Journal article
Unscheduled emergency department presentations with diabetes: Identifying high risk characteristics
Australasian Emergency Care, Vol.26(3), pp.205-210
2023
PMID: 36528482
Abstract
Background:
Unscheduled emergency department (ED) presentation by patients with diabetes has seldom been examined. This study aimed to determine the frequency and associated characteristics of presentations in this population.
Methods:
Using a prospective cross-sectional design, data were collected from patients with diabetes presenting and/or admitted to a tertiary metropolitan hospital in New South Wales, Australia (December 2016-September 2017). A screening interview including brief measures of cognitive and executive function, and clinical details from healthcare records were utilised; details around unscheduled presentations within 90 days were extracted. Independent associations with ED presentation were determined.
Results:
Unscheduled ED presentations were common; 35.4% had at least one within 90 days, and for 20.1% this occurred within 28 days. The screening tool contributed little towards identifying risk of unscheduled presentation. Those attending any community or outpatient follow-up appointment within the first 28 (OR 0.42, 95% CI 0.23–0.76; p = 0.004) or 90 days (OR 0.25; 0.13–0.47; p < 0.001) from the index presentation were less likely to present within that same period.
Conclusions:
Findings indicated the magnitude of unscheduled ED presentation, care complexity and the value of targeted and timely follow-up. Alternative service support may help maintain and improve diabetes self-management and will require effectiveness and cost-effectiveness evaluation.
Details
- Title
- Unscheduled emergency department presentations with diabetes: Identifying high risk characteristics
- Authors
- Julie Gale (Author) - Prince of Wales HospitalWayne Varndell (Author) - Prince of Wales HospitalSteven James (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - LegacyLin Perry (Author) - Prince of Wales Hospital
- Publication details
- Australasian Emergency Care, Vol.26(3), pp.205-210
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.auec.2022.12.001
- PMID
- 36528482
- Organisation Unit
- School of Health and Behavioural Sciences - Legacy; School of Health - Nursing
- Language
- English
- Record Identifier
- 99696657602621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Emergency Medicine
- Nursing
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Source: InCites