of unscheduled early revisit to Emergency Department of Hospital USM |
| title_sort | study on factors and outcome of unscheduled early revisit to emergency department of hospital usm |
| topic | R Medicine |
| url | http://eprints.usm.my/56861/ http://eprints.usm.my/56861/1/Loi%20Siew%20Ling-24%20pages.pdf |