Citation

Abou-Hanna J, Kugler NW, Rein L, Szabo A, Carver TW. Am. J. Surg. 2019; ePub(ePub): ePub.

Affiliation

Medical College of Wisconsin, Division of Trauma, Critical Care, and Acute Care Surgery, 8701 Watertown Plank Rd. Milwaukee, WI, 53226, USA. Electronic address: tcarver@mcw.edu.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.amjsurg.2019.10.046

PMID

31739980

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.

Copyright © 2019 Elsevier Inc. All rights reserved.

Language: en

Keywords

Emergency department; Follow-up; Injury; Readmissions; Resource utilization; Trauma