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dc.contributor.authorGeirsson, Oli Pall
dc.contributor.authorGunnarsdottir, Oddny Sigurborg
dc.contributor.authorBaldursson, Jon
dc.contributor.authorHrafnkelsson, Birgir
dc.contributor.authorRafnsson, Vilhjalmur
dc.date.accessioned2014-02-20T11:10:20Z
dc.date.available2014-02-20T11:10:20Z
dc.date.issued2013-08
dc.date.submitted2013
dc.identifier.citationEmerg Med J 2013, 30 (8):662-8en
dc.identifier.issn1472-0213
dc.identifier.pmid22983976
dc.identifier.doi10.1136/emermed-2012-201129
dc.identifier.urihttp://hdl.handle.net/2336/313099
dc.descriptionTo access publisher's full text version of this article. Please click on the hyperlink in Additional Links field.en
dc.description.abstractThe needs of patients with uncompleted visits to the emergency department (ED) are uncertain. The aim was to evaluate ED patients who leave against medical advice (AMA) and who leave without being seen (WBS) regarding repeat ED visits, hospitalisation and mortality within 30 days.
dc.description.abstractThe National University Hospital operates the only ED for adults in the capital area of Reykjavik. The source of data was the electronic records for patients 18 years or older, who left AMA, who left WBS, who had the ICD-10 code Z53.2, or who completed their visits. ED visits, hospital admissions and the death registry are filed with the personal identification number, which enabled recognition of the index visit, and the outcomes, rates of return visits, hospitalisation and death.
dc.description.abstractOf 107 119 patients, 77 left AMA, 4471 left WBS and 423 had code Z53.2. The HR for returning to the ED within 30 days was 4.79 for AMA patients, 4.84 for WBS patients and 3.67 for Z53.2 patients. The HR for hospitalisation within 30 days was 6.90 for AMA patients, 1.09 for WBS patients and 1.07 for Z53.2 patients. The HR for death within 30 days was 10.97 for AMA patients, 0.84 for WBS and no deaths occurred among Z53.2 patients.
dc.description.abstractDuring 30 days follow-up, AMA and WBS patients had an increased rate of repeat ED visits compared with those patients who completed their ED visits. AMA patients also had an increased rate of hospitalisations.
dc.description.sponsorshipLandspitali—the National University Hospital of Iceland research fund, Landspitali—the National University Hospital of Icelanden
dc.language.isoenen
dc.publisherBMJ Pub. Groupen
dc.relation.urlhttp://dx.doi.org/10.1136/emermed-2012-201129en
dc.rightsArchived with thanks to Emergency medicine journal : EMJen
dc.subjectSjúklingaren
dc.subjectHeilbrigðisþjónustaen
dc.subjectMeðferðen
dc.subjectSjúkrahúsvisten
dc.subject.meshAdulten
dc.subject.meshEmergency Service, Hospitalen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshPatient Readmissionen
dc.subject.meshProspective Studiesen
dc.subject.meshRisk Factorsen
dc.subject.meshTreatment Refusalen
dc.subject.meshYoung Adulten
dc.titleRisk of repeat visits, hospitalisation and death after uncompleted and completed visits to the emergency department: a prospective observation study.en
dc.typeArticleen
dc.contributor.departmentDepartment of Mathematics, University of Iceland, Reykjavik, Iceland 2Office of Education, Research and Development, the Landspitali, the National University Hospital, Reykjavik, Iceland 3Ministry of Welfare, Reykjavik, Iceland 4Department of Preventive Medicine, University of Iceland, Reykjavik, Icelanden
dc.identifier.journalEmergency medicine journal : EMJen
dc.rights.accessLandspitali Access - LSH-aðganguren
html.description.abstractThe needs of patients with uncompleted visits to the emergency department (ED) are uncertain. The aim was to evaluate ED patients who leave against medical advice (AMA) and who leave without being seen (WBS) regarding repeat ED visits, hospitalisation and mortality within 30 days.
html.description.abstractThe National University Hospital operates the only ED for adults in the capital area of Reykjavik. The source of data was the electronic records for patients 18 years or older, who left AMA, who left WBS, who had the ICD-10 code Z53.2, or who completed their visits. ED visits, hospital admissions and the death registry are filed with the personal identification number, which enabled recognition of the index visit, and the outcomes, rates of return visits, hospitalisation and death.
html.description.abstractOf 107 119 patients, 77 left AMA, 4471 left WBS and 423 had code Z53.2. The HR for returning to the ED within 30 days was 4.79 for AMA patients, 4.84 for WBS patients and 3.67 for Z53.2 patients. The HR for hospitalisation within 30 days was 6.90 for AMA patients, 1.09 for WBS patients and 1.07 for Z53.2 patients. The HR for death within 30 days was 10.97 for AMA patients, 0.84 for WBS and no deaths occurred among Z53.2 patients.
html.description.abstractDuring 30 days follow-up, AMA and WBS patients had an increased rate of repeat ED visits compared with those patients who completed their ED visits. AMA patients also had an increased rate of hospitalisations.


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