Clinical trial NCT05637463: Reasons for Emergency Department Utilization and Readmission in Postoperative 90 Days
Official title: Reasons for Emergency Department Utilization and Readmission in Postoperative 90 Days: A Retrospective Analysis Based on the Hospital Information Management System
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Surgery
Nursing Caries
Keywords: Surgery,
emergency department,
readmission
Lead sponsor: Akdeniz University
Sponsor class: OTHER
First posted: 2022-12-05
Enrollment: 620
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The population of the study consisted of 1705 patients who had undergone surgery between January 1, 2018 and December 31, 2018 and presented to the emergency department within the first 90 days after discharge.

Brief summary: The objective of this study was conducted to examine the reasons for patients' utilization of the emergency department and the rates of readmission in the first 90 days after surgery.

Detailed description: Background: Postoperative readmission rates of patients have been important indicators in the evaluation of quality service delivery and cost-effectiveness. This study was conducted to examine the reasons for patients' utilization of the emergency department and the rates of readmission in the first 90 days after surgery.

Material and methods: The research is based on actual patient data in the hospital information management system. In the study, the data of patients who had undergone surgery between January 1, 2018, and December 31, 2018, and presented to the emergency department in the first 90 days after surgery were retrospectively analyzed. Patient data about the date of surgery, type of surgery, department performing the surgery, patient age, gender, type of anesthesia, the length of postoperative hospital stay, date of discharge, date, and reason for presenting to the emergency department, and discharge status (admission, referral, discharge, or death, etc.) recorded on the hospital information management system were evaluated in accordance with "the 18 HIPAA" standards.

Eligibility criteria: Inclusion Criteria:

* Undergone surgery between January 1, 2018, and December 31, 2018,
* Presented to the emergency department

Exclusion Criteria:

• Patients who do not meet the inclusion criteria

Primary outcomes:
measure: Identify the causes of preventable post-operative emergency utilization
timeFrame: January 1, 2018, and December 31, 2018,
Secondary outcomes:
measure: Contribute to the strategic planning for quality health service delivery by determining the complaints and repeated admission rates by unit.
timeFrame: January 1, 2018, and December 31, 2018,
Other outcomes:
Locations:
city: Antalya
country: Turkey
facility: Akdeniz University
Study officials:
affiliation: Akdeniz University
name: Fatma CEBECİ
role: STUDY_DIRECTOR
affiliation: Akdeniz University
name: Songül Bişkin Çetin
role: PRINCIPAL_INVESTIGATOR
affiliation: Akdeniz University
name: Volkan Doğru
role: PRINCIPAL_INVESTIGATOR
affiliation: Akdeniz University
name: Mustafa Coşkun
role: PRINCIPAL_INVESTIGATOR
References: