Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan

Over a quarter of patients presenting with abdominal pain at emergency departments (EDs) are diagnosed with nonspecific abdominal pain (NSAP) at discharge. This study investigated the risk factors associated with return ED visits in Taiwanese patients with NSAP after discharge. We divided patients i...

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Autores principales:	Fei-Fei Flora Yau, Ying Yang, Chi-Yung Cheng, Chao-Jui Li, Su-Hung Wang, I-Min Chiu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	nonspecific abdominal pain emergency department return visit computed tomography scan Medicine R
Acceso en línea:	https://doaj.org/article/56e6bfaf0e51473cb7f745c6194b1d04
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spelling	oai:doaj.org-article:56e6bfaf0e51473cb7f745c6194b1d042021-11-25T17:44:25ZRisk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan10.3390/healthcare91114702227-9032https://doaj.org/article/56e6bfaf0e51473cb7f745c6194b1d042021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1470https://doaj.org/toc/2227-9032Over a quarter of patients presenting with abdominal pain at emergency departments (EDs) are diagnosed with nonspecific abdominal pain (NSAP) at discharge. This study investigated the risk factors associated with return ED visits in Taiwanese patients with NSAP after discharge. We divided patients into two groups: the study group comprising patients with ED revisits after the index ED visit, and the control group comprising patients without revisits. During the study period, 10,341 patients discharged with the impression of NSAP after ED management. A regression analysis found that older age (OR [95%CI]: 1.007 [1.003–1.011], <i>p</i> = 0.004), male sex (OR [95%CI]: 1.307 [1.036–1.650], <i>p</i> = 0.024), and use of NSAIDs (OR [95%CI]: 1.563 [1.219–2.003], <i>p</i> < 0.001) and opioids (OR [95%CI]: 2.213 [1.643–2.930], <i>p</i> < 0.001) during the index visit were associated with increased return ED visits. Computed tomography (CT) scans (OR [95%CI]: 0.605 [0.390–0.937], <i>p</i> = 0.021) were associated with decreased ED returns, especially for those who were older than 60, who had an underlying disease, or who required pain control during the index ED visit.Fei-Fei Flora YauYing YangChi-Yung ChengChao-Jui LiSu-Hung WangI-Min ChiuMDPI AGarticlenonspecific abdominal painemergency departmentreturn visitcomputed tomography scanMedicineRENHealthcare, Vol 9, Iss 1470, p 1470 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	nonspecific abdominal pain emergency department return visit computed tomography scan Medicine R
spellingShingle	nonspecific abdominal pain emergency department return visit computed tomography scan Medicine R Fei-Fei Flora Yau Ying Yang Chi-Yung Cheng Chao-Jui Li Su-Hung Wang I-Min Chiu Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan
description	Over a quarter of patients presenting with abdominal pain at emergency departments (EDs) are diagnosed with nonspecific abdominal pain (NSAP) at discharge. This study investigated the risk factors associated with return ED visits in Taiwanese patients with NSAP after discharge. We divided patients into two groups: the study group comprising patients with ED revisits after the index ED visit, and the control group comprising patients without revisits. During the study period, 10,341 patients discharged with the impression of NSAP after ED management. A regression analysis found that older age (OR [95%CI]: 1.007 [1.003–1.011], <i>p</i> = 0.004), male sex (OR [95%CI]: 1.307 [1.036–1.650], <i>p</i> = 0.024), and use of NSAIDs (OR [95%CI]: 1.563 [1.219–2.003], <i>p</i> < 0.001) and opioids (OR [95%CI]: 2.213 [1.643–2.930], <i>p</i> < 0.001) during the index visit were associated with increased return ED visits. Computed tomography (CT) scans (OR [95%CI]: 0.605 [0.390–0.937], <i>p</i> = 0.021) were associated with decreased ED returns, especially for those who were older than 60, who had an underlying disease, or who required pain control during the index ED visit.
format	article
author	Fei-Fei Flora Yau Ying Yang Chi-Yung Cheng Chao-Jui Li Su-Hung Wang I-Min Chiu
author_facet	Fei-Fei Flora Yau Ying Yang Chi-Yung Cheng Chao-Jui Li Su-Hung Wang I-Min Chiu
author_sort	Fei-Fei Flora Yau
title	Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan
title_short	Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan
title_full	Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan
title_fullStr	Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan
title_full_unstemmed	Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan
title_sort	risk factors for early return visits to the emergency department in patients presenting with nonspecific abdominal pain and the use of computed tomography scan
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/56e6bfaf0e51473cb7f745c6194b1d04
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Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan

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