Research Article

Factors Affecting Unscheduled Return Visits to the Emergency Department among Minor Head Injury Patients

Table 1

Characteristics of returning and non-returning minor head injury patients.

Overall
()
Returning patient
()
Non-returning
patients
()
value

Male [no. (%)]1452(52)30 (53)1333 (48)0.52
Age (yr)33.0 ± 24.341.9 ± 24.732.8 ± 24.3
ED factors
 Length of ED stay (hr)3.1 ± 10.73.9 ± 6.53.1 ± 10.80.35
 Physician seniority (yr)4.3 ± 2.14.0 ± 2.34.3 ± 2.10.38
 Total trauma patients on the visit day76.6 ± 11.977.0 ± 12.076.6 ± 11.90.83
ED visits during nonoffice hours [number (%)]
 Weekend and holiday1011 (36)16 (29)995 (37)0.21
 Night Shifts1762 (63)33 (58)1729 (63)0.72
Triage, levels 1-2336 (12)9 (16)327 (12)0.36
Triage level [number (%)]
 Level 16 (0.2)0 (0)6 (0.2)
 Level 2330 (12)9 (16)321 (12)
 Level 31935 (69)40 (70)1895 (69)
 Level 4406 (14)7 (12)399 (15)
 Level 5138 (5)1 (2)137 (5)
Initial vital signs
 Body temperature (°C)36.5 ± 0.636.5 ± 0.636.5 ± 0.60.82
 Respiratory rate (times/min)20 ± 319 ± 220 ± 30.07
 Pulse rate (times/min)95 ± 2394 ± 1995 ± 230.78
 Mean arterial pressure (mmHg)107 ± 31100 ± 37107 ± 310.17
 GCS < 15 [number (%)]101 (4)3 (5)98 (4)0.49
Comorbidity [number (%)]24 (0.9)10 (17.5)14 (0.5)<0.00
 Diabetes mellitus7 (0.3)3 (5.3)4 (0.2)<0.00
 Hypertension16 (0.6)9 (15.8)7 (0.3)<0.00
 Liver cirrhosis1 (0.04)0 (0)1 (0.04)0.89
 End-stage renal disease4 (0.1)2 (3.5)2 (0.1)<0.00
Examination provided [number (%)]
 Blood test147 (5)10 (18)137 (5)<0.00
 Radiograph1366 (49)33 (58)1333 (48)0.15
 CT750 (27)22 (39)728 (26)0.0

significant in comparison between groups; ED, emergency department; GCS, Glasgow Coma Scale; CT, computed tomography.