Understanding Why XXXX Return to the Emergency Department after Mild @entity131 .

@entity1 @entity131 @entity174 @entity341 @entity542 @entity772 @entity158
INTRODUCTION: Although there are approximately 1.1 million case presentations of mild @entity131 (mTBI) in the @entity341 ( @entity341 ) each year, little data is available to clinicians to identify @entity1 who are at risk for poor outcomes, including 72-hour @entity341 return after discharge. An understanding of @entity1 at risk for @entity341 during the hyperacute phase following @entity542 would allow @entity341 providers to develop clinical interventions that reduce its occurrence and improve outcomes. METHODS: This institutional review board-approved consecutive cohort study collected injury and outcome variables on adults with the purpose of identifying positive predictors for 72-hour @entity341 in mTBI @entity1 . RESULTS: Of 2,787 mTBI @entity1 , 145 (5%) returned unexpectedly to the @entity341 within 72 hours of hospital discharge. Positive predictors for @entity341 included being male (p=0.0298), being black (p=0.0456), having a lower prehospital Glasgow @entity772 Score (p=0.0335), suffering the injury due to a motor vehicle collision (p=0.0065), or having a bleed on head computed tomography (CT) (p=0.0334). @entity341 were not significantly associated with age, @entity174 on head CT, or symptomology following @entity542 . @entity1 with return visits most commonly reported post-concussion syndrome (43.1%), @entity158 (18.7%), and recall for further clinical evaluation (14.6%) as the reason for return. Of the 124 @entity1 who returned to the @entity341 within 72 hours, one out of five were admitted to the hospital for further care, with five requiring intensive care unit stays and four undergoing neurosurgery. CONCLUSION: Approximately 5% of adult @entity1 who present to the @entity341 for mTBI will return within 72 hours of discharge for further care. Clinicians should identify at-risk individuals during their initial visits and attempt to provide anticipatory guidance when possible.
