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首页> 外文期刊>Journal of Clinical Medicine Research >Status of Emergency Department Seventy-Two Hour Return Visits Among Homeless Patients
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Status of Emergency Department Seventy-Two Hour Return Visits Among Homeless Patients

机译：无家可归患者急诊科回诊72小时的状况

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Background: We aim to externally validate the status of emergency department (ED) appropriate utilization and 72-h ED returns among homeless patients. Methods: This is a retrospective single-center observational study. Patients were divided into two groups (homeless versus non-homeless). Patients’ general characteristics, clinical variables, ED appropriate utilization, and ED return disposition deviations were compared and analyzed separately. Results: Study enrolled a total of 63,990 ED visits. Homeless patients comprised 9.3% (5,926) of visits. Higher ED 72-h returns occurred among homeless patients in comparison to the non-homeless patients (17% versus 5%, P 0.001). Rate of significant ED disposition deviations (e.g., admission, triage to operation room, or death) on return visits were lower in homeless patients when compared to non-homeless patient populations (15% versus 23%, P 0.001). Conclusions: Though ED return rate was higher among homeless patients, return visit case management seems appropriate, indicating that 72-h ED returns might not be an optimal healthcare quality measurement for homeless patients.
机译：背景：我们的目标是从外部验证无家可归患者中急诊科（ED）适当利用和72小时ED返还的状况。方法：这是一项回顾性单中心观察性研究。将患者分为两组（无家可归者与非无家可归者）。比较并分析了患者的一般特征，临床变量，ED适当使用率和ED返回处置偏差。结果：该研究总共招募了63,990名ED访问。无家可归患者占9.3％（5,926）。与无家可归者相比，无家可归者的ED 72-h回报更高（17％对5％，P <0.001）。与无家可归者相比，无家可归者在回诊时的ED处置显着偏差率（例如，入院，手术室分流或死亡）更低（15％比23％，P <0.001）。结论：尽管无家可归患者的ED返回率较高，但回诊病例管理似乎是适当的，这表明72小时ED返回可能不是针对无家可归患者的最佳医疗质量度量。

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