Quản lý người bệnh quay trở lại khoa cấp cứu ngoài kế hoạch trong vòng 72 giờ tại Bệnh viện Quân Tân Phú, năm 2019

Describe the management results of patients returning to the Emergency Department unplanned within 72 hours and some correlated factors at Tan Phu Dist Hospital, 2019. Methods: A retrospective study collected patient data at the Emergency Department, Tan Phu Dist Hospital using Hsoft hospital management software from January 1, 2019, to December 31, 2019. Results: There were 22,417 eligible patients, and 340 patients returned within 72 hours, accounting for 1.5%. Some differences between the two groups of patients who returned and did not return to the emergency department within 72 hours: The group of patients who returned had a higher average age of 49 ± 19 (p < 0.01), more women than men (p < 0.01), higher health insurance payments (p < 0.001), longer emergency hospital stay (p < 0.01) and a higher proportion of hospital stays over 120 minutes (p < 0.01). Intestinal infections, dengue fever, vestibular disorders, hypertension, and digestive disorders had a higher rate (p < 0.01). The group of patients who returned to the emergency department and had to be hospitalized was 71.18%. Patients with health insurance, diagnosed with 1 of 5 diseases (intestinal infection, vestibular disorder, dengue fever, hypertension, and digestive disorder) had a higher risk of return than other diseases (p < 0.05). Patients with a hospital stay in the emergency department ≥ 120 minutes had an OR = 1.31, p < 0.05 compared with the group < 120 minutes. Conclusions: The management results of patients returning to the emergency department within 72 hours showed a trend towards older patients, women, using health insurance, longer emergency hospital stays, and five medical conditions including intestinal infections, vestibular disorders, dengue fever, hypertension, digestive disorders.Describe the management results of patients returning to the Emergency Department unplanned within 72 hours and some correlated factors at Tan Phu Dist Hospital, 2019. Methods: A retrospective study collected patient data at the Emergency Department, Tan Phu Dist Hospital using Hsoft hospital management software from January 1, 2019, to December 31, 2019. Results: There were 22,417 eligible patients, and 340 patients returned within 72 hours, accounting for 1.5%. Some differences between the two groups of patients who returned and did not return to the emergency department within 72 hours: The group of patients who returned had a higher average age of 49 ± 19 (p < 0.01), more women than men (p < 0.01), higher health insurance payments (p < 0.001), longer emergency hospital stay (p < 0.01) and a higher proportion of hospital stays over 120 minutes (p < 0.01). Intestinal infections, dengue fever, vestibular disorders, hypertension, and digestive disorders had a higher rate (p < 0.01). The group of patients who returned to the emergency department and had to be hospitalized was 71.18%. Patients with health insurance, diagnosed with 1 of 5 diseases (intestinal infection, vestibular disorder, dengue fever, hypertension, and digestive disorder) had a higher risk of return than other diseases (p < 0.05). Patients with a hospital stay in the emergency department ≥ 120 minutes had an OR = 1.31, p < 0.05 compared with the group < 120 minutes. Conclusions: The management results of patients returning to the emergency department within 72 hours showed a trend towards older patients, women, using health insurance, longer emergency hospital stays, and five medical conditions including intestinal infections, vestibular disorders, dengue fever, hypertension, digestive disorders.