Outcomes of a state-wide virtual emergency department in Victoria, Australia: a linked data analysis of emergency department utilisation and hospital use
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Le résumé fourni par la source
Background The Victorian Virtual Emergency Department (VVED) is a synchronous video-based emergency care service established to reduce the burden on physical EDs by managing patients remotely. Despite rapid growth in virtual emergency care models, evidence regarding downstream hospital utilisation and factors associated with subsequent ED presentation remains limited. We aimed to examine downstream ED utilisation following a VVED consultation and identify factors associated with unplanned ED presentation. Methods We conducted a retrospective cohort study using linked statewide administrative data. The study included all patients registered with the VVED between 1 July 2022 and 23 June 2023. The primary outcome was unplanned ED presentation within 48 h among patients initially managed in the community. Secondary outcomes included discharge destination and planned and unplanned ED utilisation within 48 h and 7 days. Mixed-effects logistic regression was used to identify factors associated with unplanned ED presentation. Findings Of 100,422 VVED presentations, 75.5% (n = 75,871) were managed at home and 15.3% (n = 15,353) were referred to a physical ED. Among patients managed at home, 8.2% (n = 6202) attended a physical ED within 48 h, increasing to 11.4% (n = 8667) within 7 days. Overall, 81.5% (n = 81,840) of patients did not attend a physical ED within 48 h. Primary diagnosis category was the only factor independently associated with unplanned ED presentation within 48 h. Interpretation Most patients were managed in the community, with low unplanned ED utilisation. Higher unplanned rates in our Healthcare Professional pathway likely reflect greater clinical complexity. Further research is needed to explore long-term outcomes, patient perspectives, optimal referral pathways for high-risk groups and the temporal and causal relationship between VVED implementation and physical ED utilisation. Funding This study was conducted as part of a Digital Health Cooperative Research Centre project, a partnership between La Trobe University, Northern Health, and the Victorian Department of Health.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Outcomes of a state-wide virtual emergency department in Victoria, Australia: a linked data analysis of emergency department utilisation and hospital use
- Date Crossref
- 01/09/2026
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The University of Melbourne Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Northern Health pays non établi dans la noticeÉtablissement de santé
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La Trobe University pays non établi dans la noticeUniversité ou école supérieure
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Northern Hospital Victorian Virtual Emergency Department pays non établi dans la noticeÉtablissement de santé
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Ambulance Victoria pays non établi dans la noticeOrganisme public
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Monash University pays non établi dans la noticeUniversité ou école supérieure
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Victorian Health Promotion Foundation pays non établi dans la noticeOrganisme public
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School of Psychology and Public Health pays non établi dans la noticeUniversité ou école supérieure
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Allied Health pays non établi dans la noticeInstitution
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Victorian Centre for Virtual Health Research pays non établi dans la noticeInstitution
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Research Development and Governance Unit pays non établi dans la noticeInstitution
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Latrobe University Research and Industry Engagement pays non établi dans la noticeUniversité ou école supérieure
Department of Medicine — The University of Melbourne, Northern Health et La Trobe University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.