Associated factors and costs of avoidable visits to the emergency department among cancer patients: 1-year experience in a tertiary care hospital in South Korea

Tak Kyu Oh, You Hwan Jo, Jae Wook Choi

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)

    Abstract

    Purpose: Patients receiving palliative care make avoidable emergency department visits (AvED), which may increase economic and social costs. However, the proportion of AvED among all patients, including cancer patients after curation, and the resulting costs are unknown in Asia. This study aimed to investigate the proportion, characteristics, and costs regarding factors associated with AvED among cancer patients. Methods: This retrospective cohort study analyzed the medical records of patients who visited the emergency department (ED) at a tertiary care hospital in Korea in 2016. Data regarding patients’ demographic, cancer-related, and clinical characteristics were collected. Results: ED visits by a total of 4346 patients were included in the analysis, of which 2420 visits (55.7%) were avoidable. In the multivariate logistic model, the following main factors were associated with AvED: stay in ED (odds ratio [OR] 0.998, 95% confidence interval [CI] 0.997–0.999, P < 0.001), distance to the home from the ED (OR 0.998, 95% CI 0.997–0.999, P < 0.001), multiple ED visits in 1 year (OR 1.204, 95% CI 1.156–1.255, P < 0.001), primary progression (vs. after curation) (OR 0.748, 95% CI 0.627–0.892, P = 0.001), and chief complaint being a gastrointestinal symptom (vs. pain) (OR 1.871, 95% CI 1.188–2.946, P = 0.007). The average cost per visit in the AvED group was $369.80, and the annual total cost for all AvEDs was $894,877. Conclusions: Our study showed that 55.7% of all ED visits by cancer patients visiting the ED of a tertiary care hospital were avoidable, and several factors were associated with AvED.

    Original languageEnglish
    Pages (from-to)3671-3679
    Number of pages9
    JournalSupportive Care in Cancer
    Volume26
    Issue number11
    DOIs
    Publication statusPublished - 2018 Nov 1

    Keywords

    • Avoidable hospital visits
    • Cancer care
    • Emergency care
    • Emergency department
    • Palliative care

    ASJC Scopus subject areas

    • Oncology

    Fingerprint

    Dive into the research topics of 'Associated factors and costs of avoidable visits to the emergency department among cancer patients: 1-year experience in a tertiary care hospital in South Korea'. Together they form a unique fingerprint.

    Cite this