Characteristics of patients leaving the emergency department without being seen by a doctor: The first report from Türkiye

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dc.authoridDemir, Mehmet Cihat/0000-0002-0106-3383;
dc.contributor.authorSenguldur, Erdinc
dc.contributor.authorDemir, Mehmet Cihat
dc.contributor.authorSelki, Kudret
dc.contributor.authorErdem, Emre
dc.contributor.authorGuldal, Hatice
dc.date.accessioned2025-10-11T20:48:17Z
dc.date.available2025-10-11T20:48:17Z
dc.date.issued2024
dc.departmentDüzce Üniversitesien_US
dc.description.abstractThe presence of patients who leave without being seen (LWBS) by a physician in the emergency department (ED) is an essential indicator of the accessibility and quality of healthcare delivery. A high LWBS rate implies low patient satisfaction. This study aims to analyze the prevalence and characteristics of LWBS patients in T & uuml;rkiye and their ED readmission rate within 3 days. This retrospective, single-center, observational study was conducted in the ED of a Turkish tertiary university hospital. It looked at patients who left without being evaluated by a physician admitted to the ED between June 01, 2021, and June 01, 2023. Data on age, gender, residential area, health insurance status, ED readmission within 3 days, complaints, and hospitalization were obtained through the hospital's electronic record system. The prevalence of LWBS patients was 0.43%. Only 0.6% (n = 5) of LWBS patients had no health insurance. About 12.8% (n = 99) of them were 65 years and older. About 10.2% (n = 79) of LWBS patients were readmitted to the ED within 72 hours. The most common reason for readmission was musculoskeletal system complaints. Statistically, ED readmission was significantly more common in older adults (P = .05). Older LWBS patients are more likely hospitalized upon return visits to the ED (P = .014). LWBS patients are both a result and a consequence of ED crowding. A zero LWBS rate is crucial for older adults' health as they may fall victim to an invisible accident while avoiding ED traffic. Prioritizing older adults and reorganizing waiting areas can reduce ED crowding and cost burden due to delayed treatments.en_US
dc.identifier.doi10.1097/MD.0000000000040543
dc.identifier.issn0025-7974
dc.identifier.issn1536-5964
dc.identifier.issue46en_US
dc.identifier.pmid39560564en_US
dc.identifier.scopus2-s2.0-85210047715en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1097/MD.0000000000040543
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21847
dc.identifier.volume103en_US
dc.identifier.wosWOS:001359023400014en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofMedicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectemergency departmenten_US
dc.subjecthealth insuranceen_US
dc.subjectleave without being seenen_US
dc.subjectolder adultsen_US
dc.titleCharacteristics of patients leaving the emergency department without being seen by a doctor: The first report from Türkiyeen_US
dc.typeArticleen_US

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