ArticleHospital pediatrics2020
Interfacility Transfers Among Patients With Complex Chronic Conditions.
Article in Hospital pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 15 citations in OpenAlex.
- Rural-Urban Disparities in Hospital Services and Outcomes for Children With Medical Complexity.JAMA network open · 2024Article
- Interfacility Transfer Outcomes Among Children With Complex Chronic Conditions: Associations Between Patient-Level and Hospital-Level Factors and Transfer Outcomes.Hospital pediatrics · 2024Article
- Characteristics and Outcomes of Patients Discharged Directly Home From the Pediatric Intensive Care Unit.Journal of intensive care medicine · 2023Article
- How Does Pediatric Quality Measure Development Reflect the Real World Needs of Hospitalized Children?Academic pediatrics · 2022Article
- Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe interfacility transfers among children with complex chronic conditions (CCCs) and determine if interfacility transfer was associated with health outcomes. We hypothesized that interfacility transfer would be associated with length of stay (LOS), receipt of critical care services, and in-hospital mortality.
methodsIn this retrospective cohort study, we used data from the 2012 Kids' Inpatient Database. CCC hospitalizations were identified by
resultsThere were 551 974 non-birth hospitalizations with at least 1 CCC diagnosis code. Of these, 13% involved an interfacility transfer. Compared with patients with CCCs who were not transferred, patients with CCCs who were transferred in and ultimately discharged from the receiving hospital had an adjusted LOS rate ratio of 1.6 (95% confidence interval [CI]: 1.5-1.7;
conclusionsMany hospitalizations for children with CCCs involve interfacility transfer. Compared with in-house admissions, hospitalizations of patients who are transferred in and ultimately discharged from the receiving hospital involve longer LOS, greater odds of receipt of critical care services, and in-hospital mortality. Further evaluation of the role of clinical and transfer logistic factors is needed to improve outcomes.
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Registered trials
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