@article{ref1,
title="Emergency room readmission, an avoidable problem? Analysis and stratification of readmissions in a trauma reference center",
journal="Revista do Colégio Brasileiro de Cirurgiões",
year="2024",
author="Adania, Eduardo Takemura and Faria Junior, Gilson Soares DE and Franzoni, Nicole Rampani and Pimentel, Silvania Klug",
volume="51",
number="",
pages="e20243704-e20243704",
abstract="INTRODUCTION: Hospital readmission is a common way to assess the quality of care provided in an emergency service. In this context, the aim of this study is to quantify and stratify readmissions in a trauma reference emergency service. <br><br>METHODS: A retrospective longitudinal study was conducted with patients readmitted, twice or more, in the emergency service within a maximum period of 30 days from the initial admission - hospitalized or not. Clinical and demographic data were obtained from electronic medical records. <br><br>RESULTS: The readmission rate for the service was 4.11% for all readmissions and 2.23% for avoidable readmissions. Within this group, 61.19% were likely avoidable, 19.47% possibly avoidable, and 19.34% eventually avoidable. Regarding time, 48.16% occurred within one week of the initial readmission. Furthermore, no statistically significant association was found in the analysis of biological sex, occupational accident, and comorbidities. A statistically significant association was found in the analysis of age and ambulance transport (OR 1.37; 95% CI 1.17-1.59). <br><br>CONCLUSION: The study highlighted that there are still readmissions in the emergency department that could be avoided. A significant relationship was observed between readmissions and patient ages, and ambulance transport.<p /> <p>Language: pt</p>",
language="pt",
issn="0100-6991",
doi="10.1590/0100-6991e-20243704-en",
url="http://dx.doi.org/10.1590/0100-6991e-20243704-en"
}