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Background <p>The task of ensuring outpatient emergency treatment is the responsibility of the associations of statutory health insurance physicians. However, less acute patients with a&#xa0;referral from private practice also present themselves at emergency departments (EDs).</p> Objective <p>This study aims to provide a&#xa0;characterization of cases with and without a&#xa0;referral to the ED as well as a&#xa0;description of the use of diagnostic measures and disposition after ED treatment.</p> Methods <p>The work comprises a&#xa0;retrospective data extraction of all adult treatment cases with statutory health insurance who presented at the central ED of the Charité&#xa0;– Universitätsmedizin Berlin Campus Mitte during 1&#xa0;week. It is an exploratory descriptive statistical analysis of treatment cases with and without referral to the ED.</p> Results <p>In 1&#xa0;week, 668&#xa0;people with statutory health insurance were treated in the ED. The median age of the study population was 43&#xa0;years (interquartile range 30–61&#xa0;years), and 54.2% (<i>n</i> = 362) were women. Of this population, 10.6% (<i>n</i> = 71; 95% confidence interval: 8.4–13.2%) arrived with a&#xa0;referral; 73.2% of cases with and 78.2% of cases without a&#xa0;referral were treated on an outpatient basis, and the majority of patients with a&#xa0;referral presented before 4 p.m. The most common reasons for presentation and the diagnoses did not differ between the groups. Treatment cases with referrals received more laboratory tests (74.4% vs. 57.7%), X‑rays (28.2% vs. 19.4%), and ultrasound examinations (21.1% vs. 17.4%).</p> Conclusion <p>Patients referred to an ED for hospital treatment are predominantly treated on an outpatient basis, but this requires considerable resources during the opening hours of the outpatient system. Therefore, EDs play a&#xa0;central role in acute outpatient care. The availability of laboratory and radiological diagnostics with same-day results could potentially reduce the number of referrals to EDs.</p>

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Mit Einweisung in die Notaufnahme und trotzdem ambulant nach Hause entlassen

  • 期刊论文

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  • 发表日期：

    2026年1月28日

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  • Dorothee Riedlinger,
  • Antje Fischer-Rosinský,
  • Martin Möckel,
  • Florina Stimpfl,
  • Margarita Kirsanov,
  • Renate Karpenko,
  • Daniel Schindel,
  • Anna Slagman

摘要

Background

The task of ensuring outpatient emergency treatment is the responsibility of the associations of statutory health insurance physicians. However, less acute patients with a referral from private practice also present themselves at emergency departments (EDs).

Objective

This study aims to provide a characterization of cases with and without a referral to the ED as well as a description of the use of diagnostic measures and disposition after ED treatment.

Methods

The work comprises a retrospective data extraction of all adult treatment cases with statutory health insurance who presented at the central ED of the Charité – Universitätsmedizin Berlin Campus Mitte during 1 week. It is an exploratory descriptive statistical analysis of treatment cases with and without referral to the ED.

Results

In 1 week, 668 people with statutory health insurance were treated in the ED. The median age of the study population was 43 years (interquartile range 30–61 years), and 54.2% (n = 362) were women. Of this population, 10.6% (n = 71; 95% confidence interval: 8.4–13.2%) arrived with a referral; 73.2% of cases with and 78.2% of cases without a referral were treated on an outpatient basis, and the majority of patients with a referral presented before 4 p.m. The most common reasons for presentation and the diagnoses did not differ between the groups. Treatment cases with referrals received more laboratory tests (74.4% vs. 57.7%), X‑rays (28.2% vs. 19.4%), and ultrasound examinations (21.1% vs. 17.4%).

Conclusion

Patients referred to an ED for hospital treatment are predominantly treated on an outpatient basis, but this requires considerable resources during the opening hours of the outpatient system. Therefore, EDs play a central role in acute outpatient care. The availability of laboratory and radiological diagnostics with same-day results could potentially reduce the number of referrals to EDs.