TY  - JOUR
PY  - 2024//
TI  - Emergency room readmission, an avoidable problem? Analysis and stratification of readmissions in a trauma reference center
JO  - Revista do Colégio Brasileiro de Cirurgiões
A1  - Adania, Eduardo Takemura
A1  - Faria Junior, Gilson Soares DE
A1  - Franzoni, Nicole Rampani
A1  - Pimentel, Silvania Klug
SP  - e20243704
EP  - e20243704
VL  - 51
IS  - 
N2  - 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>
LA  - pt
SN  - 0100-6991
UR  - http://dx.doi.org/10.1590/0100-6991e-20243704-en
ID  - ref1
ER  -