Medical College of Wisconsin
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Back so soon? Characterizing emergency department use after trauma. Am J Surg 2020 07;220(1):217-221

Date

11/20/2019

Pubmed ID

31739980

DOI

10.1016/j.amjsurg.2019.10.046

Scopus ID

2-s2.0-85075399922

Abstract

BACKGROUND: Trauma readmissions have been well studied but little data exists regarding Emergency Department (ED) utilization following an injury. This study was performed to determine the factors associated with a return to the ED after trauma.

METHODS: A retrospective review of all adult trauma patients evaluated between January and December of 2014 was performed. Demographics, follow-up plan, and characteristics of ED visits within 30 days of discharge were recorded. Predictive factors of ED utilization were identified using univariate analysis and multi-logistic regression.

RESULTS: Fourteen percent of 1836 consecutive patients returned to the ED within 30 days of initial trauma. On multi-logistic regression, penetrating trauma (OR 2.15 p = 0.001), and scheduled follow-up (OR 1.81 p = 0.046) remained significant predictors.

CONCLUSIONS: Penetrating trauma victims are at increased risk of returning to the ED, most often because of wound or pain issues. Recognizing these factors allows for targeted interventions to decrease ED resource utilization.

Author List

Abou-Hanna J, Kugler NW, Rein L, Szabo A, Carver TW

Authors

Thomas W. Carver MD Associate Professor in the Surgery department at Medical College of Wisconsin
Aniko Szabo PhD Professor in the Institute for Health and Equity department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Female
Humans
Incidence
Male
Middle Aged
Patient Readmission
Retrospective Studies
Risk Factors
Trauma Centers
United States
Wounds and Injuries
Young Adult
jenkins-FCD Prod-482 91ad8a360b6da540234915ea01ff80e38bfdb40a