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Review Article
Online Published: 20 Sep 2026
 


Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors

Badr Saadawi, Obai T. Mesawa, Akram Sami M. Alghamdi, Ahmed Mamdouh Masri, Albasil Hamoud E. Badawi, Abdulaziz Mohammed Yahya Hassan, Mohammed Habib Saleh Aljorfi, Wid Tariq Alshaikh, Alwaleed K. Alabdali.


Abstract
Unplanned return after emergency-department (ED) discharge is an important outcome of acute renal colic, but reported rates depend on the follow-up window, the denominator, and whether returns to other hospitals are observable. Rates, reasons, and predictors of such revisits in adults were described. PubMed/MEDLINE, Cochrane CENTRAL, CDSR and Epistemonikos were searched on 2026-08-11 without language or date restriction; Embase, Scopus and Web of Science were unavailable. Adults aged 16 years or older discharged at the index visit, with the denominator restricted to discharged patients, were eligible. Two reviewers screened, extracted and appraised independently, a third adjudicated four. Appraisal used the JBI prevalence checklist and QUIPS. Synthesis was narrative, grouped by window then cross-hospital capture, with exact Clopper–Pearson intervals and no pooling. Of 333 records, 307 were screened after deduplication; 92 reports were sought, 28 not retrieved, 64 assessed, and 11 studies included. Eight study-window rows supported exact proportions: 18.6% and 22.5% at 7 days, 21.4% at 14 days, 10.6% to 14.7% at 30 days, 27.7% at 60 days, and 7.3% at 90 days. One further 90-day row was definition-limited, and four studies were non-estimable. Only one study reported counted reasons, pain accounting for 148 of 164 returns. No study was low risk overall on QUIPS. Reported proportions are not exchangeable across windows or capture systems, and no single overall rate is defensible. Studies should report an explicit discharge denominator, a stated window, a definition of unplanned return, and whether cross-hospital events were observable. Twenty-eight unretrieved reports limit sensitivity.

Key words: Renal colic, ureteral calculi, emergency service, hospital, patient readmission, systematic review, prognosis


 
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How to Cite this Article
Pubmed Style

Saadawi B, Mesawa OT, Alghamdi ASM, Masri AM, Badawi AHE, Hassan AMY, Aljorfi MHS, Alshaikh WT, Alabdali AK. Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors. IJMDC. Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1787055054

Web Style

Saadawi B, Mesawa OT, Alghamdi ASM, Masri AM, Badawi AHE, Hassan AMY, Aljorfi MHS, Alshaikh WT, Alabdali AK. Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors. https://www.ijmdc.com/?mno=331786 [Access: September 21, 2026]. doi:10.24911/IJMDC.51-1787055054

AMA (American Medical Association) Style

Saadawi B, Mesawa OT, Alghamdi ASM, Masri AM, Badawi AHE, Hassan AMY, Aljorfi MHS, Alshaikh WT, Alabdali AK. Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors. IJMDC. Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1787055054


Vancouver/ICMJE Style

Saadawi B, Mesawa OT, Alghamdi ASM, Masri AM, Badawi AHE, Hassan AMY, Aljorfi MHS, Alshaikh WT, Alabdali AK. Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors. IJMDC, [cited September 21, 2026]; Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1787055054


Harvard Style

Saadawi, B., Mesawa, . O. T., Alghamdi, . A. S. M., Masri, . A. M., Badawi, . A. H. E., Hassan, . A. M. Y., Aljorfi, . M. H. S., Alshaikh, . W. T. & Alabdali, . A. K. (2026) Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors. IJMDC, Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1787055054


Turabian Style

Saadawi, Badr, Obai T. Mesawa, Akram Sami M. Alghamdi, Ahmed Mamdouh Masri, Albasil Hamoud E. Badawi, Abdulaziz Mohammed Yahya Hassan, Mohammed Habib Saleh Aljorfi, Wid Tariq Alshaikh, and Alwaleed K. Alabdali. 2026. Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors. International Journal of Medicine in Developing Countries, Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1787055054


Chicago Style

Saadawi, Badr, Obai T. Mesawa, Akram Sami M. Alghamdi, Ahmed Mamdouh Masri, Albasil Hamoud E. Badawi, Abdulaziz Mohammed Yahya Hassan, Mohammed Habib Saleh Aljorfi, Wid Tariq Alshaikh, and Alwaleed K. Alabdali. "Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors." International Journal of Medicine in Developing Countries Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1787055054


MLA (The Modern Language Association) Style

Saadawi, Badr, Obai T. Mesawa, Akram Sami M. Alghamdi, Ahmed Mamdouh Masri, Albasil Hamoud E. Badawi, Abdulaziz Mohammed Yahya Hassan, Mohammed Habib Saleh Aljorfi, Wid Tariq Alshaikh, and Alwaleed K. Alabdali. "Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors." International Journal of Medicine in Developing Countries Online First: 20 Sep, 2026. Web. 21 Sep 2026 doi:10.24911/IJMDC.51-1787055054


APA (American Psychological Association) Style

Saadawi, B., Mesawa, . O. T., Alghamdi, . A. S. M., Masri, . A. M., Badawi, . A. H. E., Hassan, . A. M. Y., Aljorfi, . M. H. S., Alshaikh, . W. T. & Alabdali, . A. K. (2026) Unplanned emergency department revisits after discharge for acute renal colic or ureteric stone: a systematic review of rates, reasons, and predictors. International Journal of Medicine in Developing Countries, Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1787055054




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