• Nadeem Ullah Khan, Junaid Abdul Razzak, Ali Faisal Saleem, Uzma Rahim Khan, Mohammed Umer Mir, and Bushra Aashiq.
• Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan. nadeemullah.khan@aku.edu
• Eur J Emerg Med. 2011 Oct 1;18(5):276-8.

AbstractThe objective of this study was to determine the incidence, causes, and factors associated with unplanned return visits to emergency department of a tertiary care centre in a low-income country. We conducted a retrospective chart review of all patients who had unplanned returned visit to our emergency department within 48 h of their initial visit during a 1-year study period. The incidence of unplanned revisits is 2%. Two-thirds (69%) of these patients were adults. The most common presenting complaint was fever (29%). During return visits 55% of patients required admission. On multivariable logistic regression model; fever, triage categories 1 and 2, and patients leaving against medical advice were the independent risk factors for revisits requiring admission. Infectious diseases are the leading cause of return visits in our setting.© 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.

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