keyword
https://read.qxmd.com/read/38539303/experience-of-an-italian-pediatric-third-level-emergency-department-during-the-2022-2023-bronchiolitis-epidemic-a-focus-on-discharged-patients-and-revisits
#1
JOURNAL ARTICLE
Giovanna Iudica, Daniele Franzone, Marta Ferretti, Barbara Tubino, Stefania Santaniello, Giacomo Brisca, Clelia Formigoni, Erica Data, Emanuela Piccotti
The aim of this study was to describe the 2022-2023 bronchiolitis epidemic season (the second after COVID-19 pandemic and the first without social restriction), focusing on patients discharged home from a pediatric emergency department (PED) and on those revisited within 72 h. We performed a retrospective observational study in an Italian tertiary care children's hospital, reviewing PED accesses from 1 October 2022 to 31 March 2023. The number of hospitalizations for bronchiolitis was extracted from hospital discharge forms...
February 21, 2024: Children
https://read.qxmd.com/read/38539107/a-mapping-review-of-interventions-to-address-patients-who-frequently-seek-care-in-the-emergency-department
#2
JOURNAL ARTICLE
Ally Memedovich, Benedicta Asante, Maha Khan, Nkiruka Eze, Brian R Holroyd, Eddy Lang, Sherri Kashuba, Fiona Clement
BACKGROUND: The high utilization of acute care services, particularly emergency departments (ED), continues to be a significant concern for healthcare providers. Numerous approaches have been studied to meet the care needs of patients who frequently seek care in the ED; however, there is no comprehensive review of the current literature base. As such, a current understanding of the interventions initiated within the ED to address the needs of frequent users is required. This mapping review had three objectives: identify the characteristics associated with the need to frequently seek care in the ED; identify interventions implemented to address the needs of this population; and identify gaps in the current evidence base...
March 27, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/38533560/reducing-antibiotic-duration-for-uncomplicated-uti-in-the-pediatric-emergency-department
#3
JOURNAL ARTICLE
Gagandeep K Kooner, Marissa Bass, Vivek Saroha, P J Gonzalez, Shabnam Jain
BACKGROUND: Short-duration (3-5 days) antibiotic treatment of uncomplicated urinary tract infection (uUTI) in children >24 months of age is equivalent to longer-duration antibiotic treatment, with added benefits of antibiotic stewardship. At our pediatric emergency department (ED), 13% of 5- to 18-year-old patients discharged with uUTI received ≤5 days of antibiotics. We aimed to increase short-duration prescriptions in patients with uUTI from 13% to >50% over 12 months. METHODS: This quality improvement project was conducted from January 2021 to August 2022...
March 27, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38532533/using-delphi-method-to-address-factors-contributing-to-aggressive-behaviour-in-mental-health-settings
#4
JOURNAL ARTICLE
Rasha Eweida, Nashwa Ibrahim
WHAT IS KNOWN ABOUT THE SUBJECT?: Nurses' perspectives and consensus on the possible key factors contributing to aggression at inpatient units can be summarized into patients' related factors, staff related factors and environment related factors. Results of the possible factors contributing to aggression at inpatient units reflect the complicated nature of this problem. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: Perspectives of nurses as frontline mental health professionals on factors contributing to aggression as one of the psychiatric emergencies were considered through an iterative process...
March 26, 2024: Journal of Psychiatric and Mental Health Nursing
https://read.qxmd.com/read/38518662/analysis-of-rising-cases-of-adolescent-opioid-use-presentations-to-the-emergency-department-and-their-management
#5
JOURNAL ARTICLE
Alexander Sidlak, Brent Dibble, Mannet Dhaliwal, Paul Bottone, Ryan Marino, Linda Henry, John Howell
OBJECTIVE: We sought to answer the question of how adolescents (ages 12-17 years old) with opioid-related presentations are currently managed in the ED. The two main outcomes were the proportion of visits where naloxone and buprenorphine were both used and prescribed, and the rate of revisits to the emergency department in the six months following ED presentation. METHODS: This was a multi-center retrospective cross-sectional study. We studied patients presenting to the ED who were 12-17 years old with an opioid-related presentation...
February 29, 2024: Drug and Alcohol Dependence
https://read.qxmd.com/read/38466555/timing-of-previous-heart-failure-hospitalization-as-a-prognostic-factor-for-emergency-department-heart-failure-patients
#6
JOURNAL ARTICLE
C J Romero-Carrete, A Alquézar-Arbé, S Herrera Mateo, Pere Llorens, Víctor Gil, David Curtelin, Javier Jacob, Pablo Herrero, María Pilar Lopez Díez, Lluís Llauger, María Luisa López-Grima, Cristina Gil, Josep Tost, Carmen Agüera Urbano, Begoña Espinosa, M Campos-Meneses, G Fernandez, A Torres, Rosa Escoda, Enrique Martín, José Manuel Garrido, Francisco Javier Lucas-Imbernón, Esther Rodríguez-Adrada, Raquel Torres Garate, Juan Antonio Andueza, Frank Peacock, Òscar Miró
To investigate whether the timing of a previous hospital admission for acute heart failure (AHF) is a prognostic factor for AHF patients revisiting the emergency department (ED) in the subsequent 12-month follow-up. All ED AHF patients enrolled in the previously described EAHFE registry were stratified by the presence or absence of an AHF hospitalization admission in the prior 12 months. The primary outcome was 12-month all-cause mortality post ED visit. Secondary end points were hospital admission, prolonged hospitalization (> 7 days), mortality during hospitalization and a 90-day post-discharge adverse composite event (ACE) rate, defined as ED revisits due to AHF, hospitalizations due to AHF, or all-cause mortality...
March 11, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38446234/predictors-for-emergency-readmission-in-patients-with-ureteral-calculi-a-focus-on-pain-management-and-stone-location
#7
JOURNAL ARTICLE
Yunhyung Choi, Dong Hoon Lee, Yoon Hee Choi, Jae Young Choi, Ji Yeon Lim, Sung Jin Bae
BACKGROUND: The management of patients with ureteral calculi in the emergency department (ED) remains challenging due to high revisit rates. PURPOSE: To identify predictors of revisits among patients with ureteral calculi in the ED. DESIGN, SETTING, AND PARTICIPANTS: Data from patients who presented at a tertiary academic hospital in Seoul, Republic of Korea, between February 2018 and December 2019, were analyzed retrospectively. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Variables, including the respiratory rate (RR), estimated glomerular filtration rate (eGFR), duration of pain, number of analgesic doses, location of ureteral calculi, and ED length of stay (LOS) were examined using logistic regression...
March 6, 2024: World Journal of Urology
https://read.qxmd.com/read/38422752/evaluating-the-impact-of-a-discharge-pharmacy-in-the-emergency-department-on-emergency-department-revisits-and-admissions
#8
JOURNAL ARTICLE
Thomas Chen, Thomas Spiegel, Hui Zhang, Laura Celmins, Daniel Bickley, Denise Scarpelli
IMPORTANCE: Medication nonadherence leads to worse health outcomes, increased healthcare service utilization, and increased overall healthcare costs. OBJECTIVE: To determine whether a discharge pharmacy located in the Emergency Department (ED) reduces ED revisits and hospitalizations. DESIGN: This is a cohort study where we extracted data from our electronic medical records with adult encounters between 12/2019-10/2021. For the purpose of this study, we defined a revisit to the ED as within 7 days and an admission within 30 days from prior initial ED visit...
February 22, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38417074/increasing-follow-up-with-primary-care-providers-after-emergency-department-visits-in-older-adults
#9
JOURNAL ARTICLE
Sarah Romanelli, Carolina Marie Cuervo, Veronica Rivera
PURPOSE: To increase follow up with the primary care team via telephone outreach within 3 days of emergency department (ED) discharge to schedule a follow-up visit within 14 days. Secondary aims included: identifying high utilizers of the ED (defined as more than three ED visits within 6 months), reinforcing discharge instructions from the ED via nursing education on telephone follow ups, and identifying the reasons patients used the ED. METHOD: Baseline data were gathered retrospectively by reviewing charts of patients discharged from the ED...
March 2024: Journal of Gerontological Nursing
https://read.qxmd.com/read/38395464/improving-the-emergency-services-using-quality-improvement-project-and-donabedian-model-in-a-quaternary-teaching-hospital-in-south-india
#10
JOURNAL ARTICLE
Apoorva Goenka, Suneel Mundkur, Sachin Sujir Nayak, Avinash Shetty, Jibu Thomas, Jayaraj Mymbilly Balakrishnan, Varalakshmi Chandra Sekaran, Brayal Dsouza
INTRODUCTION: The primary goal of quality improvement is to enhance patient outcomes, particularly in the emergency department (ED). Timely and effective care is crucial in these situations. By comprehending the challenges, evaluating current performance and implementing quality improvement projects, areas in need of enhancement can be pinpointed and addressed, resulting in better outcomes. METHODOLOGY: This interventional study explores the implementation of quality improvement in the ED of a quaternary care teaching hospital in South India...
February 23, 2024: BMJ Open Quality
https://read.qxmd.com/read/38365437/characteristics-and-outcomes-of-patients-with-covid-19-who-return-to-the-emergency-department-a-multicentre-observational-study-by-the-canadian-covid-19-emergency-department-rapid-response-network-ccedrrn
#11
JOURNAL ARTICLE
Rhonda J Rosychuk, Jaspreet K Khangura, Sylvia S Ortiz, Ivy Cheng, Iwona A Bielska, Justin Yan, Laurie J Morrison, Jake Hayward, Lars Grant, Corinne M Hohl
OBJECTIVE: Unplanned return emergency department (ED) visits can reflect clinical deterioration or unmet need from the original visit. We determined the characteristics and outcomes of patients with COVID-19 who return to the ED for COVID-19-related revisits. METHODS: This retrospective observational study used data for all adult patients visiting 47 Canadian EDs with COVID-19 between 1 March 2020 and 31 March 2022. Multivariable logistic regression assessed the characteristics associated with having a no return visit (SV=single visit group) versus at least one return visit (MV=return visit group) after being discharged alive at the first ED visit...
February 16, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38355411/healthcare-risk-stratification-model-for-emergency-departments-based-on-drugs-income-and-comorbidities-the-dicer-score
#12
JOURNAL ARTICLE
Jesús Ruiz-Ramos, Emili Vela, David Monterde, Marta Blazquez-Andion, Mireia Puig-Campmany, Jordi Piera-Jiménez, Gerard Carot, Ana María Juanes-Borrego
BACKGROUND: During the last decade, the progressive increase in age and associated chronic comorbidities and polypharmacy. However, assessments of the risk of emergency department (ED) revisiting published to date often neglect patients' pharmacotherapy plans, thus overseeing the Drug-related problems (DRP) risks associated with the therapy burden. The aim of this study is to develop a predictive model for ED revisit, hospital admission, and mortality based on patient's characteristics and pharmacotherapy...
February 14, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/38345806/revisiting-the-emergency-department
#13
JOURNAL ARTICLE
Blake Thomson
No abstract text is available yet for this article.
February 12, 2024: JAMA Neurology
https://read.qxmd.com/read/38331816/prediction-of-emergency-department-revisits-among-child-and-youth-mental-health-outpatients-using-deep-learning-techniques
#14
JOURNAL ARTICLE
Simran Saggu, Hirad Daneshvar, Reza Samavi, Paulo Pires, Roberto B Sassi, Thomas E Doyle, Judy Zhao, Ahmad Mauluddin, Laura Duncan
BACKGROUND: The proportion of Canadian youth seeking mental health support from an emergency department (ED) has risen in recent years. As EDs typically address urgent mental health crises, revisiting an ED may represent unmet mental health needs. Accurate ED revisit prediction could aid early intervention and ensure efficient healthcare resource allocation. We examine the potential increased accuracy and performance of graph neural network (GNN) machine learning models compared to recurrent neural network (RNN), and baseline conventional machine learning and regression models for predicting ED revisit in electronic health record (EHR) data...
February 8, 2024: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/38323189/short-term-prognosis-of-polypharmacy-in-elderly-patients-treated-in-emergency-departments-results-from-the-eden-project
#15
JOURNAL ARTICLE
Jesus Ruiz Ramos, Aitor Alquézar-Arbé, Ana Juanes Borrego, Guillermo Burillo Putze, Sira Aguiló, Javier Jacob, Cesáreo Fernández, Pere Llorens, Francisco de Borja Quero Espinosa, Susana Gordo Remartinez, Rocio Hernando González, Miguel Moreno Martín, Sara Sánchez Aroca, Alicia Sara Knabe, Rebeca González González, Marina Carrión Fernández, Alberto Artieda Larrañaga, Maria Adroher Muñoz, Jeong-Uh Hong Cho, María Teresa Escolar Martínez Berganza, Sara Gayoso Martín, Goretti Sánchez Sindín, Martina Silva Penas, Bárbara Gómez Y Gómez, Roser Arenos Sambro, Juan González Del Castillo, Òscar Miró
BACKGROUND: Polypharmacy is a growing phenomenon among elderly individuals. However, there is little information about the frequency of polypharmacy among the elderly population treated in emergency departments (EDs) and its prognostic effect. This study aims to determine the prevalence and short-term prognostic effect of polypharmacy in elderly patients treated in EDs. METHODS: A retrospective analysis of the Emergency Department Elderly in Needs (EDEN) project's cohort was performed...
2024: Therapeutic Advances in Drug Safety
https://read.qxmd.com/read/38318740/effect-of-a-clinical-pharmacist-on-30-day-revisits-following-discharge-from-an-emergency-department-a-randomized-controlled-clinical-trial
#16
RANDOMIZED CONTROLLED TRIAL
Matías F Martínez, Luis Herrada, Carolina Gutiérrez-Cáceres, Sandra Espinoza-Muñoz, Daniel Palma, Marcela Jirón
OBJECTIVES: To evaluate a clinical pharmacist's inclusion in emergency department (ED) care in terms of the effect on on 30-day revisits after discharge from the ED and patient satisfaction. MATERIAL AND METHODS: Randomized, controlled parallel-group pragmatic trial in a university hospital ED. Recruited patients were randomly assigned to a control group for standard care only or an intervention group to receive standard care plus the attention of a clinical pharmacist integrated into the care team to optimize the selection and evaluation of medications and provide pharmacotherapeutic education on the patient's discharge...
January 2024: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://read.qxmd.com/read/38318738/value-of-the-soluble-urokinase-type-plasminogen-activator-receptor-as-a-predictor-of-prognosis-in-patients-attended-in-hospital-emergency-departments
#17
JOURNAL ARTICLE
Pablo Herrero-Puente, Jesper Eugen-Olsen, José María Ferreras Amez, Julio Gamazo Del Río, Belén Prieto-García, Antonio de Las Heras-Vallelado, Belén Arribas Entrala, Juan González Del Castillo
OBJECTIVES: To determine the value of the soluble urokinase-type plasminogen activator receptor (suPAR) for predicting outcomes in emergency department (ED) patients. Secondary objectives were 1) to measure the predictive value of the usual decision points, 2) to identify patients at low risk for mortality who could be safely discharged from the ED, and 3) to measure the correlation between suPAR and other biomarkers. MATERIAL AND METHODS: Prospective observational cohort study of patients attended in the EDs of participating hospitals...
January 2024: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://read.qxmd.com/read/38307649/treatment-in-the-emergency-department
#18
REVIEW
Yu-Hsiang Ling, Debashish Chowdhury, Shuu-Jiun Wang
As a common headache disorder, migraine is also a common cause for emergency department (ED) visiting, which leads to tremendous medical and economic burden. The goals of migraine management in ED are resolving headache and migraine-related most bothersome symptoms rapidly, preventing ED revisiting due to headache relapse, and referring patients at risk, e.g., patients with chronic migraine and/or medication-overuse headache, to specialists. In this chapter, we elucidated the algorithm which was particularly adapted to ED settings for the diagnosis and treatment of migraine...
2024: Handbook of Clinical Neurology
https://read.qxmd.com/read/38302890/strategies-for-improving-ed-related-outcomes-of-older-adults-who-seek-care-in-emergency-departments-a-systematic-review
#19
REVIEW
Ally Memedovich, Benedicta Asante, Maha Khan, Nkiruka Eze, Brian R Holroyd, Eddy Lang, Sherri Kashuba, Fiona Clement
BACKGROUND: Despite constituting 14% of the general population, older adults make up almost a quarter of all emergency department (ED) visits. These visits often do not adequately address patient needs, with nearly 80% of older patients discharged from the ED carrying at least one unattended health concern. Many interventions have been implemented and tested in the ED to care for older adults, which have not been recently synthesized. METHODS: A systematic review was conducted to identify interventions initiated in the ED to address the needs of older adults...
February 1, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38296160/association-between-antibiotic-administration-before-discharge-and-emergency-department-length-of-stay-for-urinary-tract-infection-a-retrospective-analysis
#20
JOURNAL ARTICLE
Mohammed A Alrashed, Stephen J Perona, Mark C Borgstrom, Elias Ramirez-Moreno
BACKGROUND: Patients with urinary tract infections (UTIs) may have treatment initiated in the emergency department (ED) before discharge with an antibiotic prescription. The effect of a single antibiotic dose administered prior to discharge on ED length of stay (LOS) is unknown. OBJECTIVES: The purpose of this study was to compare the LOS and the rate of revisits within 30 days between patients diagnosed with UTIs other than pyelonephritis who received parenteral, oral, or no antibiotic during an ED visit...
January 29, 2024: Journal of the American Pharmacists Association: JAPhA
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