PMID- 11132071
OWN - NLM
STAT- MEDLINE
DCOM- 20010308
LR  - 20191104
IS  - 0969-9546 (Print)
IS  - 0969-9546 (Linking)
VI  - 7
IP  - 2
DP  - 2000 Jun
TI  - Return visits to the emergency room after minor trauma from motor vehicle 
      accidents.
PG  - 113-7
AB  - Most patients with minor trauma following motor vehicle accidents (MVAs) are 
      discharged from the emergency room (ER) of a trauma centre after evaluation and 
      observation. Some return with similar or additional symptoms. This study aimed to 
      determine which patients returned, if any injuries had been missed, and what 
      should be the policy of medical management. We reviewed the records of 8836 
      patients with minor trauma following MVAs who were examined in an inner city 
      trauma centre during 1997. When the group of patients who returned to the 
      emergency room (n = 160) was compared with the whole post-MVA minor trauma group, 
      the former was found to have more males (75.6% vs. 55.9%), younger age (36.31 
      years vs. 39.72 years), more motorcyclists than drivers, passengers and 
      pedestrians ( p < 0.002, for the three variables), and had more multi-site 
      injures. During the return visits the patients stayed longer in the emergency 
      room, were examined by more consultants and had repeated radiological evaluations 
      and tests, compared with the initial visit. However, in none of the patients was 
      the initial diagnosis revised nor were additional injuries found and consequently 
      the initial management was not changed in any of them. It is concluded that the 
      initial thorough evaluation by the primary traumatologist is adequate for MVA 
      patients with minor trauma. These patients do not require any follow up in 
      specialized clinics, and are best managed in the community by their general 
      practitioners.
FAU - Greenberg, R
AU  - Greenberg R
AD  - Department of Surgery A, Tel-Aviv Medical Centre and Sackler School of Medicine, 
      Tel-Aviv University, Israel.
FAU - Kaplan, O
AU  - Kaplan O
FAU - Kashtan, H
AU  - Kashtan H
FAU - Hadad, R
AU  - Hadad R
FAU - Becker, T
AU  - Becker T
FAU - Kluger, Y
AU  - Kluger Y
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - England
TA  - Eur J Emerg Med
JT  - European journal of emergency medicine : official journal of the European Society 
      for Emergency Medicine
JID - 9442482
SB  - IM
MH  - *Accidents, Traffic
MH  - Adolescent
MH  - Adult
MH  - Age Distribution
MH  - Aged
MH  - Aged, 80 and over
MH  - Analysis of Variance
MH  - Chi-Square Distribution
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - Middle Aged
MH  - Office Visits/statistics & numerical data
MH  - Patient Readmission/statistics & numerical data
MH  - Probability
MH  - Recurrence
MH  - Registries
MH  - Risk Factors
MH  - Sex Distribution
MH  - Wounds and Injuries/diagnosis/*therapy
EDAT- 2000/12/29 11:00
MHDA- 2001/03/10 10:01
CRDT- 2000/12/29 11:00
PHST- 2000/12/29 11:00 [pubmed]
PHST- 2001/03/10 10:01 [medline]
PHST- 2000/12/29 11:00 [entrez]
AID - 10.1097/00063110-200006000-00005 [doi]
PST - ppublish
SO  - Eur J Emerg Med. 2000 Jun;7(2):113-7. doi: 10.1097/00063110-200006000-00005.