Impact of hospital transfer on surgical outcomes of intestinal atresia.
Am J Surg
; 213(3): 516-520, 2017 Mar.
Article
en En
| MEDLINE
| ID: mdl-27890332
ABSTRACT
BACKGROUND:
Examine effects of hospital transfer into a quaternary care center on surgical outcomes of intestinal atresia.METHODS:
Children <1 yo principally diagnosed with intestinal atresia were identified using the Kids' Inpatient Database (2012). Exposure variable was patient transfer status. Outcomes measured were inpatient mortality, hospital length of stay (LOS) and discharge status. Linearized standard errors, design-based F tests, and multivariable logistic regression were performed.RESULTS:
1672 weighted discharges represented a national cohort. The highest income group and those with private insurance had significantly lower odds of transfer (OR0.53 and 0.74, p < 0.05). Rural patients had significantly higher transfer rates (OR 2.73, p < 0.05). Multivariate analysis revealed no difference in mortality (OR0.71, p = 0.464) or non-home discharge (OR 0.79, p = 0.166), but showed prolonged LOS (OR1.79, p < 0.05) amongst transferred patients.CONCLUSIONS:
Significant differences in hospital LOS and treatment access reveal a potential healthcare gap. Post-acute care resources should be improved for transferred patients.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Transferencia de Pacientes
/
Atresia Intestinal
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
/
Infant
/
Male
País como asunto:
America do norte
Idioma:
En
Año:
2017
Tipo del documento:
Article