C-reactive protein and emergency department seven days revisit

Tomer Ziv-Baran, Asaf Wasserman, Ronen Shteinvil, David Zeltser, Itzhak Shapira, Shani Shenhar-Tsarfaty, Ahuva Meilik, Ilana Goldiner, Ori Rogowski, Shlomo Berliner, Pinchas Halpern

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Emergency department (ED) revisit might be partially preventable. C-reactive protein (CRP) is an inflammatory biomarker which is commonly used as screening tool in the ED. We sought to evaluate the association between CRP level in patients visiting emergency department and 7 days revisit after discharge. Methods: A historical cohort study of all patients who visited the internal division of the emergency department between June 2007 and July 2017 and had a CRP test. New ED visit was defined when neither any emergency department visit nor any hospital admission was recorded in our files during the previous 90 days. Univariate and multivariate models were used to evaluate the association between CRP and 7 days ED revisit. Results: The study included 135,476 patients with 173,443 new visits. In 101,181 (58.3%) visits the patients were released and 7077 (7%) of them were revisited in 7 days. Even mild elevated CRP (5–25 mg/L) was independently associated with significant risk for revisit (OR 1.27, 95% CI 1.20–1.35). Conclusion: CRP is an independent predictor for 7 days ED revisit and should be considered at the time of discharge. Prediction models for ED revisit should include CRP as a potential predictor in their models.

Original languageEnglish
Pages (from-to)207-211
Number of pages5
JournalClinica Chimica Acta
Volume481
DOIs
StatePublished - Jun 2018

Keywords

  • C-reactive protein
  • Emergency department
  • Return visits
  • Revisit

All Science Journal Classification (ASJC) codes

  • Biochemistry
  • Clinical Biochemistry
  • Biochemistry, medical

Fingerprint

Dive into the research topics of 'C-reactive protein and emergency department seven days revisit'. Together they form a unique fingerprint.

Cite this