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Association between emergency department pediatric readiness and transfer of noninjured children in small rural hospitals.
Lieng, Monica K; Marcin, James P; Sigal, Ilana S; Haynes, Sarah C; Dayal, Parul; Tancredi, Daniel J; Gausche-Hill, Marianne; Mouzoon, Jamie L; Romano, Patrick S; Rosenthal, Jennifer L.
Afiliação
  • Lieng MK; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
  • Marcin JP; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
  • Sigal IS; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
  • Haynes SC; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
  • Dayal P; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
  • Tancredi DJ; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
  • Gausche-Hill M; Departments of Emergency Medicine and Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
  • Mouzoon JL; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
  • Romano PS; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
  • Rosenthal JL; Department of Pediatrics, Center for Health and Technology, University of California Davis, Sacramento, California, USA.
J Rural Health ; 38(1): 293-302, 2022 01.
Article em En | MEDLINE | ID: mdl-33734494
PURPOSE: Pediatric readiness scores may be a useful measure of a hospital's preparedness to care for children. However, there is limited evidence linking these scores with patient outcomes or other metrics, including the need for interfacility transfer. This study aims to determine the association of pediatric readiness scores with the odds of interfacility transfer among a cohort of noninjured children (< 18 years old) presenting to emergency departments (EDs) in small rural hospitals in the state of California. METHODS: Data from the National Pediatric Readiness Project assessment were linked with the California Office of Statewide Health Planning and Development's ED and inpatient databases to conduct a cross-sectional study of pediatric interfacility transfers. Hospitals were manually matched between these data sets. Logistic regression was performed with random intercepts for hospital and adjustment for patient-level confounders. FINDINGS: A total of 54 hospitals and 135,388 encounters met the inclusion criteria. EDs with a high pediatric readiness score (>70) had lower adjusted odds of transfer (aOR: 0.55, 95% CI: 0.33-0.93) than EDs with a low pediatric readiness score (≤ 70). The pediatric readiness section with strongest association with transfer was the "policies, procedures, and protocols" section; EDs in the highest quartile had lower odds of transfer than EDs in the lowest quartile (aOR: 0.54, 95% CI: 0.31-0.91). CONCLUSIONS: Pediatric patients presenting to EDs at small rural hospitals with high pediatric readiness scores may be less likely to be transferred. Additional studies are recommended to investigate other pediatric outcomes in relation to hospital ED pediatric readiness.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hospitais Rurais / Melhoria de Qualidade Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies Limite: Adolescent / Child / Humans País/Região como assunto: America do norte Idioma: En Revista: J Rural Health Assunto da revista: ENFERMAGEM / SAUDE PUBLICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hospitais Rurais / Melhoria de Qualidade Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies Limite: Adolescent / Child / Humans País/Região como assunto: America do norte Idioma: En Revista: J Rural Health Assunto da revista: ENFERMAGEM / SAUDE PUBLICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos