ArticlePediatric emergency care2021
Profiling Pediatric Potentially Avoidable Transfers Using Procedure and Diagnosis Codes.
Article in Pediatric emergency care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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Who cites it
6 citing papers in PubMed.
- Ophthalmology Examinations in Children With Skull Fractures and Underlying Focal Hemorrhage.Pediatric emergency care · 2025Article
- Article
- How Does Pediatric Quality Measure Development Reflect the Real World Needs of Hospitalized Children?Academic pediatrics · 2022Article
- Observational
- Emergency Department Pediatric Readiness and Potentially Avoidable Transfers.The Journal of pediatrics · 2021Observational
- Characterizing Avoidable Transfer Admissions in Infants Hospitalized for Bronchiolitis.Hospital pediatrics · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesWhile hospital-hospital transfers of pediatric patients are often necessary, some pediatric transfers are potentially avoidable. Pediatric potentially avoidable transfers (PATs) represent a process with high costs and safety risks but few, if any, benefits. To better understand this issue, we described pediatric interfacility transfers with early discharges.
methodsWe conducted a descriptive study using electronic medical record data at a single-center over a 12-month period to examine characteristics of pediatric patients with a transfer admission source and early discharge. Among patients with early discharges, we performed descriptive statistics for PATs defined as patient transfers with a discharge home within 24 hours without receiving any specialized procedures or diagnoses.
resultsOf the 2,415 pediatric transfers, 31.4% were discharged home within 24 hours. Among transferred patients with early discharges, 356 patients (14.7% of total patient transfers) received no specialized procedures or diagnoses. Direct admissions were categorized as PATs 1.9-fold more frequently than transfers arriving to the emergency department. Among transferred direct admissions, PAT proportions to the neonatal intensive care unit (ICU), pediatric ICU, and non-ICU were 5.1%, 17.3%, and 27.3%, respectively. Respiratory infections, asthma, and ill-defined conditions (eg, fever, nausea with vomiting) were the most common PAT diagnoses.
conclusionsEarly discharges and PATs are relatively common among transferred pediatric patients. Further studies are needed to identify the etiologies and clinical impacts of PATs, with a focus on direct admissions given the high frequency of PATs among direct admissions to both the pediatric ICU and non-ICU.
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