{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:32:10Z","timestamp":1793197930565,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to identify patient and clinical factors associated with 48\u2010h pain\u2010related re\u2010presentation following ED discharge across four metropolitan emergency departments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective matched case\u2013control study across four public EDs in Western Sydney Local Health District between September and December 2024. Adult patients presenting with a primary complaint of pain were eligible. Cases were patients who re\u2010presented within 48\u2009h with a pain\u2010related complaint, matched to up to four controls on hospital site, pain location and age. Binomial and conditional logistic regression were performed to identify independent predictors of re\u2010presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 876 participants were included (179 cases, 697 controls). Findings were consistent across both models. Pain score documentation was most strongly associated with re\u2010presentation (binomial aOR 7.90, 95% CI 5.35\u201311.66; conditional aOR 25.50, 95% CI 12.90\u201350.43). Mental health comorbidity was independently associated with increased odds of re\u2010presentation (binomial aOR 2.48, 95% CI 1.40\u20134.38; conditional aOR 2.43, 95% CI 1.23\u20134.81). Discharge opioid prescribing was inversely associated with re\u2010presentation after adjustment (binomial aOR 0.53, 95% CI 0.34\u20130.83; conditional aOR 0.47, 95% CI 0.26\u20130.83).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pain score documentation and mental health comorbidity were most strongly associated with re\u2010presentation, though the binary nature of the pain score variable renders this finding hypothesis\u2010generating. Pain location and triage category were not independently associated with re\u2010presentation. The crude opioid association may partly reflect confounding by indication; the inverse adjusted association warrants cautious interpretation and prospective investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70365","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T14:31:48Z","timestamp":1791556308000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of 48\u2010h Pain\u2010Related Re\u2010Presentation Following Emergency Department Discharge: A Multicentre Retrospective Case\u2013Control Study"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5588-3061","authenticated-orcid":false,"given":"Pramod","family":"Chandru","sequence":"first","affiliation":[{"name":"Emergency Department Westmead Hospital, Western Sydney Local Health District  Sydney New South Wales Australia"},{"name":"Emergency Department Nepean Hospital, Nepean Blue Mountains Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Venkatswami","sequence":"additional","affiliation":[{"name":"Emergency Department Westmead Hospital, Western Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Mendes","sequence":"additional","affiliation":[{"name":"Emergency Department Westmead Hospital, Western Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9380-2739","authenticated-orcid":false,"given":"Nameer van","family":"Oosterom","sequence":"additional","affiliation":[{"name":"University of Notre Dame Australia  Sydney New South Wales Australia"},{"name":"University of New South Wales  Sydney New South Wales Australia"},{"name":"St. Vincent's Hospital Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marnilar","family":"Nang","sequence":"additional","affiliation":[{"name":"Emergency Department Auburn Hospital, Western Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4016-4260","authenticated-orcid":false,"given":"Khanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of Notre Dame Australia  Sydney New South Wales Australia"},{"name":"Emergency Department Auburn Hospital, Western Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Emergency Department Care 2015\u201316: Australian Hospital Statistics. 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