Anatolian Journal of Emergency Medicine
Yazarlar: Muhammed Ali EKŞİ, Deniz TEKİN
Konular:Tıp
Anahtar Kelimeler:Revisit,Pediatric emergency medicine,Emergency medical services utilization
Özet: Aim: The evaluation of the patients who revisit the emergency department is used as one of the quality indicators of the emergency services. Revisits contribute to the increase in the emergency crowd, cause medical and legal problems. In our study, we aimed to determine the demographic and clinical features, revisit rates, and medical, institutional, or individual risk factors of patients who revisited Ankara University Hospital Child Emergency Department in the early period. Material and Methods: 622 patients who revisited the pediatric emergency department with the same or related symptoms within 24 hours were included.. Results: The revisit rate was 0.54%. The age ranges of 252 (40.5%) patients were in 0-2 years. The complaints were 266(42.8%) fever, 114 (18.3%) were vomiting, 99 (15.9%) wheezing cough, and 52 (8.4%) abdominal pain. The reasons for a revisit were increased or continued complaints in 453 (72.8%), new complaint in 115 (18.5%), not being fully informed by doctors in 31 (5%), treatment-related complications in 12 (1.9%), not taking the prescribed treatment in 11 (1.8%) patients. The twenty one (3.4%) of the patients were hospitalized, 156 (25.1%) were taken into observation, recommended treatment were changed in 97 (15.6%), additional examinations were made in 126 (20.3%) and the same recommendations were repeated in 194 (31.2%) patients. The recommended treatment was changed by additional examinations in 28 (4.5%) of the patients. It was determned that 6 (28.5%) had appendicitis and 6 (28.5%) had pneumonia in hospitalized patients and 5 (83%) of the patients hospitalized for pneumonia were under 1 year of age. Conclusion: The patients with a history of hospitalization and chronic diseases were hospitalized more often and we think that it is necessary to carefully evaluate upper respiratory tract infections and abdominal pain complaints in young children and to plan a close control examination when necessary.