Internal Medicine and Medical Investigation Journal

ISSN: 2474-7750

Evaluating the Causes and Frequency of Frequent Referral to the Emergency Department of Imam Khomeini Educational Hospital in Sari


Author(s): Fatemeh Jahanian , Sahar Khatti , Alireza Salehi , Hamed Aminiahidashti , Seyed Hossein Montazer

Emergency department is one of the most important units of a hospital.

In general, the most serious cases are referred to emergency department, and the highest

numbers of hospital admissions occur in the emergency department. This study aimed

to obtain a comprehensive estimate of the number of frequent visitors to the emergency

department of Imam Khomeini educational hospital, Sari.

Materials and Methods:

This cross-sectional descriptive study was performed retrospectively by referring to the

patient medical records at the Sari Imam Khomeini education hospital. The records

were screened to identify frequent emergency department visitors in 2017. Data

analysis was performed using SPSS 21.


The number of emergency department

visitors in the Sari Imam Khomeini Hospital in 2017 was 29,765; of them, 594 (6.2%)

were repeat visitors and were included in this study. The mean age of the frequent

emergency department visitors was 56.17 years. The most common complaint was

weakness and lethargy in 39.9% patients, abdominal pain in 30%, shortness of breath

in 14%, and other causes in 14%. The most common underlying disorders were anemia,

followed by obstruction pulmonary disease.


We obtained detailed data of

frequent emergency department visitors to aid the development of suitable

evidence-based policies. New policies are necessary for the management of various

sections of the emergency department and inpatient admissions. Such policies will

allow better decision-making for non-emergency patients and outpatient admissions.

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