Journal of Emergency Practice and Trauma

The investigation of valid criteria for hospitalization and discharge in patients with limb cellulitis: a prospective cohort study

Document Type : Original Article

Authors

Samaneh Abiri 1
Mahdi Foroughian 2
Hamideh Akbar 3
Neema John Mehramiz 4
Naser Hatami 5
Abdol Ali Ameri 5
Navid Kalani 6, 7
Esmaeil Rayat Dost 1
Saeed Barazandehpour 8

1 Department of Emergency Medicine, Jahrom University of Medical Sciences, Jahrom, Iran

2 Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran

4 Department of Psychiatry Neurology, Banner University Medical Center, Tucson, AZ, USA

5 Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran

6 6Anesthesiology, Critical Care, and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran

7 Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran

8 Department of Emergency Medicine, Kerman University of Medical Sciences, Kerman, Iran

https://doi.org/10.34172/jept.2020.04
Abstract
Objective: The purpose of this study was to evaluate a valid model for patients’ admission or discharge from emergency services to improve the health system and reduce costs.
Methods: This study was carried out using a prospective cohort method. The study population was patients with limb cellulitis referring to the emergency department of Peymanieh hospital. In this research, the study participants were separated into two groups based on the duration of hospitalization (hospital stay less than 24 hours or longer than 24 hours), then the patients were again separated into 4 groups based on the classification of the the Clinical Resource Efficiency Support Team (CREST) guideline, which in each of these groups the mean age, gender, and the prevalence of underlying diseases were identified and the final outcome for each group was determined after one week from the visit to the hospital.
Results: Peripheral vascular disease, history of injection drug use, immunodeficiency and congenital immune deficiency had a significant relationship with the rate of hospitalization and recurrence. There was a significant relationship between class 1 disease and hospitalization for less than 24 hours, classes 2 and 3, and hospitalization for more than 24 hours (P < 0.001). There was a significant relationship between grade 1 disease and non-recourse, grade 3 and recurrence within one week after initiation of the treatment (P < 0.001). But there was no relationship between grade 2 and grade 4 and the referral of the patient after treatment.
Conclusion: Corset Scale is a reliable scale for assessing the severity of the disease to determine the process of cellulite treatment for outpatient or hospitalization.

Keywords

Crest Scale
Cellulitis
Limb
Infection
Subjects
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Journal of Emergency Practice and Trauma
Volume 6, Issue 2
July 2020
Pages 55-58

  • Receive Date 04 February 2020
  • Revise Date 20 March 2020
  • Accept Date 07 April 2020

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