Patients who present to the emergency department and leave without being seen: Prevalence and predictors

Crilly, Julia; Bost, Nerolie; Thalib, Lukman; Timms, Jo; Gleeson, H

doi:10.1016/j.aenj.2011.09.039

Cited by 5 publications

(6 citation statements)

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“…The proportion of young adults who ‘did not wait’ pre and post Schoolies week was similar to earlier research undertaken in Queensland . Of concern though was the proportion of young adults who presented to the ED but ‘did not wait’ during Schoolies week (twice as high).…”

Section: Discussionsupporting

confidence: 74%

“…The proportion of young adults who 'did not wait' pre and post Schoolies week was similar to earlier research undertaken in Queensland. 27 Of concern though was the proportion of young adults who presented to the ED but 'did not wait' during Schoolies week (twice as high). As this is a potentially undifferentiated group of ED presenters, expansion of specific services in the ED during this week directed at this cohort, may be worth considering by ED managers.…”

Section: Discussionmentioning

confidence: 99%

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Emergency healthcare delivery for young adults during a planned mass gathering: A retrospective observational study

Crilly

Ranse

Bost

et al. 2019

Emerg Medicine Australasia

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Objective To describe patient presentation characteristics and outcomes for people aged 16–18 years pre, during and post a planned youth mass gathering event (MGE): ‘Schoolies week’ on the Gold Coast, Queensland, Australia. Methods This was a retrospective observational study, including patient presentations by all young adults requiring care in the ED or in‐event health services (EHS) over a 21‐day period in 2014. Data analysis included descriptive and inferential statistics. Results A total of 1029 patient presentations were made by people aged 16–18 years to the ED and EHS over the 21‐day study period (139 pre, 695 during [275 in ED, 420 in EHS], 195 post Schoolies week). Some ED patient characteristics and outcomes varied between the pre, during and post Schoolies periods, such as patients age (P < 0.001), usual place of residence (P < 0.001) and not waiting for treatment (P = 0.015). Of the 24 375 registered MGE attendees, 420 (1.72% [95% confidence interval 1.57–1.89], 17.2/1000) presented for in‐event care. Most patients were allocated an Australasian Triage Scale category of 4 (n = 162, 65.6%), with toxicology related presentations (n = 169, 44.9%). Transportation to hospital was undertaken for seven MGE attendees (0.03% [95% confidence interval 0.01–0.06], 0.3/1000). Conclusions Establishment of an in‐event model of care for 1 week during Schoolies served as an effective hospital avoidance strategy for a planned youth MGE. Such in‐event models of care may be considered for other similar future MGE.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Emergency healthcare delivery for young adults during a planned mass gathering: A retrospective observational study

Crilly

Ranse

Bost

et al. 2019

Emerg Medicine Australasia

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“…An association with poverty (which we found by analyzing subjects from zip codes with lower household incomes) was corroborated by a study by Hsia et al 5 Some studies have shown an urban location of patients in proximity to the hospital 22 to be a significant factor, but this was refuted by our analysis. Similar to our analysis, other studies have pointed out lower acuity at presentation to have a significant association with LWBS, 6,18,23 but no scholars have studied relationships with the presence of chronic conditions.…”

Section: Discussionsupporting

confidence: 89%

Patients leaving without being seen from the emergency department: A prediction model using machine learning on a nationwide database

Sheraton¹,

Gooch²,

Kashyap

2020

JACEP Open

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“…This is consistent with DNW rates reported by other, more urban Australian EDs, and in the low‐middle of the <1% to 20% DNW rates reported for EDs in Taiwan, the USA, England and Canada . In contrast, a recent study from a large regional teaching hospital ED in south east Queensland, Australia, reported a DNW rate of 10.7%, which is more than double our rate and the highest in Queensland…”

Section: Discussionmentioning

confidence: 96%

‘Did not waits’: A regional Australian emergency department experience

Blake

Dissanayake

Hay

et al. 2014

Emerg Medicine Australasia

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Patients who present to the emergency department and leave without being seen: Prevalence and predictors

Cited by 5 publications

References 0 publications

Emergency healthcare delivery for young adults during a planned mass gathering: A retrospective observational study

Emergency healthcare delivery for young adults during a planned mass gathering: A retrospective observational study

Patients leaving without being seen from the emergency department: A prediction model using machine learning on a nationwide database

‘Did not waits’: A regional Australian emergency department experience

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