Unplanned return visit to emergency department: a descriptive study from a tertiary care hospital in a low-income country

Eur J Emerg Med. 2011 Oct;18(5):276-8. doi: 10.1097/MEJ.0b013e3283449100.


The objective of this study was to determine the incidence, causes, and factors associated with unplanned return visits to emergency department of a tertiary care centre in a low-income country. We conducted a retrospective chart review of all patients who had unplanned returned visit to our emergency department within 48 h of their initial visit during a 1-year study period. The incidence of unplanned revisits is 2%. Two-thirds (69%) of these patients were adults. The most common presenting complaint was fever (29%). During return visits 55% of patients required admission. On multivariable logistic regression model; fever, triage categories 1 and 2, and patients leaving against medical advice were the independent risk factors for revisits requiring admission. Infectious diseases are the leading cause of return visits in our setting.

Publication types

  • Comparative Study

MeSH terms

  • Abdominal Pain
  • Adolescent
  • Adult
  • Child
  • Developing Countries / statistics & numerical data*
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Fever
  • Hospitals, Teaching / statistics & numerical data*
  • Humans
  • Incidence
  • Information Dissemination
  • Logistic Models
  • Male
  • Middle Aged
  • Pakistan
  • Retrospective Studies
  • Risk Factors
  • Treatment Failure*
  • Triage / statistics & numerical data*
  • Young Adult