• Madison Ge Millhouse, Matthew J Davies, and Alan S Tankel.
• St George and Sutherland Clinical School, Faculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia.
• Emerg Med Australas. 2019 Dec 1; 31 (6): 961-966.

ObjectiveThe present study aims to describe the characteristics of early ED re-presentations in a regional hospital in New South Wales, Australia.MethodsThis was a retrospective review of all patients re-presenting within 72 h of discharge from Coffs Harbour Base Hospital ED, a regional ED, for the 2016-2017 financial year. Presentations were categorised according to their diagnosis and cause for re-presentation.ResultsOf the 38 986 presentations to the ED within the study period, 2125 patients met re-presentation inclusion criteria (5.45%). Diagnoses most likely to re-present were injury/trauma (18.8%), gastrointestinal (14.8%) and psychiatric (12.5%). The most common cause for re-presentation was disease progression (32.7%). Patients aged over 66 were the most likely to be admitted on re-presentation (35.8%) followed by the 17-65 age group (24.2%) and the <16 age group (18.7%).ConclusionsRe-presentations were common, but did not lead to increased admissions. The regional hospital in the present study had a higher 72 h ED re-presentation rate than the comparative major city hospital. In particular, paediatric and psychiatric re-presentations were a greater burden to the regional ED. This may be secondary to a lack of alternative services, particularly for these patient groups. Improving these outpatient services may help to reduce the burden of 72 h ED re-presentations.© 2019 Australasian College for Emergency Medicine.

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