RT Journal Article
SR Electronic
T1 The relation between regular outpatient follow-up and frequency of emergency department visits in sickle cell pediatric patients
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1324
OP 1329
DO 10.15537/smj.2020.12.05585
VO 41
IS 12
A1 Abeer F. Ismail
A1 Raghad A. Tarawah
A1 Zainab Y. Azzouni
A1 Lojain T. Alharbi
A1 Raghad M. Altayyar
YR 2020
UL http://smj.org.sa/content/41/12/1324.abstract
AB Objectives: To evaluate the relationship between the frequency of ED visits and outpatient department (OPD) follow-up in sickle cell disease (SCD) pediatric patients.Methods: A retrospective cohort study included 247 SCD pediatric patients between January 2016 and December 2018 at the Maternity and Children Hospital, Department of Pediatrics, Al Medinah Al Munawarah, Saudi Arabia. Data were extracted from electronic medical record system; patient demographics, medications, frequency of emergency department (ED) and OPD visits. Pearson correlation coefficient, linear regression and independent sample t-test were applied.Results: There was no significant correlation (95% CI [-0.013- 0.233]; p=0.07) between the frequency of ED and OPD visits. However, a significant correlation was found between ED visits and missed OPD appointments. Thus, linear regression was applied and indicated that one missed OPD appointment is associated with 1.92 ED visits, (95% CI: 0.19-0.42; p<0.001). Also, a higher rate of ED visits was observed when compared with other studies, with a high ED reliance of 43%.Conclusion: This study found that regular OPD visits could improve SCD management, as a directly proportional relationship between the frequency of ED visits and missed OPD appointments were found, along with high ED reliance.