Factors associated with early return visits to the emergency department in patients with vaso-occlusive crisis

Factors associated with early return visits to the emergency department in patients with vaso-occlusive crisis

This study included 120 VOC visits. The percentage of 72-hour ERV to the ED among VOC patients was 39.2%, in which 91.5% received opioids, and 31.9% were admitted during the return visit. Return visitors’ median age was 29, most of them were male. There was no statistically significant correlation found between the patients’ 72-hour ERV to the ED and their age, gender, comorbidities, history of exchange transfusion, pain score, or dose of opiates received. Of the variables measured at the index visit only the direct bilirubin level, and time to first opioid dose was associated with 72-hour ERV with an OR of 1.08 (95%CI: 1.0 to 1.16, P = 0.022) and 0.99 (95%CI: 0.99 to 0.99, P = 0.012) respectively.

Mohammed Khalid Alageel, Hassan Mohammad Aloraini, Alanoud Mansour Alessa, Alanoud Binmethem, Ghada Alsaleh, Sarah Abdullah Almubrik, Abdulaziz Alalshaikh & Kholood K. Altassan

https://link.springer.com/journal/12873

https://link.springer.com/journal/12873

01 march 2025

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