Factors Affecting 72-Hour Unplanned Return Visits after Emergency Department Index Discharge of a Tertiary Private Hospital in the Philippines

Ma Lourdes Concepcion D Jimenez; Rafael L Manzanera; Ronne D Abeleda; Diego A Moya; Jose V Segura; Mark B Carascal; Jose J Mira

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Factors Affecting 72-Hour Unplanned Return Visits after Emergency Department Index Discharge of a Tertiary Private Hospital in the Philippines

Author: Ma. Lourdes Concepcion D. Jimenez ^{1
,

2} ; Rafael L. Manzanera ³ ; Ronne D. Abeleda ⁴ ; Diego A. Moya ³ ; Jose V. Segura ⁵ ; Mark B. Carascal ⁴ ; Jose J. Mira ^{6
,

7}
Author Information

1. Ateneo School of Medicine
2. The Medical City, Ortigas, Philippines and Public Health, Philippines
3. Health and Economic Benefits Area, MC Mutual, Barcelona, Spain
4. The Medical City, Ortigas, Philippines
5. Operational Research Center, Universidad Miguel Hernandez, Elche, Spain
6. Health Psychology Department, Universidad Miguel Hernandez, Elche, Spain
7. Alicante-Sant Joan Health District, Alicante, Spain
Publication Type:Journal Article
Keywords: emergency department; unscheduled return visits
MeSH: Triage; Length of Stay; Emergency Service, Hospital
From: Acta Medica Philippina 2020;54(5):503-508
CountryPhilippines
Language:English
Abstract: Objectives:This study aimed to analyze if the indicator 72-hours Unplanned Return Visits after Emergency Department (ED) index discharge was influenced by the patient’s age, triage severity, month, payment methods, and length of stay. Likewise, it aimed to determine if the 72-hour Unplanned Return Visits was a robust indicator in assessing the quality of Emergency Department services.
Methods:This was a retrospective single-center study from January to December 2017. Data were retrieved from a tertiary hospital in the Philippines. All Emergency Department patients discharged on their index visit were monitored for Unplanned Return Visits within 72 hours in the hospital. A univariate and multivariate logistic regression model was used to assess the variables associated with the 72-hour Unplanned Return Visits.
Results:The 72-hour Unplanned Return Visits rate was measured at 2.67%, with the highest occurrence on the first 24 hours, and with predominance on third-party payer (p.<.0001), pediatrics (p.<0001), January (p<.0001), February (p<.0001), November (p<.0001), December (p<0001), and shorter length of stay (p<.0001) discharged after ED index visit.
Conclusions:Strong association of Unplanned Return Visits during the first 72 hours after Emergency Department index discharge was found for patients financed through third party-payers, with seasonal variations and inclination to the younger population with shorter length of stay. These findings warrant exploratory studies to determine the reasons for the 72-hour Unplanned Return Visits after Emergency Department index discharge and investigation on the association of premature discharge, socio-economic, health structure, and illness progression.
Full text:2233-Article Text-11695-2-10-20201104.pdf