Emergency Transfers: An Important Predictor of Adverse Outcomes in Hospitalized Children
| Autor: | Farah S Hussain, Regan Gallagher, Lilliam Ambroggio, Tina Sosa, Patrick W. Brady |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Patient Transfer Predictive validity medicine.medical_specialty Leadership and Management Adverse outcomes medicine.medical_treatment Assessment and Diagnosis Intensive Care Units Pediatric Health outcomes law.invention 03 medical and health sciences 0302 clinical medicine Risk Factors law 030225 pediatrics Acute care Outcome Assessment Health Care Humans Medicine Intubation Hospital Mortality 030212 general & internal medicine Child Care Planning Patient transfer Clinical Deterioration business.industry Brief Report Health Policy Case-control study General Medicine Length of Stay Hospitals Pediatric Intensive care unit Case-Control Studies Emergency medicine Female Fundamentals and skills business Child Hospitalized |
| Zdroj: | J Hosp Med |
| ISSN: | 1553-5606 1553-5592 |
| Popis: | In-hospital arrests are uncommon in pediatrics, making it difficult to identify the risk factors for unrecognized deterioration and to determine the effectiveness of rapid response systems. An emergency transfer (ET) is a transfer from an acute care floor to an intensive care unit (ICU) where the patient received intubation, inotropes, or ≥3 fluid boluses in the first hour after arrival or before transfer. Improvement science work has reduced ETs, but ETs have not been validated against important health outcomes. This case–control study aimed to determine the predictive validity of an ET for outcomes in a free-standing children’s hospital. Controls were matched in terms of age, hospital unit, and time of year. Patients who experienced an ET had a significantly higher likelihood of in-hospital mortality (22% vs 9%), longer ICU length of stay (4.9 vs 2.2 days), and longer posttransfer length of stay (26.4 vs 14.7 days) compared with controls (P < .03 for each). |
| Databáze: | OpenAIRE |
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