ArticleCritical care medicine2018
Racial and Geographic Disparities in Interhospital ICU Transfers.
Article in Critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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
18 citing papers in PubMed, 37 citations in OpenAlex.
- Burden of Injection Drug Use-Related Infection Hospitalizations in Tennessee, 2016-2023.Open forum infectious diseases · 2026Article
- Alternative Approaches to Characterizing Disparate Care by Race, Ethnicity, and Insurance Between Hospitals.International journal of environmental research and public health · 2025Article
- The Impact of a Novel Transfer Process on Patient Bed Days and Length of Stay: A Five-Year Comparative Study at the Mayo Clinic in Rochester and Mankato Quaternary and Tertiary Care Centers.International journal of environmental research and public health · 2025Article
- A health equity monitoring framework based on process mining.PLOS digital health · 2024Article
- Interhospital Transfer of Patients With Acute Respiratory Failure in the United States: A Scoping Review.Critical care explorations · 2024Article
- Racial and ethnic disparities in emergency department transfers to public hospitals.Health services research · 2024Article
- The role of place-based factors and other social determinants of health on adverse post-sepsis outcomes: a review of the literature.Frontiers in disaster and emergency medicine · 2024Article
- System Failure: The Geographic Distribution of Sepsis-Associated Death in the USA and Factors Contributing to the Mortality Burden of Black Communities.Journal of racial and ethnic health disparities · 2023Article
- Exploring potential barriers in equitable access to pediatric diagnostic imaging using machine learning.Frontiers in public health · 2023Article
- Interhospital Transfer Outcomes for Critically Ill Patients With Coronavirus Disease 2019 Requiring Mechanical Ventilation.Critical care explorations · 2021Article
- Racial/Ethnic Disparities in Interhospital Transfer for Conditions With a Mortality Benefit to Transfer Among Patients With Medicare.JAMA network open · 2021Article
- Identifying Racial/Ethnic Disparities in Interhospital Transfer: an Observational Study.Journal of general internal medicine · 2020Observational
- Treatment in Disproportionately Minority Hospitals Is Associated With Increased Risk of Mortality in Sepsis: A National Analysis.Critical care medicine · 2020Article
- Temporal Trends in Critical Care Outcomes in U.S. Minority-Serving Hospitals.American journal of respiratory and critical care medicine · 2020Article
- Percentage of Mortal Encounters Transferred in Emergency General Surgery.The Journal of surgical research · 2019Article
- Factors Underlying Racial Disparities in Sepsis Management.Healthcare (Basel, Switzerland) · 2018Review
- The authors reply.Critical care medicine · 2018Article
- A Comparison of the United States and Austrian Healthcare Needs and Systems.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
Abstract
objectivesInterhospital transfer, a common intervention, may be subject to healthcare disparities. In mechanically ventilated patients with sepsis, we hypothesize that disparities not disease related would be found between patients who were and were not transferred.
designRetrospective cohort study.
settingNationwide Inpatient Sample, 2006-2012. PATIENTS: Patients over 18 years old with a primary diagnosis of sepsis who underwent mechanical ventilation.
interventionsNone. MEASUREMENTS AND MAIN
resultsWe obtained age, gender, length of stay, race, insurance coverage, do not resuscitate status, and Elixhauser comorbidities. The outcome used was interhospital transfer from a small- or medium-sized hospital to a larger acute care hospital. Of 55,208,382 hospitalizations, 46,406 patients met inclusion criteria. In the multivariate model, patients were less likely to be transferred if the following were present: older age (odds ratio, 0.98; 95% CI, 0.978-0.982), black race (odds ratio, 0.79; 95% CI, 0.70-0.89), Hispanic race (odds ratio, 0.79; 95% CI, 0.69-0.90), South region hospital (odds ratio, 0.79; 95% CI, 0.72-0.88), teaching hospital (odds ratio, 0.31; 95% CI, 0.28-0.33), and do not resuscitate status (odds ratio, 0.19; 95% CI, 0.15-0.25).
conclusionsIn mechanically ventilated patients with sepsis, we found significant disparities in race and geographic location not explained by medical diagnoses or illness severity.
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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.