Contributor: Nick Tsipis MD

Educational Pearls:

The review article assessed 16.3 million patients across six states to identify those at high-risk for critical revisit

Criteria for critical revisit was ICU admission or death within three days of discharge from the ED

Critical revisits are extremely rare

0.1% of patients have a critical revisit after discharge
0.00001% die after revisit

Of the patients that do experience critical revisits, the two major risk factors are

Asthma - relative risk 2.24
Chronic medical conditions - incidence rate ratio 11.03

Of the top ten diagnoses that lead to critical revisits, 5 are respiratory

Others include cellulitis, seizures, gastrointestinal disease, appendectomy, and sickle cell crisis.

References

1. Cavallaro SC, Michelson KA, D'Ambrosi G, Monuteaux MC, Li J. Critical Revisits Among Children After Emergency Department Discharge. Ann Emerg Med. 2023;82(5):575-582. doi:10.1016/j.annemergmed.2023.06.006

Summarized by Jorge Chalit, OMSII | Edited by Meg Joyce & Jorge Chalit, OMSII

Podcast 881: Pediatric Readmissions