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Purpose: This study aimed to identify causeand backgroundrelated 30-day revisit pattern among patients who were discharged from the emergency department (ED). Methods: This was a chart review-based comparative case study. Data were collected from the medical charts of patients who were discharged from the ED of an university hospital in Tokyo, Japan, between February and December 2013. Patients who revisited the ED within 30 days after discharge were included. Data were analyzed using a case-code matrix for pattern classification and compared across pattern groups. Results: We analyzed 136 patients who revisited the ED within 30 days of discharge. Patients were classified into five categories of 30-day ED revisit patterns: those who were instructed to revisit by the health care provider at the first visit (planned revisit), those who were instructed to revisit after discharge (prompted revisit), those who experienced worsening of original symptoms (revisit needed for medical treatment/examination), those who experienced new symptoms (revisit due to a new episode), and those with mild symptoms (revisit for minor problems). Conclusion: Patients were classified into 5 ED revisit patterns. These findings indicate the necessity of assessing such patterns at the first visit and providing appropriate services to avoid unnecessary second visits.

Pattern of Revisit 30 days after Discharge from the Emergency Department: A Comparative Case Study