Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 21302,
    "title": "Comparing Pediatric 72-Hour Emergency Department Returns: General vs Pediatric Emergency Departments",
    "subtitle": null,
    "abstract": "<p><strong>Introduction: </strong>There is limited data comparing pediatric return visits between pediatric emergency departments (PED) and general EDs. We hypothesized that the 72-hour return rate is higher for patients discharged from general EDs than from PEDs.</p>\n<p><strong>Methods: </strong>We analyzed all PED visits in a large, national emergency medical group that had a repeat ED visit to the same site within 72 hours between 2016–2019. Associated visit- and facility?level characteristics analyzed in the model included patient age, Emergency Severity Index and triage level, sex, insurance type, categorized reason for visit, facility type, facility size, trauma status, teaching status, year, and month. Diagnostic categories were defined using the Agency for Healthcare Research and Quality clinical classification software for diagnosis codes. The outcome variable was 72-hour returns. We analyzed returns at the visit-level using descriptive statistics and at the facility-month level using logistic regression to adjust for potential confounders.</p>\n<p><strong>Results:</strong> A total of 2,588,680 pediatric visits were included: 1,821,800 from 137 general EDs and 766,880 from 7 PEDs. The proportion of children returning to a PED within 72 hours was 1.1 percentage points higher than at a general ED (3.5% vs. 2.4%). The adjusted odds ratio for a 72-hour return visit was 1.3 (confidence interval 1.15-1.38) in PEDs compared to general EDs.</p>\n<p><strong>Conclusion:</strong> Pediatric patients discharged from PEDs had a higher rate of 72-hour return visits than those discharged from general EDs. These findings merit further investigation into factors driving these differences to identify best practices and optimize care across ED settings.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Pediatrics",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4s49s0p9",
    "frozenauthors": [
        {
            "first_name": "Dana",
            "middle_name": "",
            "last_name": "Libov",
            "name_suffix": "",
            "institution": "Northwell Health, New Hyde Park, New York",
            "department": ""
        },
        {
            "first_name": "Mark",
            "middle_name": "",
            "last_name": "Zocchi",
            "name_suffix": "",
            "institution": "Brandeis University, Heller School for Social Policy and Management, Waltham, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Arvind",
            "middle_name": "",
            "last_name": "Venkat",
            "name_suffix": "",
            "institution": "Allegheny Health Network, Department of Emergency Medicine, Pittsburgh, Pennsylvania; US Acute Care Solutions, Canton, Ohio",
            "department": ""
        },
        {
            "first_name": "Timothy",
            "middle_name": "",
            "last_name": "Ruttan",
            "name_suffix": "",
            "institution": "University of Texas at Austin Dell Medical School, Department of Pediatrics, Austin, Texas; US Acute Care Solutions, Canton, Ohio",
            "department": ""
        },
        {
            "first_name": "Coburn",
            "middle_name": "",
            "last_name": "Allen",
            "name_suffix": "",
            "institution": "University of Texas at Austin Dell Medical School, Department of Pediatrics, Austin, Texas; US Acute Care Solutions, Canton, Ohio",
            "department": ""
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Wilkinson",
            "name_suffix": "",
            "institution": "University of Texas at Austin Dell Medical School, Department of Pediatrics, Austin, Texas; US Acute Care Solutions, Canton, Ohio",
            "department": ""
        },
        {
            "first_name": "US Acute Care Solutions Research Group",
            "middle_name": "",
            "last_name": "",
            "name_suffix": "",
            "institution": "US Acute Care Solutions, Canton, Ohio",
            "department": ""
        }
    ],
    "date_submitted": "2024-06-04T22:42:11.503000+02:00",
    "date_accepted": "2025-04-07T21:03:04.334000+02:00",
    "date_published": "2025-08-29T19:32:00+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/21302/galley/40026/download/"
        }
    ]
}