ArticleIntensive care medicine2003
Transport of critically ill children in a resource-limited setting.
Article in Intensive care medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 109 citations in OpenAlex.
- Service utilisation and outcomes of transfers by a specialised paediatric and neonatal retrieval service in the Western Cape, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Clinical characteristics and outcome of critically ill children referred to a tertiary hospital in Indonesia: a prospective observational study.BMC pediatrics · 2024Observational
- Mobile Critical Care in Resource-Limited Settings: An Unmet Need.Annals of global health · 2024Review
- A comparison of the content taught in critical care transportation modules across South African bachelor's degrees in emergency medical care.The Southern African journal of critical care : the official journal of the Critical Care Society · 2022Article
- Constructing a malaria-related health service readiness index and assessing its association with child malaria mortality: an analysis of the Burkina Faso 2014 SARA data.BMC public health · 2021Article
- Assessment of interhospital transport care for pediatric patients.Clinical and experimental pediatrics · 2020Article
- Accidental Pyrethroid Ingestion in Toddler: Near-Fatal Atypical Presentation and Successful Recovery.Frontiers in pediatrics · 2019Article
- Article
- Referral patterns, delays, and equity in access to advanced paediatric emergency care in Vietnam.International journal for equity in health · 2017Article
- Clinical Utility of MRI Brain in Children with Non-traumatic Coma.Indian journal of pediatrics · 2017Observational
- Transferring the critically ill patient: are we there yet?Critical care (London, England) · 2015Review
- Inter-hospital transport of critically ill patients; expect surprises.Critical care (London, England) · 2012Article
- A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting.International journal of emergency medicine · 2011Article
- Year in review in intensive care medicine-2003. Part 3: intensive care unit organization, scoring, quality of life, ethics, neonatal and pediatrics, and experimental.Intensive care medicine · 2004Review
- Transport of critically ill children in a resource-limited setting: alternatives to a specialized retrieval team.Intensive care medicine · 2004Article
- Transport of seriously ill children: a neglected global issue.Intensive care medicine · 2003Article
- Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review.Prehospital emergency careArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo audit paediatric intensive care unit (PICU) transfer activity and transfer-related adverse events in a resource-limited setting. DESIGN AND
settingTwenty-two bed regional PICU of a university children's hospital in Cape Town, South Africa. Prospective 1-year audit of all children transferred directly from other hospitals. Data were collected for patient demographics, diagnostic category, referring hospital, transferring personnel, mode of transport, and technical, clinical, and critical adverse events. Data are median (interquartile range) or percentages. The transfers of 202 children, median age 2.8 months (1.1-14), median weight 3.5 kg (2.5-8.1) were analysed.
resultsMost transfers were performed by paramedic personnel (82%) and via road ambulance (76%). One or more technical adverse events occurred in 36%, clinical adverse events in 27%, and critical adverse events in 9% of children. Retrievals by intensive care staff (10%), all from rural hospitals, had a lower incidence of technical adverse events (0%). Children transferred from non-academic hospitals within the metropolitan area had the highest incidence of technical (44%), clinical (39%), and critical (17%) adverse events. Crude mortality was 17% ( n=34). Technical adverse events were not associated with mortality. Non-survivors were more likely to develop shock (32%) or hypoxia (26%) during transfer than survivors (10% and 11%, respectively).
conclusionsThere is a high incidence of transfer-related adverse events, most commonly in transfers from non-academic metropolitan hospitals. Further studies are needed to assess the impact of regional paediatric life support training or a specialised retrieval team on clinical adverse events and mortality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.