Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah

Abdulaziz T. Nazer; Hanan A. Al Zahrani; Asseil Bossei; Muath H. Alharbi; Sarah Gotah; Waleed Malibari; Waleed Alshehri; Renad W. Alomari; Rami Hasanain; Ahmed Alghanmi; Mahmoud A. Wazzan; Haneen Khadawardi; Abdulelah Abualfraj

doi:10.24911/IJMDC.51-1787668499

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Original Article
Online Published: 21 Oct 2026

IJMDC. 2026; 0(0):

doi: 10.24911/IJMDC.51-1787668499

Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah

Abdulaziz T. Nazer, Hanan A. Al Zahrani, Asseil Bossei, Muath H. Alharbi, Sarah Gotah, Waleed Malibari, Waleed Alshehri, Renad W. Alomari, Rami Hasanain, Ahmed Alghanmi, Mahmoud A. Wazzan, Haneen Khadawardi, Abdulelah Abualfraj.

Abstract
Objective:
This study aimed to determine the prevalence of unscheduled return visits (URVs) to the emergency department (ED) within three days in Saudi Arabia by conducting a retrospective cross-sectional chart review for patients at King Abdulaziz Medical City (KAMC-J), Jeddah, Saudi Arabia.
Methods:
A retrospective chart review was conducted for patients aged 14-100 years who revisited the ED within 3 days between January 2020 and January 2022. Data were extracted from the BESTCare system and analyzed to identify predictors of URVs.
Results:
Among 118,754 ED visits, 995 were return visits, and 601 (0.5%) were URVs. Significant predictors of URVs included the presence of chronic illnesses, persistence of symptoms, oxygen saturation>94%, and ER stay of 2-8 hours. Most URVs were related to unresolved symptoms (31.6%) or new symptoms (38.9%).
Conclusion:
Although the URV rate was lower than international averages, the predictors identified highlighted the importance of discharge planning and post-discharge follow-up to reduce avoidable returns.

Key words: Emergency department, return visit, bounce back, King Abdulaziz Medical City, post-discharge, Saudi Arabia

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Pubmed Style

Nazer AT, Zahrani HAA, Bossei A, Alharbi MH, Gotah S, Malibari W, Alshehri W, Alomari RW, Hasanain R, Alghanmi A, Wazzan MA, Khadawardi H, Abualfraj A. Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah. IJMDC. Online First: 21 Oct, 2026. doi:10.24911/IJMDC.51-1787668499

Web Style

Nazer AT, Zahrani HAA, Bossei A, Alharbi MH, Gotah S, Malibari W, Alshehri W, Alomari RW, Hasanain R, Alghanmi A, Wazzan MA, Khadawardi H, Abualfraj A. Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah. https://www.ijmdc.com/?mno=332576 [Access: October 21, 2026]. doi:10.24911/IJMDC.51-1787668499

AMA (American Medical Association) Style

Nazer AT, Zahrani HAA, Bossei A, Alharbi MH, Gotah S, Malibari W, Alshehri W, Alomari RW, Hasanain R, Alghanmi A, Wazzan MA, Khadawardi H, Abualfraj A. Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah. IJMDC. Online First: 21 Oct, 2026. doi:10.24911/IJMDC.51-1787668499

Vancouver/ICMJE Style

Nazer AT, Zahrani HAA, Bossei A, Alharbi MH, Gotah S, Malibari W, Alshehri W, Alomari RW, Hasanain R, Alghanmi A, Wazzan MA, Khadawardi H, Abualfraj A. Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah. IJMDC, [cited October 21, 2026]; Online First: 21 Oct, 2026. doi:10.24911/IJMDC.51-1787668499

Harvard Style

Nazer, A. T., Zahrani, . H. A. A., Bossei, . A., Alharbi, . M. H., Gotah, . S., Malibari, . W., Alshehri, . W., Alomari, . R. W., Hasanain, . R., Alghanmi, . A., Wazzan, . M. A., Khadawardi, . H. & Abualfraj, . A. (2026) Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah. IJMDC, Online First: 21 Oct, 2026. doi:10.24911/IJMDC.51-1787668499

Turabian Style

Nazer, Abdulaziz T., Hanan A. Al Zahrani, Asseil Bossei, Muath H. Alharbi, Sarah Gotah, Waleed Malibari, Waleed Alshehri, Renad W. Alomari, Rami Hasanain, Ahmed Alghanmi, Mahmoud A. Wazzan, Haneen Khadawardi, and Abdulelah Abualfraj. 2026. Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah. International Journal of Medicine in Developing Countries, Online First: 21 Oct, 2026. doi:10.24911/IJMDC.51-1787668499

Chicago Style

Nazer, Abdulaziz T., Hanan A. Al Zahrani, Asseil Bossei, Muath H. Alharbi, Sarah Gotah, Waleed Malibari, Waleed Alshehri, Renad W. Alomari, Rami Hasanain, Ahmed Alghanmi, Mahmoud A. Wazzan, Haneen Khadawardi, and Abdulelah Abualfraj. "Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah." International Journal of Medicine in Developing Countries Online First: 21 Oct, 2026. doi:10.24911/IJMDC.51-1787668499

MLA (The Modern Language Association) Style

Nazer, Abdulaziz T., Hanan A. Al Zahrani, Asseil Bossei, Muath H. Alharbi, Sarah Gotah, Waleed Malibari, Waleed Alshehri, Renad W. Alomari, Rami Hasanain, Ahmed Alghanmi, Mahmoud A. Wazzan, Haneen Khadawardi, and Abdulelah Abualfraj. "Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah." International Journal of Medicine in Developing Countries Online First: 21 Oct, 2026. Web. 21 Oct 2026 doi:10.24911/IJMDC.51-1787668499

APA (American Psychological Association) Style

Nazer, A. T., Zahrani, . H. A. A., Bossei, . A., Alharbi, . M. H., Gotah, . S., Malibari, . W., Alshehri, . W., Alomari, . R. W., Hasanain, . R., Alghanmi, . A., Wazzan, . M. A., Khadawardi, . H. & Abualfraj, . A. (2026) Rate of early return visits to the emergency department at King Abdulaziz Medical City, Jeddah. International Journal of Medicine in Developing Countries, Online First: 21 Oct, 2026. doi:10.24911/IJMDC.51-1787668499

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