Table 1.
All patients (n = 1360) | Patients with more than one visit in the previous year | Patients with the index visit within 72 hours after a previous one | ||||||||
No (n = 654) | Yes (n = 706) | No (n = 1145) | Yes (n = 215) | |||||||
n | % | n | % | n | % | n | % | n | % | |
Gender | ||||||||||
Male | 771 | 56.7 | 377 | 57.6 | 394 | 55.8 | 645 | 56.3 | 126 | 58.6 |
Female | 589 | 43.3 | 277 | 42.4 | 312 | 44.2 | 500 | 43.7 | 89 | 41.4 |
χ2 = 0.38, 1 df, p = 0.54 | ||||||||||
Age (years) | 46.7 ± 18.8 (16–97)* | 43.8 ± 17.9 (16–95)* | 49.3 ± 19.2 (16–97)* | 47.2 ± 18.8 (16–97)* | 44.2 ± 18.5 (16–88)* | |||||
t test = 2.14, df = 1358, p = 0.033 | ||||||||||
Marital status | ||||||||||
Married | 865 | 63.6 | 413 | 63.1 | 452 | 64 | 738 | 64.4 | 127 | 59.1 |
Other | 495 | 36.4 | 241 | 36.9 | 254 | 36 | 407 | 35.6 | 88 | 40.9 |
χ2 = 2.27, 1 df, p = 0.13 | ||||||||||
Educational level (years of schooling) | 8.1 ± 4 (0–23)* | 8.7 ± 4.2 (0–23)* | 7.6 ± 3.7 (0–20)* | 8.1 ± 4 (0–23)* | 8.1 ± 3.8 (0–18)* | |||||
t test = 0.18, df = 1358, p = 0.86 | ||||||||||
Number of other persons in the household | ||||||||||
0 | 115 | 8.5 | 45 | 6.9 | 70 | 9.9 | 99 | 8.6 | 16 | 7.4 |
1 | 221 | 16.2 | 88 | 13.5 | 133 | 18.8 | 184 | 16.1 | 37 | 17.2 |
2 | 298 | 21.9 | 165 | 25.2 | 133 | 18.8 | 254 | 22.2 | 44 | 20.5 |
3 | 359 | 26.4 | 182 | 27.8 | 177 | 25.1 | 292 | 25.5 | 67 | 31.2 |
4 | 367 | 27 | 174 | 26.6 | 193 | 27.4 | 316 | 27.6 | 51 | 23.7 |
χ2 = 3.9, 4 df, p = 0.42 | ||||||||||
Employment status | ||||||||||
Unemployed | 811 | 59.6 | 355 | 54.3 | 456 | 64.6 | 678 | 59.2 | 133 | 61.9 |
Employed | 549 | 40.4 | 299 | 45.7 | 250 | 35.4 | 467 | 40.8 | 82 | 38.1 |
χ2 = 0.53, 1 df, p = 0.47 | ||||||||||
Distance from patients' home to hospital (Km) | ||||||||||
< 1 | 819 | 60.2 | 372 | 56.9 | 447 | 63.3 | 686 | 59.9 | 133 | 61.9 |
1–10 | 332 | 24.4 | 169 | 25.8 | 163 | 23.1 | 278 | 24.3 | 54 | 25.1 |
> 10 | 209 | 15.4 | 113 | 17.3 | 96 | 13.6 | 181 | 15.8 | 28 | 13 |
χ2 = 1.08, 2 df, p = 0.58 | ||||||||||
Day of the week of attending the ED | ||||||||||
Monday-Friday | 1193 | 87.7 | 598 | 91.4 | 595 | 84.3 | 1015 | 88.6 | 178 | 82.8 |
Saturday-Sunday | 167 | 12.3 | 56 | 8.6 | 111 | 15.7 | 130 | 11.4 | 37 | 17.2 |
χ2 = 5.76, 1 df, p = 0.016 | ||||||||||
Arrival time at the ED | ||||||||||
8.00 AM-1.59 PM | 796 | 58.5 | 389 | 59.5 | 407 | 57.6 | 668 | 58.3 | 128 | 59.5 |
2.00 PM-7.59 AM | 564 | 41.5 | 265 | 40.5 | 299 | 42.4 | 477 | 41.7 | 87 | 40.5 |
χ2 = 0.11, 1 df, p = 0.74 | ||||||||||
Mode of transportation to the ED | ||||||||||
Ambulance | 82 | 6 | 43 | 6.6 | 39 | 5.5 | 76 | 6.6 | 6 | 2.8 |
Car driven by other person | 1011 | 74.4 | 479 | 73.2 | 532 | 75.4 | 844 | 73.7 | 167 | 77.7 |
Car driven by patient/On foot | 267 | 19.6 | 132 | 20.2 | 135 | 19.1 | 225 | 19.7 | 42 | 19.5 |
χ2 = 4.83, 2 df, p = 0.09 | ||||||||||
On pharmacological treatment | ||||||||||
Yes | 513 | 37.7 | 186 | 28.4 | 327 | 46.3 | 444 | 38.8 | 69 | 32.1 |
No | 847 | 62.3 | 468 | 71.6 | 379 | 53.7 | 701 | 61.2 | 146 | 67.9 |
χ2 = 3.44, 1 df, p = 0.06 | ||||||||||
Charlson et al. comorbidity index | 0.5 ± 1 (0–8)* | 0.3 ± 0.8 (0–6)* | 0.6 ± 1.1 (0–8)* | 0.5 ± 1 (0–8)* | 0.4 ± 1 (0–6)* | |||||
t test = 1.05, df = 1358, p = 0.29 | ||||||||||
Basic Activities of Daily Living score | 5.7 ± 1.1 (0–6)* | 5.9 ± 0.8 (0–6)* | 5.6 ± 1.3 (0–6)* | 5.7 ± 1.1 (0–6)* | 5.7 ± 1.1 (0–6)* | |||||
t test = -0.28, df = 1358, p = 0.78 | ||||||||||
Referral to the ED | ||||||||||
Physician | 110 | 8.1 | 45 | 6.9 | 65 | 9.2 | 75 | 6.6 | 35 | 16.3 |
Self/relatives | 1250 | 91.9 | 609 | 93.1 | 641 | 90.8 | 1070 | 93.4 | 180 | 83.7 |
χ2 = 23.05, 1 df, p < 0.001 | ||||||||||
Principal reason for attending the ED | ||||||||||
Non-traumatic injuries | 998 | 73.4 | 418 | 63.9 | 580 | 82.1 | 835 | 72.9 | 163 | 75.8 |
Traumatic injuries | 362 | 26.6 | 236 | 36.1 | 126 | 17.9 | 310 | 27.1 | 52 | 24.2 |
χ2 = 0.77, 1 df, p = 0.38 | ||||||||||
Duration of presenting problem prior to arrive at the ED (hours) | ||||||||||
< 1 | 474 | 34.9 | 272 | 41.6 | 202 | 28.6 | 431 | 37.6 | 43 | 20 |
1–24 | 610 | 44.8 | 288 | 44 | 322 | 45.6 | 499 | 43.6 | 111 | 51.6 |
> 24 | 276 | 20.3 | 94 | 14.4 | 182 | 25.8 | 215 | 18.8 | 61 | 28.4 |
χ2 = 26.99, 2 df, p < 0.001 | ||||||||||
Diagnostic investigation(s) received at the ED | ||||||||||
Yes | 758 | 55.7 | 376 | 57.5 | 382 | 54.1 | 656 | 57.3 | 102 | 47.4 |
No | 602 | 44.3 | 278 | 42.5 | 324 | 45.9 | 489 | 42.7 | 113 | 52.6 |
χ2 = 7.01, 1 df, p = 0.008 | ||||||||||
Therapeutic procedure(s) received at the ED | ||||||||||
Yes | 711 | 52.3 | 327 | 50 | 384 | 54.4 | 615 | 53.7 | 96 | 44.7 |
No | 649 | 47.7 | 327 | 50 | 322 | 45.6 | 530 | 46.3 | 119 | 55.3 |
χ2 = 5.96, 1 df, p = 0.015 | ||||||||||
Physician consultation(s) received at the ED | ||||||||||
Yes | 701 | 51.5 | 302 | 46.2 | 399 | 56.5 | 574 | 50.1 | 127 | 59.1 |
No | 659 | 48.5 | 352 | 53.8 | 307 | 43.5 | 571 | 49.9 | 88 | 40.9 |
χ2 = 5.79, 1 df, p = 0.016 | ||||||||||
Level of urgent care | ||||||||||
Emergency | 428 | 31.5 | 219 | 33.5 | 209 | 29.6 | 363 | 31.7 | 65 | 30.2 |
Urgent | 654 | 48.1 | 308 | 47.1 | 346 | 49 | 554 | 48.4 | 100 | 46.5 |
Non-urgent | 278 | 20.4 | 127 | 19.4 | 151 | 21.4 | 228 | 19.9 | 50 | 23.3 |
χ2 = 1.25, 2 df, p = 0.54 | ||||||||||
ED discharge diagnosis | ||||||||||
Medical | 691 | 50.8 | 284 | 43.4 | 407 | 57.6 | 595 | 52 | 96 | 44.7 |
Surgical | 669 | 49.2 | 370 | 56.6 | 299 | 42.4 | 550 | 48 | 119 | 55.3 |
χ2 = 3.87, 1 df, p = 0.049 | ||||||||||
Hospital admission after ED visit | ||||||||||
Yes | 203 | 14.9 | 80 | 12.2 | 123 | 17.4 | 162 | 14.2 | 41 | 19.1 |
No | 1157 | 85.1 | 574 | 87.8 | 583 | 82.6 | 983 | 85.8 | 174 | 80.9 |
χ2 = 3.45, 1 df, p = 0.06 | ||||||||||
Prescription of therapy | ||||||||||
Yes | 772 | 56.8 | 407 | 62.2 | 365 | 51.7 | 672 | 58.7 | 100 | 46.5 |
No | 588 | 43.2 | 247 | 37.8 | 341 | 48.3 | 473 | 41.3 | 115 | 53.5 |
χ2 = 10.94, 1 df, p = 0.001 | ||||||||||
Prescription of physician examination(s) | ||||||||||
Yes | 511 | 37.6 | 241 | 36.9 | 270 | 38.2 | 428 | 37.4 | 83 | 38.6 |
No | 849 | 62.4 | 413 | 63.1 | 436 | 61.8 | 717 | 62.6 | 132 | 61.4 |
χ2 = 0.12, 1 df, p = 0.73 | ||||||||||
Number of ED visits in the previous year | ||||||||||
1 | 654 | 48.1 | - | - | - | - | 654 | 57.1 | - | - |
2 | 536 | 39.4 | - | - | 536 | 75.9 | 376 | 32.8 | 160 | 74.4 |
3 | 148 | 10.9 | - | - | 148 | 21 | 106 | 9.3 | 42 | 19.5 |
≥4 | 22 | 1.6 | - | - | 22 | 3.1 | 9 | 0.8 | 13 | 6.1 |
χ2 = 250.74, 3 df, p < 0.001 |
*Mean ± Standard deviation (Range)